Examining the Relationship Between Ongoing Alcohol Use, Suicidal Thoughts and Behaviors and Related Constructs, and Behavioral Economic Decision-Making.

This randomized, 2x2 factorial study will enroll adults who drink alcohol regularly and are interested in reducing or stopping their alcohol use. Participants will complete four online assessments approximately four weeks apart over a 12 week study period. The assessments include questionnaires about alcohol use, suicidal thoughts and behaviors and behavioral economic decision-making.

Participants will be randomly assigned to receive access to Computer-Based Training for Cognitive Behavioral Therapy (CBT4CBT) program either immediately after the baseline assessment or after the second follow-up assessment. The study will compare participants with and without recent suicidal thoughts and behaviors to evaluate differences in decision-making, alcohol use, and engagement with the CBT4CBT program. The results may improve understanding of factors related to alcohol use and suicide risk and help inform future interventions for individuals with alcohol use concerns.

Inclusion criteria

• Consume alcohol at least weekly
• Score of 8 or greater on the Alcohol Use Disorder Identification Test (AUDIT)
• Some interest in cutting back on drinking or quitting
• Read and understand English
• Recent active/passion ideation

Exclusion criteria

• Score of 31 or greater on the AUDIT
• Having unmanaged psychiatric diagnoses
• Already being in treatment for alcohol use disorder at baseline
• Past month substance use other than cannabis or tobacco