(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.
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Increased secrecy around behavior
Using substances to aid sleep or help with insomnia
Substance use to gain social status or attention
Substance use as a coping mechanism for body image issues
Being unable to stop once starting
Chronic hangovers or withdrawal symptoms
Trying different substances due to curiosity or peer influence
Using substances in response to social anxiety
Substance use as part of a ritual
Engaging in substance use in stressful work or school environments
Loss of interest in other activities
Substance use leading to legal or financial problems
Using substances to mask underlying mental health concerns
Substance use as a way to feel part of a group or culture
Escalating substance use over time
Using substances in the presence of others who are also using
Substance use that leads to physical health issues
Risk of using substances when feeling overconfident or invincible
Drinking or using drugs to improve self-esteem
Substance use during high-risk activities
Engaging in substance use to forget or escape a painful past
Inability to meet obligations due to substance use
Using substances to avoid confrontation or conflict
Frequenting places that encourage or normalize substance use
