Table 2.

Motivation with complications

Theme	Patient Exemplar Quotes	Friend/Family Exemplar Quotes
Anxiety and depression	“I don’t know how to deal with anxiety. I have panic attacks. And that’s the reason why I resort to alcohol.”	“We think he is depressed…So we believe that he was self-medicating with alcohol.”
Critical illness as a catalyst	Patients describing the moment that they decided to stop drinking: “I seen my son. He finally came to visit me and my stepson came to visit me. Again, and they was sitting there crying. ’Cause they thought I was going to die.”	“When you put 2 pints of blood and you are bleeding internally and he’s had all these tests, I think that scared him. But I think what really scared him into saying and thinking he shouldn’t be drinking anymore was when he had to have the fluid drained from his stomach. And there were 3 bottles of fluid in the room with him. And it is the first time…we came back after it was done and you could see that he was visually upset.”
	“I think when I woke up from one of the procedures that they did in my throat and I saw my wife. But I couldn’t speak, cause they had done something in my throat…But she just looked so distraught.”
Delirium and cognitive impairment	“And then I don’t really remember going back to the hospital…I thought they had equipment in the hospital in Leadville that they didn’t have[at this hospital]. And when we got there and they didn’t have the equipment we had to go to Crested Butte.”	Family describing an abstinent patient after discharge: “So, I don’t know that some of the conversations we had with ____, because he was in the condition he was in, I don’t know that he ever actually got that through his head. Now he’s much more clear about his thinking. I mean we can see it. He is different from then to now.”
	“I remember them wanting to talk to me about my drinking and I remember feeling that they were trying to blame everything on the drinking. And that pissed me off.”