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Suicide-related care among patients who have experienced an opioid-involved overdose.
- Source :
-
General Hospital Psychiatry . Nov2023, Vol. 85, p8-18. 11p. - Publication Year :
- 2023
-
Abstract
- Our objective was to describe suicide prevention care for individuals prescribed opioids or with opioid use disorder (OUD) and identify opportunities for improving this care. Adult patients (n = 65) from four health systems with an opioid-involved overdose and clinicians (n = 21) who had contact with similar patients completed 30–60-min semi-structured interviews. A community advisory board contributed to development of all procedures, and interpretation and summary of findings. Patients were mostly female (59%), White (63%) and non-Hispanic (77%); 52 were prescribed opioids, 49% had diagnosed OUD, and 42% experienced an intentional opioid-involved overdose. Findings included: 1) when prescribed an opioid or treated for OUD, suicide risks were typically not discussed; 2) 35% of those with an intentional opioid-involved overdose and over 80% with an unintentional overdose reported no discussion of suicidal ideation when treated for the overdose; and 3) suicide-related follow-up care was uncommon among those with unintentional overdoses despite suicidal ideation being reported by >20%. Clinicians reported that when prescribing opioids or treating OUD, post-overdose suicide-related screening or counseling was not done routinely. There were several opportunities to tailor suicide prevention care for patients who were treated for opioid-involved overdoses within health systems. [ABSTRACT FROM AUTHOR]
- Subjects :
- *THERAPEUTIC use of narcotics
*NARCOTICS
*MEDICAL quality control
*SUBSTANCE abuse
*ATTITUDES of medical personnel
*SUICIDE prevention
*DRUG overdose
*RESEARCH methodology
*INTERVIEWING
*DRUG prescribing
*QUALITY assurance
*DESCRIPTIVE statistics
*PHYSICIAN practice patterns
*PATIENT education
*OPIOID abuse
Subjects
Details
- Language :
- English
- ISSN :
- 01638343
- Volume :
- 85
- Database :
- Academic Search Index
- Journal :
- General Hospital Psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 174034586
- Full Text :
- https://doi.org/10.1016/j.genhosppsych.2023.09.006