Characteristics of self-inflicted drug overdose deaths in North Carolina

Austin, Anna E.; Proescholdbell, Scott; Creppage, Kathleen; Asbun, Alex

doi:10.1016/j.drugalcdep.2017.09.014

Cited by 34 publications

(20 citation statements)

References 23 publications

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“…As would be expected, mental health problems were associated with an elevated suicide risk in both the DUD cohort and among the controls, a finding also reported by Cavanagh et al [33]. Our finding that opioid use was a strong predictor of completed suicide is consistent with other studies [7,34,35], even if those other studies have assessed suicidal ideation and attempts, rather than completed suicide. In our context, opioid use was part of a drug problem that had led to treatment, meaning that our findings may not be relevant for opioid use among pain patients (compare [36]).…”

Section: Summary Of Findingssupporting

confidence: 92%

Suicide among people treated for drug use disorders: a Danish national record-linkage study

et al. 2020

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Background: Substance use disorders are a major risk factor for suicide. However, less is known about specific risk factors for suicide in people with substance use disorders. Methods: This population cohort study assessed suicide among people treated for drug use disorders in Denmark 2000-2010, and described risk factors for completed suicide. Data from 27,942 individuals enrolled in treatment were linked to national registers and matched with controls without drug use disorder and with (n = 138,136) or without psychiatric history (n = 1574). Competing risk regression was used to identify risk factors of completed suicide. Results: There were 163 suicides among patients with a history of drug treatment (0.6% of patients). Increased risk was associated with younger age at enrolment (hazard ratio [HR] = 0.97, 95% confidence interval (CI): 0.95, 0.98), history of psychiatric care (HR = 1.96, CI 95%: 1.39, 2.77), opioid use (HR = 1.81, 95% CI: 1.23, 2.68), and alcohol use (HR = 1.56, 95% CI: 1.09, 2.23). Lower risk was associated with cannabis use (HR = 0.69, 95% CI: 0.50, 0.96). Compared with age-and gender-matched controls without a history of treatment for substance use disorders or recent psychiatric care, the standardized mortality ratio due to suicide was 7.13 for people with drug use disorder without a history of psychiatric care (95% CI: 5.81, 8.44), 13.48 for people with drug use disorder and psychiatric history (95% CI: 9.75, 17.22), and 13.61 for people with psychiatric history only (95% CI: 6.72, 20.50). Conclusions: Risk of suicide is increased among people with drug use disorders. Access to treatment for comorbid mental health problems for people with drug use disorders could potentially reduce risk of suicide.

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Section: Summary Of Findingssupporting

confidence: 92%

Suicide among people treated for drug use disorders: a Danish national record-linkage study

et al. 2020

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“…Our finding that opioid use is a strong predictor of completed suicide is consistent with other studies (9,30,31), even if those other studies have assessed suicidal ideation and attempts, rather than completed suicide. In our context, opioid use was part of a drug problem that had led to treatment, meaning that our findings may not be relevant for opioid use among pain patients (compare 32).…”

Section: Summary Of Findingssupporting

confidence: 93%

“…All p-values were 2-tailed, and level of significance was assessed as a Type I error with rate of alpha 0.05. All statistical analyses were performed using Stata 15 (31).…”

Section: Analysesmentioning

confidence: 99%

Suicide among people treated for drug use disorders: a Danish national record-linkage study

Hesse

Thylstrup

Seid

et al. 2019

Preprint

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Background Substance use disorders are a major risk factor for suicide. However, less is known about specific risk factors for suicide in people with substance use disorders. Methods This population cohort study assessed suicide among people treated for drug use disorders in Denmark 2000-2010, and described risk factors for completed suicide. Data from 27,942 individuals enrolled in treatment were linked to national registers and matched with controls. Competing risk regression was used to identify risk factors of completed suicide. Results There were 163 suicides among patients with a history of drug treatment (0.6% of patients). Increased risk was associated with younger age at enrolment (hazard ratio [HR] = 0.97, 95% CI: 0.95, 0.98), history of psychiatric care (HR=1.96, CI 95%: 1.39, 2.77), opioid use (HR=1.81, 95% CI: 1.23, 2.68) and alcohol use (HR=1.56, 95% CI: 1.09, 2.23). Lower risk was associated with cannabis use (HR=0.69, 95% CI: 0.50, 0.96). The standard mortality ratio was 7.13 for people with drug use disorder without a history of psychiatric care (95% CI: 5.81, 8.44), 13.48 for people with drug use disorder and psychiatric history (95% CI: 9.75, 17.22), and 13.61 for people with psychiatric history only (95% CI: 6.72, 20.50) Conclusions Risk of suicide is increased among people with drug use disorders. Access to treatment for co-morbid mental health problems for people with drug use disorders could potentially reduce risk of suicide.

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“…Our finding that opioid use was a strong predictor of completed suicide is consistent with other studies (7,34,35), even if those other studies have assessed suicidal ideation and attempts, rather than completed suicide. In our context, opioid use was part of a drug problem that had led to treatment, meaning that our findings may not be relevant for opioid use among pain patients (compare 36).…”

Section: Summary Of Findingssupporting

confidence: 93%

Suicide among people treated for drug use disorders: a Danish national record-linkage study

Hesse

Thylstrup

Seid

et al. 2019

Preprint

View full text Add to dashboard Cite

Background: Substance use disorders are a major risk factor for suicide. However, less is known about specific risk factors for suicide in people with substance use disorders. Methods: This population cohort study assessed suicide among people treated for drug use disorders in Denmark 2000-2010, and described risk factors for completed suicide. Data from 27,942 individuals enrolled in treatment were linked to national registers and matched with controls without drug use disorder and with (n=138,136) or without psychiatric history (n=1,574). Competing risk regression was used to identify risk factors of completed suicide. Results: There were 163 suicides among patients with a history of drug treatment (0.6% of patients). Increased risk was associated with younger age at enrolment (hazard ratio [HR] = 0.97, 95% confidence interval (CI): 0.95, 0.98), history of psychiatric care (HR=1.96, CI 95%: 1.39, 2.77), opioid use (HR=1.81, 95% CI: 1.23, 2.68), and alcohol use (HR=1.56, 95% CI: 1.09, 2.23). Lower risk was associated with cannabis use (HR=0.69, 95% CI: 0.50, 0.96). Compared with age- and gender-matched controls without a history of treatment for substance use disorders or recent psychiatric care, the standardized mortality ratio due to suicide was 7.13 for people with drug use disorder without a history of psychiatric care (95% CI: 5.81, 8.44), 13.48 for people with drug use disorder and psychiatric history (95% CI: 9.75, 17.22), and 13.61 for people with psychiatric history only (95% CI: 6.72, 20.50). Conclusions: Risk of suicide is increased among people with drug use disorders. Access to treatment for co-morbid mental health problems for people with drug use disorders could potentially reduce risk of suicide.

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Characteristics of self-inflicted drug overdose deaths in North Carolina

Cited by 34 publications

References 23 publications

Suicide among people treated for drug use disorders: a Danish national record-linkage study

Suicide among people treated for drug use disorders: a Danish national record-linkage study

Suicide among people treated for drug use disorders: a Danish national record-linkage study

Suicide among people treated for drug use disorders: a Danish national record-linkage study

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