Risk Factors for Opioid Overdose

Lipato, Thokozeni; Terplan, Mishka

doi:10.1007/s40501-018-0153-1

Cited by 5 publications

(1 citation statement)

References 94 publications

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“…Overdose is a leading cause of death among people who use drugs (PWUDs), 1 but policies to reduce fatal overdose have had mixed results 2,3 . Both fatal and nonfatal overdoses have increased over the past 2 decades with disproportionate rises in rural areas 4,5 .…”

Section: Introductionmentioning

confidence: 99%

“I've been to more of my friends’ funerals than I've been to my friends’ weddings”: Witnessing and responding to overdose in rural Northern New England

Nolte

Romo

Stopka

et al. 2022

The Journal of Rural Health

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Purpose Overdose is a leading cause of death among people who use drugs (PWUDs), but policies to reduce fatal overdose have had mixed results. Summaries of naloxone access and Good Samaritan Laws (GSLs) in prior studies provide limited information about local context. Witnessing overdoses may also be an important consideration in providing services to PWUDs, as it contributes to post traumatic stress disorder (PTSD) symptoms, which complicate substance use disorder treatment. Methods We aim to estimate the prevalence and correlates of witnessing and responding to an overdose, while exploring overdose context among rural PWUD. The Drug Injection Surveillance and Care Enhancement for Rural Northern New England (DISCERNNE) mixed‐methods study characterized substance use and risk behaviors in 11 rural Massachusetts, Vermont, and New Hampshire counties between 2018 and 2019. PWUD completed surveys (n = 589) and in‐depth interviews (n = 22). Findings Among the survey participants, 84% had ever witnessed an overdose, which was associated with probable PTSD symptoms. Overall, 51% had ever called 911 for an overdose, though some experienced criminal legal system consequences despite GSL. Although naloxone access varied, 43% had ever used naloxone to reverse an overdose. Conclusions PWUD in Northern New England commonly witnessed an overdose, which they experienced as traumatic. Participants were willing to respond to overdoses, but faced barriers to effective overdose response, including limited naloxone access and criminal legal system consequences. Equipping PWUDs with effective overdose response tools (education and naloxone) and enacting policies that further protect PWUDs from criminal legal system consequences could reduce overdose mortality.

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Section: Introductionmentioning

confidence: 99%

“I've been to more of my friends’ funerals than I've been to my friends’ weddings”: Witnessing and responding to overdose in rural Northern New England

Nolte

Romo

Stopka

et al. 2022

The Journal of Rural Health

View full text Add to dashboard Cite

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Drug court utilization of medications for opioid use disorder in high opioid mortality communities

Marlowe¹,

Theiss²,

Ostlie³

et al. 2022

Journal of Substance Abuse Treatment

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Opioid-stimulant trends in overdose toxicology by race, ethnicity, & gender: An analysis in Delaware, 2013–2019

Gray

Neitzke-Spruill

Hughes

et al. 2022

Journal of Ethnicity in Substance Abuse

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Risk Factors for Opioid Overdose

Cited by 5 publications

References 94 publications

“I've been to more of my friends’ funerals than I've been to my friends’ weddings”: Witnessing and responding to overdose in rural Northern New England

“I've been to more of my friends’ funerals than I've been to my friends’ weddings”: Witnessing and responding to overdose in rural Northern New England

Drug court utilization of medications for opioid use disorder in high opioid mortality communities

Opioid-stimulant trends in overdose toxicology by race, ethnicity, & gender: An analysis in Delaware, 2013–2019

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Risk Factors for Opioid Overdose

Cited by 5 publications

References 94 publications

“I've been to more of my friends’ funerals than I've been to my friends’ weddings”: Witnessing and responding to overdose in rural Northern New England

“I've been to more of my friends’ funerals than I've been to my friends’ weddings”: Witnessing and responding to overdose in rural Northern New England

Drug court utilization of medications for opioid use disorder in high opioid mortality communities

Opioid-stimulant trends in overdose toxicology by race, ethnicity, & gender: An analysis in Delaware, 2013–2019

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“I've been to more of my friends’ funerals than I've been to my friends’ weddings”: Witnessing and responding to overdose in rural Northern New England

“I've been to more of my friends’ funerals than I've been to my friends’ weddings”: Witnessing and responding to overdose in rural Northern New England