Suicide-related care among patients who have experienced an opioid-involved overdose

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 wit...

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Bibliographic Details
Published in:	General hospital psychiatry Vol. 85; pp. 8 - 18
Main Authors:	Yarborough, Bobbi Jo H., Stumbo, Scott P., Coleman, Mary Jean, Ling Grant, Deborah S., Hulsey, Jessica, Shaw, Jennifer L., Ahmedani, Brian K., Bruschke, Cambria, Carson, Clayton P.A., Cooper, Rachael, Firemark, Alison, Hulst, Douglas, Massimino, Stefan, Miller-Matero, Lisa R., Swanson, Jon R., Leonard, Anna, Westphal, Joslyn, Coleman, Karen J.
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-11-2023
Subjects:	Opioid overdose prevention Provider behavior Qualitative study Suicidal ideation Suicide risk screening Opioid overdose prevention Provider behavior Suicide risk screening Suicidal ideation Qualitative study
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Summary:	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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 MJ Coleman, Hulsey, Bruschke, Carson, Cooper, Hulst, Swanson, and Leonard: Conceptualization, Methodology, Validation, Writing - Review & Editing, Visualization. Author Contributions Statement Ling Grant, Massimino, and Westphal: Methodology, Validation, Formal Analysis, Data Curation, Writing - Review & Editing, Visualization, Supervision, Project Administration. Yarborough and Stumbo: Conceptualization, Methodology, Validation, Formal Analysis, Investigation, Resources, Data Curation, Writing (both Original draft and Review & Editing), Visualization, Supervision, Project Administration, Funding Acquisition. Shaw, Ahmedani, and Miller-Matero: Conceptualization, Methodology, Validation, Investigation, Data Curation, Writing - Review & Editing, Visualization, Supervision, Project Administration, Funding Acquisition. KJ Coleman: Conceptualization, Methodology, Investigation, Resources, Data Curation, Writing (both Original draft and Review & Editing), Visualization, Supervision, Project Administration, Funding Acquisition. Firemark: Methodology, Validation, Formal Analysis, Data Curation, Writing - Review & Editing.
ISSN:	0163-8343 1873-7714 1873-7714
DOI:	10.1016/j.genhosppsych.2023.09.006