Gender differences in the relationship between prescription opioid misuse and depressive symptoms and suicidality among US High School Students
| Autor: | Cynthia G. Ayres, Nancy M. H. Pontes, Manuel C. F. Pontes, Mary Wunnenberg |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Suicide Attempted Comorbidity Suicidal Ideation 03 medical and health sciences Risk-Taking Sex Factors 0302 clinical medicine Surveys and Questionnaires medicine Humans 030212 general & internal medicine Medical prescription Students Psychiatry Suicidal ideation General Nursing Depressive symptoms Depression (differential diagnoses) Depressive Disorder 030504 nursing business.industry Odds ratio Youth Risk Behavior Survey Opioid-Related Disorders United States Logistic Models Adolescent Behavior Prescription opioid Female medicine.symptom Substance use 0305 other medical science business |
| Zdroj: | Nursing Outlook. 69:641-651 |
| ISSN: | 0029-6554 |
| DOI: | 10.1016/j.outlook.2021.01.006 |
| Popis: | Background Prescription opioid misuse and suicide among adolescents are significant health challenges. Purpose This study investigated whether effects of prescription opioid misuse on depressive symptoms and suicidality are greater among female than male students. Methods Using the 2017 Youth Risk Behavior Survey (N = 14,765), this research estimated additive interactions using risk differences as well as multiplicative interactions using odds ratios. Discussion Results showed prescription opioid misuse was associated with significantly greater risks among females than males for depressive symptoms (31.1% vs. 20.8%), suicidal ideation (27.3% vs. 19.1%), suicide attempts (18.1% vs. 11.9%) and suicide attempts requiring treatment (8.5% vs. 4.4%). In contrast, multiplicative interactions using odds ratios were all nonsignificant. Conclusions Among students who misused prescription opioids, females compared to males had much higher average predicted margins of depressive symptoms, suicidal ideation, suicide attempts, and suicide attempts requiring treatment. Screening for depression and suicidality among adolescents who misuse prescription opioids, and vice versa, is paramount. |
| Databáze: | OpenAIRE |
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