The relationship between past 12-month suicidality and reasons for prescription opioid misuse
Autor: | Wilfred R. Pigeon, Todd M. Bishop, Taraneh Canarapen, Sarah Cercone Heavey, Lisham Ashrafioun |
---|---|
Rok vydání: | 2019 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent Pain Poison control Suicide Attempted Logistic regression Suicide prevention Article Occupational safety and health Suicidal Ideation Thinking Young Adult 03 medical and health sciences 0302 clinical medicine Injury prevention Humans Medicine Medical prescription Psychiatry Prescription Drug Misuse Aged Motivation Suicide attempt business.industry Human factors and ergonomics Middle Aged Opioid-Related Disorders 030227 psychiatry Psychiatry and Mental health Clinical Psychology Logistic Models Female business 030217 neurology & neurosurgery |
Zdroj: | J Affect Disord |
ISSN: | 0165-0327 |
Popis: | Background Understanding reasons for prescription opioid misuse can help elucidate suicide prevention efforts. The goal of the current study is to assess associations of reasons for prescription opioid misuse subtypes and suicide-related variables. We also assessed whether prescription opioid misuse differentiates ideators from those who attempt suicide. Methods Using data from the 2015–2017 National Survey of Drug Use and Health (N = 45,074), prescription opioid misuse subtypes were grouped as follows: (a) Pain only, (b) Other reasons, and (c) Mixed reasons (i.e., pain and at least one other reason). Logistic regressions examined associations of misuse subtypes and past 12-month suicide-related variables (ideation, planning, attempts) relative to non-misusers. Logistic regression analyses were also conducted among the subset reporting ideation to assess whether prescription opioid misuse differentiated ideators with no attempt from ideators with an attempt. Results In adjusted models, the Pain only and the Other reasons subtypes were associated with ideation and planning, but not attempts. The Mixed reasons subtype had higher odds of suicide ideation and planning compared to those not misusing prescription opioids and the Pain only misuse subtype. The Mixed reasons subtype had higher odds of a suicide attempt only when compared to those not misusing prescription opioids. Prescription opioid misuse was also associated with suicide attempts among the subset of ideators. Conclusions Findings indicate that people misuse prescription opioids for various reasons, and misuse subtypes are associated with past 12-month suicidality. Addressing pain and other reasons for misuse together through use of evidence-based treatments may help mitigate suicide risk. |
Databáze: | OpenAIRE |
Externí odkaz: |