@article{ref1,
title="Opioid use as a proximal risk factor for suicidal behavior in young adults",
journal="Suicide and life-threatening behavior",
year="2021",
author="Marengo, Laura and Douaihy, Antoine and Zhong, Yongqi and Krancevich, Katie and Brummit, Bradley and Sakolsky, Dara and Deal, Meredith and Zelazny, Jamie and Goodfriend, Eli and Saul, Melissa and Murata, Stephen and Thoma, Brian and Mansour, Hader and Tew, Jamie and Ahmed, Nadeem and Marsland, Anna and Brent, David and Melhem, Nadine M.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: There is a concomitant rise in suicide rates with the prevalence of opioids involved in overdose deaths, especially among adolescents and young adults. However, there are limited studies on whether opioid use prospectively predicts suicidal behavior in youth. <br><br>METHODS: Our sample included 183 psychiatric patients (18-30 years) admitted for a suicide attempt (SA), have current suicidal ideation (SI), and psychiatric controls without ideation or attempt (PC). Suicidal behavior was assessed using the Columbia Suicide Severity Rating Scale. We also recruited a healthy control group (HC; n = 40). Patients and controls were followed over a year. ANOVA, regression, and cox regression were used. <br><br>RESULTS: Suicide attempt (β = 0.87, CI [0.1-1.6], p = 0.02) and SI [(β = 0.75, CI [0.03-1.5], p = 0.04) were significantly more likely than HCs to have used opioids in the past year at baseline. Opioid use was associated with increased anxiety symptoms (β = 0.75, CI [0.001-1.5], p = 0.05), PTSD symptoms (β = 3.90, CI [1.1-6.7], p = 0.01), and aggression (β = 0.02, CI [0.01-0.04], p = 0.02). Opioid use in the month prior to hospitalization predicted SA at 6 months (OR = 1.87, CI [1.06-3.31], p = 0.032). <br><br>CONCLUSIONS: Opioid use is a proximal predictor for SA. These findings may help clinicians better identify patients at risk for suicidal behavior, allowing for more personalized treatment approaches.<p /> <p>Language: en</p>",
language="en",
issn="0363-0234",
doi="10.1111/sltb.12806",
url="http://dx.doi.org/10.1111/sltb.12806"
}