@article{ref1,
title="Injury-related risk behaviors among adolescents and young adults in the emergency department enrolled in an opioid prevention randomized controlled trial [conference abstract #28]",
journal="Injury prevention",
year="2022",
author="Seewald, Laura and Blow, Fred and Carter, Patrick and Glantz, Meyer and Kidwell, Kelley and King, Cheryl and Losman, Eve and Esteban, Sean and Voepel-Lewis, Terri and Zheng, Kai and Bonar, Erin and Walton, Maureen A. L.",
volume="28",
number="Suppl 1",
pages="A8-A9",
abstract="SAVIR 2022 Conference Abstracts  Statement of Purpose The emergency department (ED) visit provides an opportunity for initiating opioid prevention interventions. This presentation describes baseline injury-related characteristics among a sample of adolescents and young adults in the ED enrolled in an opioid prevention trial.   Methods/Approach Patients (ages 16-30) in the ED complete a screening survey, and those with past-year opioid (prescription or illicit) misuse or opioid use plus a risk factor (e.g., recent substance use, depression, suicidality) are eligible for the randomized controlled trial (RCT) comparing motivational interviewing-based interventions (telemedicine session, 1-month of portal messaging, or both) to a resource brochure, with follow-ups over 12-months.   Results Thus far, 22.8% (n=436/1912) of patients screened positive (29.8% male; Mage= 24.0; 16.5% African American; 7.3% Latinx): 78.9% for prescription opioid use plus a risk factor and 21.1% for opioid misuse. Among those enrolled in the RCT (n=287), recent substance use and mental health concerns were: 66.9% cannabis use, 49.5% binge drinking, 38.7% positive depression screen, 5.2% recent suicide ideation, and 3.8% past-year suicide attempt. Regarding impaired driving, 7.0% drove within an hour of using opioids, 10.5% drove when felt sleepy or less alert because of using opioids, 10.5% drove within an hour of having 3 or more drinks, and 23% drove while high on cannabis. In the past 3 months, 11.9% reported aggression and 13.6% experienced victimization. Finally, 41.1% reported a lifetime overdose experience (i.e., taking more than your body could handle). Engagement in the interventions is high: >85% completed the telemedicine session and >90% engaged in the portal (mean number of participant messages = 13.6). Follow-up rates at 3 and 6 months exceed 80.0%.   Significance Findings support the need for opioid misuse prevention efforts, with interventions addressing other substance use, mental health, and injury prevention. ED-based telemedicine approaches are feasible and acceptable, with future work examining efficacy. Funded by: National Institute on Drug Abuse UG3/UH3 DA050173<p /> <p>Language: en</p>",
language="en",
issn="1353-8047",
doi="10.1136/injuryprev-2022-SAVIR.22",
url="http://dx.doi.org/10.1136/injuryprev-2022-SAVIR.22"
}