TY  - JOUR
PY  - 2023//
TI  - Suicide-related care among patients who have experienced an opioid-involved overdose
JO  - General hospital psychiatry
A1  - Yarborough, Bobbi Jo H.
A1  - Stumbo, Scott P.
A1  - Coleman, Mary Jean
A1  - Ling Grant, Deborah S.
A1  - Hulsey, Jessica
A1  - Shaw, Jennifer L.
A1  - Ahmedani, Brian K.
A1  - Bruschke, Cambria
A1  - Carson, Clayton P. A.
A1  - Cooper, Rachael
A1  - Firemark, Alison
A1  - Hulst, Douglas
A1  - Massimino, Stefan
A1  - Miller-Matero, Lisa R.
A1  - Swanson, Jon R.
A1  - Leonard, Anna
A1  - Westphal, Joslyn
A1  - Coleman, Karen J.
SP  - 8
EP  - 18
VL  - 85
IS  - 
N2  - OBJECTIVE: 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. <br><br>METHODS: 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. <br><br>RESULTS: 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. <br><br>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. <br><br>CONCLUSIONS: There were several opportunities to tailor suicide prevention care for patients who were treated for opioid-involved overdoses within health systems.<p />  <p>Language: en</p>
LA  - en
SN  - 0163-8343
UR  - http://dx.doi.org/10.1016/j.genhosppsych.2023.09.006
ID  - ref1
ER  -