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Related Experiment Videos

Overdose after detoxification: a prospective study.

James D Wines1, Richard Saitz, Nicholas J Horton

  • 1Alcohol and Drug Abuse Research Center (ADARC), McLean Hospital, 115 Mill Street, Belmont, MA 02478, USA. jwines@hms.harvard.edu

Drug and Alcohol Dependence
|February 7, 2007
PubMed
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Prior overdose and depressive symptoms predict future non-fatal overdose (OD) in adults after detoxification. Identifying these risk factors can help prevent future OD events, especially among opioid users.

Area of Science:

  • Addiction Medicine
  • Public Health
  • Psychiatry

Background:

  • Non-fatal overdose (OD) is a significant public health concern.
  • Detoxification is a critical juncture for intervention.
  • Predicting future OD risk is essential for prevention efforts.

Purpose of the Study:

  • To identify predictors of non-fatal overdose (OD) in adults post-detoxification.
  • To analyze risk factors for overdose in a cohort of 470 adults.
  • To examine predictors specifically for individuals with problem opioid use.

Main Methods:

  • Multivariable regression analyses were used to examine factors associated with time to OD.
  • Data were collected over a 2-year follow-up period after discharge from an urban detoxification unit.

Related Experiment Videos

  • Separate analyses were conducted for the total sample and a subgroup with problem opioid use.
  • Main Results:

    • Lifetime OD prevalence was 30.9% overall and 42.3% in the opioid problem subgroup.
    • During 2-year follow-up, OD occurred in 16.9% of the total sample and 26.7% of the opioid subgroup.
    • Predictors of increased OD hazard included white race, depressive symptoms, and prior OD; suicidal ideation/attempt was not associated with future OD.

    Conclusions:

    • Non-fatal OD is highly prevalent among detoxification patients, particularly opioid users.
    • Prior overdose is a potent predictor of future overdose events.
    • Depressive symptoms, a modifiable factor, may be a target for overdose prevention interventions.