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Area of Science:

  • Public Health
  • Adolescent Health
  • Mental Health Research

Background:

  • The opioid epidemic and adolescent suicide rates are rising in the U.S.
  • Non-medical prescription opioid use (NMPOU) is linked to adolescent suicide risk.
  • Racial and ethnic disparities in NMPOU and suicidality require further investigation.

Purpose of the Study:

  • To examine the relationship between adolescent NMPOU and suicidality.
  • To investigate racial and ethnic differences in this association.

Main Methods:

  • Utilized data from the 2016 National Survey on Drug Use and Health (NSDUH).
  • Conducted weighted multivariate logistic regression analyses on 11,489 adolescent respondents.
  • Assessed past-year NMPOU's effect on serious suicidal thoughts, suicide plans, and suicide attempts.

Main Results:

  • Adolescents misusing opioids showed higher suicidality prevalence.
  • NMPOU was associated with a 68% increased odds of having a suicide plan (OR = 1.68).
  • Asian adolescents with NMPOU had significantly higher odds of having a suicide plan compared to other racial groups (OR = 1.53).

Conclusions:

  • Adolescent opioid misuse is a significant risk factor for suicide.
  • Asian adolescents face a disproportionately higher risk of suicide associated with opioid misuse.
  • Social workers play a key role in connecting at-risk youth with substance use and mental health services.