| Title: |
Suicide-related care among patients who have experienced an opioid-involved overdose |
| Authors: |
Yarborough, Bobbi Jo H; Stumbo, Scott P; Coleman, Mary Jean; Ling Grant, Deborah S; Hulsey, Jessica; Shaw, Jennifer L; Ahmedani, Brian K; Bruschke, Cambria; Carson, Clayton P. A; Cooper, Rachael; Firemark, Alison; Hulst, Douglas; Massimino, Stefan; Miller-Matero, Lisa R; Swanson, Jon R; Leonard, Anna; Westphal, Joslyn; Coleman, Karen J |
| Source: |
Center for Health Policy and Health Services Research Articles |
| Publisher Information: |
Henry Ford Health Scholarly Commons |
| Publication Year: |
2023 |
| Collection: |
Henry Ford Health System Scholarly Commons |
| Description: |
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. 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. 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. 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. CONCLUSIONS: There were several opportunities to tailor suicide prevention care for patients who were treated for opioid-involved overdoses within health systems. |
| Document Type: |
text |
| Language: |
unknown |
| Relation: |
https://scholarlycommons.henryford.com/chphsr_articles/322; http://sfxhosted.exlibrisgroup.com/hfhs?sid=Entrez:PubMed&id=pmid:37717389 |
| Availability: |
https://scholarlycommons.henryford.com/chphsr_articles/322; http://sfxhosted.exlibrisgroup.com/hfhs?sid=Entrez:PubMed&id=pmid:37717389 |
| Accession Number: |
edsbas.62B938A5 |
| Database: |
BASE |