Evidence map›Paper›PMID 30255717›Full record

ArticleJournal of psychopharmacology (Oxford, England)2018

The moderating effect of psychedelics on the prospective relationship between prescription opioid use and suicide risk among marginalized women.

Elena Argento, Melissa Braschel, Zach Walsh, M Eugenia Socias, Kate Shannon

Abstract read
In one paragraph

Article in Journal of psychopharmacology (Oxford, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 35 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Elena Argento1 Gender and Sexual Health Initiative, St. Paul's Hospital, Vancouver, BC, Canada.
Melissa Braschel1 Gender and Sexual Health Initiative, St. Paul's Hospital, Vancouver, BC, Canada.
Zach Walsh3 Department of Psychology, University of British Columbia, Kelowna, BC, Canada.
M Eugenia Socias1 Gender and Sexual Health Initiative, St. Paul's Hospital, Vancouver, BC, Canada.
Kate Shannon1 Gender and Sexual Health Initiative, St. Paul's Hospital, Vancouver, BC, Canada.ORCID 0000-0002-6764-5212
University of British Columbia · CASt. Paul's Hospital · CA

Funding

Social and structural context of HIV/STI risk among FSWsR01DA028648 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI GOLDENBERG, SHIRA MIRIAM, KRUSI, ANDREA · 2010 to 2024
$6.9M
Mentoring the next generation of addiction clinician scientists while responding to the opioid epidemicR25DA037756 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI FAIRBAIRN, NADIA · 2014 to 2023
$3.6M
CIHRNIDA NIH HHS R01 DA028648NIDA NIH HHS R25 DA037756
6 · The paper itself

Abstract

BACKGROUND/

aimsGiven high rates of depression and suicide among marginalized women, and increasing calls to integrate trauma-informed biomedical and community-led structural interventions, this study longitudinally examines the potential moderating effect of psychedelic use on the relationship between other illicit drug use and suicide risk.

methodsData (2010-2017) were drawn from a community-based, prospective open cohort of marginalized women in Vancouver, Canada. Extended Cox regression analyses examined the moderating effect of psychedelic use on the association between other illicit drug use and incidence of suicidal ideation or attempt over follow-up.

resultsOf 340 women without suicidal ideation or attempt at baseline, 16% ( n=53) reported a first suicidal episode during follow-up, with an incidence density of 4.63 per 100 person-years (95% confidence interval 3.53-6.07). In unadjusted analysis, psychedelic use moderated the relationship between prescription opioid use and suicide risk: among women who did not use psychedelics, prescription opioid use increased the hazard of suicide (hazard ratio 2.91; 95% confidence interval 1.40-6.03) whereas prescription opioid use was not associated with increased suicidal ideation or attempt among those who used psychedelics (hazard ratio 0.69; 95% confidence interval 0.27-1.73) (interaction term p-value: 0.016). The moderating effect of psychedelics remained significant when adjusted for confounders (interaction term p-value: 0.036).

conclusionsPsychedelic use had a protective moderating effect on the relationship between prescription opioid use and suicide risk. In the context of a severe public health crisis around prescription opioids and lack of addiction services tailored to marginalized women, this study supports calls for innovative, evidence-based and trauma-informed interventions, including further research on the potential benefits of psychedelics.

Indexed as

AdultAnalgesics, OpioidBritish ColumbiaCohort StudiesFemaleFollow-Up StudiesHallucinogensHumansIllicit DrugsIncidenceLongitudinal StudiesOpioid-Related DisordersPrescription Drug MisuseProportional Hazards ModelsProspective StudiesSocial MarginalizationAnalgesics, OpioidHallucinogensIllicit Drugshallucinogensmoderating effectpsychedelicssubstance usesuicide preventionWomen

Identifiers

PMID30255717
PMCPMC6355147
OpenAlexW2894431596

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.