ArticleDrug and alcohol dependence2020
Between- and within-person associations between opioid overdose risk and depression, suicidal ideation, pain severity, and pain interference.
Article in Drug and alcohol dependence, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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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.
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Who cites it
14 citing papers in PubMed, 19 citations in OpenAlex.
- Syringe service program utilization, behavioral, and experiential factors associated with greater naloxone protection in a longitudinal cohort of people who use illicit opioids in New York city.Harm reduction journal · 2026Article
- High-risk emergency department visits and risk of all-cause mortality, suicide, and fatal overdose among US military veterans.American journal of epidemiology · 2026Article
- Syringe Service Program Utilization, Behavioral, and Experiential Factors Associated with Greater Naloxone Protection in a Longitudinal Cohort of People Who Use Illicit Opioids in New York City.Research square · 2025Article
- Association of medications for opioid use disorder with reduced risk of repeat opioid overdose in Medicaid: A cohort study.Journal of substance use and addiction treatment · 2024Article
- A pilot study to identify pharmacogenomic and clinical risk factors associated with opioid related falls and adverse effects in older adults.Clinical and translational science · 2023Observational
- Identifying Prescription-Opioid-Related Risks Using Prescription Drug Monitoring Programs' Algorithms and Clinical Screening Tools.Pharmacy (Basel, Switzerland) · 2023Article
- High suicidality predicts overdose events among people with substance use disorder: A latent class analysis.Frontiers in public health · 2023Article
- U.S. Military veterans and the opioid overdose crisis: a review of risk factors and prevention efforts.Annals of medicine · 2022Review
- Pain Severity and Interference and Substance Use Among Community Pharmacy Patients Prescribed Opioids: A Secondary Analysis of the PHARMSCREEN Study.The journal of pain · 2022Article
- Fentanyl preference among people who use opioids in New York City.Drug and alcohol dependence · 2022Article
- Profiles of Patients with Opioid Use Disorders Presenting a History of Suicidal Ideations and Attempts.The Psychiatric quarterly · 2022Article
- Naloxone protection, social support, network characteristics, and overdose experiences among a cohort of people who use illicit opioids in New York City.Harm reduction journal · 2022Article
- The effect of depressive symptoms on pain in a substance-using population with persistent pain: a cross-sectional cohort study.BMC psychiatry · 2021Article
- Validation of the Opioid Overdose Risk Behavior Scale, version 2 (ORBS-2).Drug and alcohol dependence · 2021Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundTo better understand overdose (OD) risk and develop tailored overdose risk interventions, we surveyed 234 opioid-using veterans residing in New York City, 2014-2017. Our aim was to better understand how predictors of OD may be associated with physical and mental health challenges, including pain severity and interference, depression and suicidal ideation over time.
methodsVeterans completed monthly assessments of the Overdose Risk Behavior Scale (ORBS), pain severity and interference, suicidal ideation, and depression for up to two years and were assessed an average of 14 times over 611 days. To estimate between-person and within-person associations between time-varying covariates and opioid risk behavior, mixed-effects regression was used on the 145-person subsample of veterans completing the baseline and at least three follow-up assessments.
resultsThe level of each time-varying covariate at the average of study time (between-person effect) was positively related to ORBS for pain severity and interference, suicidal ideation, and depression. Deviations from individuals' personal trajectories (within-person effect) were positively related to ORBS for pain severity and interference, suicidal ideation, and depression.
conclusionsUS military veterans endure physical and mental health challenges elevating risk for opioid-related overdose. When pain severity, pain interference, suicidal ideation and depression were higher than usual, opioid risk behavior was higher. Conversely, when these health issues were less of a problem than usual, opioid risk behavior was lower. Assessing the physical and mental health of opioid-using veterans over time may support the development and implementation of interventions to reduce behaviors that increase the likelihood of overdose.
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