Evidence map›Paper›PMID 33971515›Full record

ArticleDrug and alcohol dependence2021

Number of opioid overdoses and depression as a predictor of suicidal thoughts.

Lily A Brown, Cecile M Denis, Anthony Leon, Michael B Blank, Steven D Douglas, Knashawn H Morales, Paul F Crits-Christoph, David S Metzger, Dwight L Evans

Open access · greenAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 13 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

9 authors at 2 institutions in 1 country.

Lily A BrownUniversity of Pennsylvania, Department of Psychiatry, 3535 Market Street, Philadelphia, PA, 19104, USA. Electronic address: lilybr@upenn.edu.
Cecile M DenisUniversity of Pennsylvania, Department of Psychiatry, 3535 Market Street, Philadelphia, PA, 19104, USA. Electronic address: cdenis@pennmedicine.upenn.edu.
Anthony LeonUniversity of Pennsylvania, Department of Psychiatry, 3535 Market Street, Philadelphia, PA, 19104, USA. Electronic address: Anthony.leon@pennmedicine.upenn.edu.
Michael B BlankUniversity of Pennsylvania, Department of Psychiatry, 3535 Market Street, Philadelphia, PA, 19104, USA. Electronic address: mblank2@pennmedicine.upenn.edu.
Steven D DouglasChildren's Hospital of Philadelphia, 3401 Civic Center Blvd., Philadelphia, PA, 19104, USA; University of Pennsylvania, Department of Pediatrics, 3401 Civic Center Blvd., Philadelphia, PA, 19104, USA. Electronic address: dougklas@email.chop.edu.
Knashawn H MoralesUniversity of Pennsylvania, Department of Biostatistics, Epidemiology and Informatics, 423 Guardian Dr, Philadelphia, PA, 19104, USA. Electronic address: knashawn@pennmedicine.upenn.edu.
Paul F Crits-ChristophUniversity of Pennsylvania, Department of Psychiatry, 3535 Market Street, Philadelphia, PA, 19104, USA. Electronic address: crits@pennmedicine.upenn.edu.
David S MetzgerUniversity of Pennsylvania, Department of Psychiatry, 3535 Market Street, Philadelphia, PA, 19104, USA. Electronic address: dsm@pennmedicine.upenn.edu.
Dwight L EvansUniversity of Pennsylvania, Department of Psychiatry, 3535 Market Street, Philadelphia, PA, 19104, USA.
University of Pennsylvania · USChildren's Hospital of Philadelphia · US

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI Ronald G Collman · 1999 to 2026
$78.6M
University of Pennsylvania HIV Clinical Trials UnitUM1AI069534 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI Ian Frank, PABLO TEBAS · 2012 to 2026
$33.0M
First-in-human study of two anti-SARS CoV-2 antibodies in health volunteersUM1AI126620 · NIAID · WISTAR INSTITUTE · PI MONTANER, LUIS J, RILEY, JAMES L. · 2016 to 2021
$24.5M
Penn Mental Health AIDS Research CenterP30MH097488 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI Karine Dube, Kelly L Jordan-Sciutto · 2013 to 2026
$23.5M
Effects of mu-opiate receptor engagement on microbial translocation and residual immune activation in HIV-infected, ART suppressed opioid use disorder patents initiating medication-assisted treatmentR01DA048728 · NIDA · WISTAR INSTITUTE · PI METZGER, DAVID S, MONTANER, LUIS J · 2019 to 2023
$8.4M
Effects of Mu-opiate receptor engagement on the persistence of HIV-associated activation and viral reservoirs in individuals receiving medication assisted treatment for opioid use disorderR01DA049666 · NIDA · WISTAR INSTITUTE · PI MONTANER, LUIS J · 2019 to 2023
$4.2M
NIAID NIH HHS P30 AI045008NIAID NIH HHS UM1 AI069534NIAID NIH HHS UM1 AI126620NIDA NIH HHS R01 DA048728NIDA NIH HHS R01 DA049666NIMH NIH HHS P30 MH097488
6 · The paper itself

Abstract

backgroundOpioid use disorders are associated with increased risk of suicide thoughts, attempts, and death. We explored key variables from two theories of the development of suicidal thoughts and attempts (the interpersonal and three-step theories of suicide) to understand possible mechanisms underlying the association between opioid use and suicide risk. We hypothesized that interpersonal connections, variables reflecting psychological and physical pain, and variables that reduce fear of death (prior overdoses and risk-taking behaviors) would be associated with increased risk of thoughts of suicide.

methodsParticipants (N = 141) were opioid users recruited from an epicenter of the opioid crisis in Philadelphia using a mobile research center and completed an interview to assess substance use, depression, medical comorbidities, and suicidal thoughts among other variables.

resultsUnivariate analyses showed that prior history of overdose, diagnosis of depression, older age, homelessness, and interpersonal connection were each associated with increased likelihood of endorsing thoughts of death/suicide. Multivariable analyses revealed prior history of overdose and depression were the variables most strongly associated with risk for thoughts of suicide.

conclusionsConsistent with two theories of the development of suicidal thoughts and attempts, exposure to variables that reduce fear of death (e.g., overdoses) were associated with suicidal thoughts. In contrast, other risk-taking behaviors, medical comorbidities, and substance use were not key predictors of suicidal thoughts in this sample. Implications for targeted risk assessment among clinicians are discussed.

Indexed as

Opiate OverdoseSubstance-Related DisordersSuicideAgedDepressionHumansSuicidal IdeationInterpersonal theory of suicideOpioid overdoseOpioid useSuicidal thoughts and behaviorsThree-step theory of suicide

Identifiers

PMID33971515
PMCPMC8491541
OpenAlexW3159245824

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.