Evidence map›Paper›PMID 34767271›Full record

ArticleSuicide & life-threatening behavior2022

Opioid use as a proximal risk factor for suicidal behavior in young adults.

Laura Marengo, Antoine Douaihy, Yongqi Zhong, Katie Krancevich, Bradley Brummit, Dara Sakolsky, Meredith Deal, Jamie Zelazny, Eli Goodfriend, Melissa Saul and 8 more

Open access · greenAbstract read
In one paragraph

Article in Suicide & life-threatening behavior, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 27% 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, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Opioid Misuse and Suicide-Related Outcomes Among Adolescents and Young Adults: A Systematic Review.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
    Pooled it
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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

18 authors at 2 institutions in 1 country.

Laura MarengoUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Antoine DouaihyDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Yongqi ZhongUniversity of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-4042-7450
Katie KrancevichUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Bradley BrummitUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Dara SakolskyDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Meredith DealUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Jamie ZelaznyUniversity of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania, USA.
Eli GoodfriendUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Melissa SaulUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Stephen MurataUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Brian ThomaDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Hader MansourDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Jamie TewDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Nadeem AhmedDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Anna MarslandDepartment of Psychology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
David BrentDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Nadine M MelhemDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID 0000-0001-8572-8487
University of Pittsburgh · USUniversity of Pittsburgh Medical Center · US

Funding

Identifying Predictors in the HPA Axis and Inflammatory Pathways for Suicidal Behavior in YouthR01MH109493 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MELHEM, NADINE M. · 2017 to 2021
$3.3M
NIMH NIH HHS MH109493NIMH NIH HHS R01 MH109493
6 · The paper itself

Abstract

introductionThere is a concomitant rise in suicide rates with the prevalence of opioids involved in overdose deaths, especially among adolescents and young adults. However, there are limited studies on whether opioid use prospectively predicts suicidal behavior in youth.

methodsOur sample included 183 psychiatric patients (18-30 years) admitted for a suicide attempt (SA), have current suicidal ideation (SI), and psychiatric controls without ideation or attempt (PC). Suicidal behavior was assessed using the Columbia Suicide Severity Rating Scale. We also recruited a healthy control group (HC; n = 40). Patients and controls were followed over a year. ANOVA, regression, and cox regression were used.

resultsSuicide attempt (β = 0.87, CI [0.1-1.6], p = 0.02) and SI [(β = 0.75, CI [0.03-1.5], p = 0.04) were significantly more likely than HCs to have used opioids in the past year at baseline. Opioid use was associated with increased anxiety symptoms (β = 0.75, CI [0.001-1.5], p = 0.05), PTSD symptoms (β = 3.90, CI [1.1-6.7], p = 0.01), and aggression (β = 0.02, CI [0.01-0.04], p = 0.02). Opioid use in the month prior to hospitalization predicted SA at 6 months (OR = 1.87, CI [1.06-3.31], p = 0.032).

conclusionsOpioid use is a proximal predictor for SA. These findings may help clinicians better identify patients at risk for suicidal behavior, allowing for more personalized treatment approaches.

Indexed as

Analgesics, OpioidOpioid-Related DisordersAdolescentHumansRisk FactorsSuicidal IdeationSuicide, AttemptedYoung AdultAnalgesics, Opioidopioidsprospectiveproximal riskpsychiatric hospitalizationsuicide attemptyouth

Identifiers

PMID34767271
PMCPMC10697688
OpenAlexW3212935072

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.