Evidence map›Paper›PMID 35868181›Full record

ArticleDrug and alcohol dependence2022

Prevalence and correlates of incarceration following emergency medical services response to overdose.

Bradley Ray, Bethany J Hedden, Jennifer J Carroll, Brandon Del Pozo, Karla Wagner, Alex H Kral, Daniel O'Donnell, Grant Victor, Phil Huynh

Open access · greenAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
5.4field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 30 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 8 institutions in 1 country.

Bradley RayRTI International, Division for Applied Justice Research, 3040 Cornwallis Road, Research Triangle Park, NC 27709, USA. Electronic address: bradleyray@rti.org.
Bethany J HeddenCenter for Behavioral Health and Justice, Wayne State University, School of Social Work, 5447 Woodward Avenue, Detroit, MI 48202, USA.
Jennifer J CarrollNorth Carolina State University, Department of Sociology and Anthropology, 10 Current Drive, Suite 334, Raleigh, NC 27606-8017, USA.
Brandon Del PozoThe Warren Alpert School of Medicine of Brown University, 222 Richmond St, Providence, RI 02903, USA.
Karla WagnerUniversity of Nevada, Reno, School of Public Health, 1644 N. Virginia St., Reno, NV 89557, USA.
Alex H KralRTI International, Berkeley, CA, USA.
Daniel O'DonnellIndiana University School of Medicine, Indianapolis Emergency Medical Services, 3930 Georgetown Rd., Indianapolis, IN 46254, USA.
Grant VictorRutgers University, School of Social Work, 120 Albany St, New Brunswick, NJ 08901, USA.
Phil HuynhCenter for Behavioral Health and Justice, Wayne State University, School of Social Work, 5447 Woodward Avenue, Detroit, MI 48202, USA.
RTI International · USBrown University · USIndiana University – Purdue University Indianapolis · USNorth Carolina State University · USRutgers, The State University of New Jersey · USUniversity of Nevada, Reno · USWayne State University · USWoodward (United States) · US

Funding

Project 4: Neonatal Abstinence Syndrome (NAS): Fetus to First YearsP20GM125507 · NIGMS · RHODE ISLAND HOSPITAL · PI Ju Nyeong Park · 2018 to 2026
$23.4M
HIV and Other Infectious Consequences of Substance UseT32DA013911 · NIDA · MIRIAM HOSPITAL · PI TRACI C GREEN, JOSIAH D RICH · 2001 to 2026
$9.6M
Examining the iatrogenic effect of law enforcement disruptions to the illicit drug market on overdose in the surrounding communityR01CE003362 · CE · WAYNE STATE UNIVERSITY · PI COMARTIN, ERIN · 2021 to 2023
$725k
NCIPC CDC HHS R01 CE003362NIDA NIH HHS T32 DA013911NIGMS NIH HHS P20 GM125507
6 · The paper itself

Abstract

backgroundTo describe the prevalence of incarceration among survivors of non-fatal overdose addressed through an emergency medical services (EMS) response, and compare incarceration by whether the emergency was for opioid-involved or stimulant-involved overdose.

methodsAdministrative records on 192,113 EMS incidents and 70,409 jail booking events occurring between January 1, 2019 and December 31, 2020 in Indianapolis, Indiana were record-linked at the event level. Incarceration taking place within 6-hours of an EMS incident was associated with that incident. Logistic regression was used to calculate adjusted odds ratios (AOR) of incarceration after an overdose.

resultsAmong all EMS incidents, 2.6% were followed by incarceration. For overdose EMS incidents, the prevalence of incarceration was 10.0%. Overdose incidents had higher odds than non-overdose incidents of leading to a charge of felony, booked on a warrant, and transferred to another law enforcement agency upon release. Prevalence of incarceration following a stimulant-involved overdose was 21.3%, compared to 9.3% for opioid-involved overdose survivors. Compared to persons from other EMS incidents, overdose survivors had greater odds of incarceration (AOR=3.48, 95% confidence interval (CI)= 3.22, 3.75, p < .001), with opioid-involved overdoses (AOR=3.03, 95% CI=2.76, 3.33, p < .001) and stimulant-involved overdoses (AOR=6.70, 95% CI=5.26, 8.55, p < .001) leading to higher odds of incarceration.

conclusionIncarceration in county jail followed one in ten overdose-involved EMS responses. As illicit drug consumption increasingly involves stimulants, the frequency of incarceration following these events is likely to increase. Policy changes and interventions are needed to reduce incarceration after overdose emergencies.

Indexed as

Drug OverdoseEmergency Medical ServicesOpiate OverdoseAnalgesics, OpioidHumansNaloxonePrevalenceAnalgesics, OpioidNaloxoneArrestEMSOpioidsOverdosePoliceStimulants

Identifiers

PMID35868181
PMCPMC10290877
OpenAlexW4285405325

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.