Evidence map›Paper›PMID 37717389›Full record

ArticleGeneral hospital psychiatry

Suicide-related care among patients who have experienced an opioid-involved overdose.

Bobbi Jo H Yarborough, Scott P Stumbo, Mary Jean Coleman, Deborah S Ling Grant, Jessica Hulsey, Jennifer L Shaw, Brian K Ahmedani, Cambria Bruschke, Clayton P A Carson, Rachael Cooper and 8 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Observational
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 6 institutions in 1 country.

Bobbi Jo H YarboroughCenter for Health Research, Kaiser Permanente Northwest, Portland, OR, USA.
Scott P StumboCenter for Health Research, Kaiser Permanente Northwest, Portland, OR, USA.
Mary Jean ColemanAmerican Foundation for Suicide Prevention, New York, NY, USA.
Deborah S Ling GrantDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Jessica HulseyAddiction Policy Forum, Bethesda, MD, USA.
Jennifer L ShawSouthcentral Foundation, Anchorage, AK, USA.
Brian K AhmedaniCenter for Health Policy & Health Services Research, Henry Ford Health, Detroit, MI, USA.
Cambria BruschkeKaiser Permanente, National Mental Health and Wellness, Oakland, CA, USA.
Clayton P A CarsonMental Health America, Alexandria, VA, USA.
Rachael CooperShatterproof, National Stigma Initiative, Madison, WI, USA.
Alison FiremarkCenter for Health Research, Kaiser Permanente Northwest, Portland, OR, USA.
Douglas HulstDepression and Bipolar Support Alliance, Chicago, IL, USA.
Stefan MassiminoCenter for Health Research, Kaiser Permanente Northwest, Portland, OR, USA.
Lisa R Miller-MateroCenter for Health Policy & Health Services Research, Henry Ford Health, Detroit, MI, USA.
Jon R SwansonKaiser Foundation Health Plan, Ethics and Compliance, Care Delivery & Quality Compliance, Pasadena, CA, USA.
Anna LeonardSouthcentral Foundation, Anchorage, AK, USA.
Joslyn WestphalCenter for Health Policy & Health Services Research, Henry Ford Health, Detroit, MI, USA.
Karen J ColemanDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA. Electronic address: Karen.J.Coleman@kp.org.
Kaiser Permanente Center for Health Research · USHenry Ford Health System · USKaiser Permanente · USSouthcentral Foundation · USAmerican Foundation for Suicide Prevention · USMental Health America · US

Funding

Patient perspectives on clinical approaches to prevent opioid related suicide attemptsU01MH114087 · NIMH · HENRY FORD HEALTH SYSTEM · PI AHMEDANI, BRIAN KENNETH, SIMON, GREGORY E. · 2017 to 2021
$6.5M
NIMH NIH HHS U01 MH114087
6 · The paper itself

Abstract

objectiveOur objective was to describe suicide prevention care for individuals prescribed opioids or with opioid use disorder (OUD) and identify opportunities for improving this care.

methodsAdult patients (n = 65) from four health systems with an opioid-involved overdose and clinicians (n = 21) who had contact with similar patients completed 30-60-min semi-structured interviews. A community advisory board contributed to development of all procedures, and interpretation and summary of findings.

resultsPatients were mostly female (59%), White (63%) and non-Hispanic (77%); 52 were prescribed opioids, 49% had diagnosed OUD, and 42% experienced an intentional opioid-involved overdose. Findings included: 1) when prescribed an opioid or treated for OUD, suicide risks were typically not discussed; 2) 35% of those with an intentional opioid-involved overdose and over 80% with an unintentional overdose reported no discussion of suicidal ideation when treated for the overdose; and 3) suicide-related follow-up care was uncommon among those with unintentional overdoses despite suicidal ideation being reported by >20%. Clinicians reported that when prescribing opioids or treating OUD, post-overdose suicide-related screening or counseling was not done routinely.

conclusionsThere were several opportunities to tailor suicide prevention care for patients who were treated for opioid-involved overdoses within health systems.

Indexed as

Drug OverdoseOpioid-Related DisordersSuicideAdultAnalgesics, OpioidFemaleHumansMaleSuicidal IdeationAnalgesics, OpioidOpioid overdose preventionProvider behaviorQualitative studySuicidal ideationSuicide risk screening

Identifiers

PMID37717389
PMCPMC10840798
OpenAlexW4386584716

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.