Evidence map›Paper›PMID 39668570›Full record

Observational studySubstance use & misuse2025

Factors Associated with Attempted Suicide Among Emergency Department Patients with Nonfatal Opioid Overdose.

Rachel E Culbreth, Paul Wax, Jeffrey Brent, Kim Aldy, Sharan Campleman, Stephanie T Weiss, Alyssa M Falise, Amanda Sutphin, Alex Krotulski, Alex F Manini and 1 more

Abstract readObservational Study
In one paragraph

Observational study in Substance use & misuse, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. The Value of Medical Toxicologists.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2025
    Article
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

11 authors.

Rachel E CulbrethAmerican College of Medical Toxicology, Phoenix, Arizona, USA.ORCID 0000-0002-5270-2608
Paul WaxAmerican College of Medical Toxicology, Phoenix, Arizona, USA.
Jeffrey BrentUniversity of Colorado School of Medicine, Aurora, Colorado, USA.
Kim AldyAmerican College of Medical Toxicology, Phoenix, Arizona, USA.ORCID 0000-0002-3198-2321
Sharan CamplemanAmerican College of Medical Toxicology, Phoenix, Arizona, USA.
Stephanie T WeissNational Institute on Drug Abuse Intramural Research Program, National Institutes of Health, Baltimore, Maryland, USA.
Alyssa M FaliseAmerican College of Medical Toxicology, Phoenix, Arizona, USA.ORCID 0000-0001-9488-3710
Amanda SutphinAmerican College of Medical Toxicology, Phoenix, Arizona, USA.
Alex KrotulskiCenter for Forensic Science Research and Education at the Fredric Rieders Family Foundation, Willow Grove, Pennsylvania, USA.ORCID 0000-0003-1775-1882
Alex F ManiniIchan School of Medicine at Mount Sinai, New York, New York, USA.ORCID 0000-0001-8276-9320
ToxIC Fentalog Study Group

Funding

Predicting medical consequences of novel fentanyl analog overdose using the Toxicology Investigators Consortium (TOXIC) R01DA048009 · NIDA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Alex Francis Manini · 2020 to 2026
$6.7M
NIDA NIH HHS R01 DA048009
6 · The paper itself

Abstract

introductionTo investigate factors associated with suicide attempts among patients presenting after an opioid overdose. MATERIALS AND

methodsThis analysis consists of patients enrolled in the Toxicology Investigators Consortium Fentalog Study, an ongoing prospective observational study of patients presenting to 1 of 10 emergency departments (EDs) for a suspected opioid overdose. Residual serum samples were analyzed to detect over 1,200 drugs and metabolites. Chart reviews were conducted to determine the patients' intentions for the opioid overdose (suicide attempt vs. unintentional overdose), medical/social history, and clinical variables. Logistic regression analyses were conducted to examine factors associated with suicide attempts.

resultsAmong 1,259 patients, 6.4% were classified as suicide attempts. Prescription opioids only (without illicit opioids) were associated with suicide attempts compared to unintentional overdose (OR: 1.27; 95% CI: 1.21, 1.34). Compared to unintentional overdoses, suicide attempts were not associated with an increased odds of medical interventions being provided, such as CPR, intubation, or ICU admission.

conclusionsAmong patients presenting to EDs after opioid overdose, suicide attempts comprised 6% of the study population and were associated with prescription opioids rather than illicit opioids.

Indexed as

Analgesics, OpioidDrug OverdoseEmergency Service, HospitalOpiate OverdoseSuicide, AttemptedAdultFemaleHumansMaleMiddle AgedProspective StudiesRisk FactorsYoung AdultAnalgesics, OpioidopioidsOverdoseself-harmsuicidesuicide attempt

Identifiers

PMID39668570
PMCPMC11915186

What OpenQuestion holds

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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.