Evidence map›Paper›PMID 39945684›Full record

SynthesisThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2025

Opioid Misuse and Suicide-Related Outcomes Among Adolescents and Young Adults: A Systematic Review.

Jessica Duncan Cance, Sara Hairgrove, Lissette M Saavedra, Erin E Bonar, Maureen A Walton, Sheila V Patel, Amy M Yule, Cheryl King, Laura J Chavez, Natasha Slesnick and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  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
  2. Trial
  3. Article
  4. 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.

Jessica Duncan CanceRTI International, Research Triangle Park, North Carolina. Electronic address: jcance@rti.org.
Sara HairgroveSubstance Abuse and Mental Health Services Administration, Rockville, Maryland.
Lissette M SaavedraRTI International, Research Triangle Park, North Carolina.
Erin E BonarDepartment of Psychiatry, University of Michigan, Ann Arbor, Michigan; Injury Prevention Center, University of Michigan, Ann Arbor, Michigan; Addiction Center, University of Michigan, Ann Arbor, Michigan.
Maureen A WaltonDepartment of Psychiatry, University of Michigan, Ann Arbor, Michigan; Injury Prevention Center, University of Michigan, Ann Arbor, Michigan; Addiction Center, University of Michigan, Ann Arbor, Michigan.
Sheila V PatelRTI International, Research Triangle Park, North Carolina.
Amy M YuleBoston Medical Center, Boston University School of Medicine, Boston, Massachusetts.
Cheryl KingDepartment of Psychiatry, University of Michigan, Ann Arbor, Michigan; Injury Prevention Center, University of Michigan, Ann Arbor, Michigan.
Laura J ChavezDepartment of Pediatrics, College of Medicine, The Ohio State University, Columbus, Ohio; Center for Child Health Equity and Outcomes Research, Nationwide Children's Hospital, Columbus, Ohio.
Natasha SlesnickDepartment of Human Sciences, College of Education and Human Ecology, The Ohio State University, Columbus, Ohio.
Claudia-Santi F FernandesYale Child Study Center, New Haven, Connecticut.

Funding

Institutional Career Development CoreKL2TR001862 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$12.2M
HEAL Initiative: Coordinating Center to Support NIDA Preventing Opioid Use Disorder in Older Adolescents and Young AdultsU24DA050182 · NIDA · RESEARCH TRIANGLE INSTITUTE · PI GRAHAM, PHILLIP W · 2019 to 2025
$11.6M
Supplement to HOME Trial: Role of Justice Involvement in Implementation and Effectiveness of Housing First for Youth Experiencing HomelessnessUH3DA050174 · NIDA · OHIO STATE UNIVERSITY · PI KELLEHER, KELLY J, SLESNICK, NATASHA · 2020 to 2023
$6.0M
Optimized Interventions to Prevent Opioid Use Disorder among Adolescents and Young Adults in the Emergency DepartmentUH3DA050173 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BONAR, ERIN E., WALTON, MAUREEN A · 2020 to 2021
$5.8M
The Role of Family Functioning and Race/Ethnicity on the Efficacy of an Opioid Misuse Prevention Videogame Intervention for AdolescentsUH3DA050251 · NIDA · YALE UNIVERSITY · PI FIELLIN, LYNN ELIZABETH · 2021 to 2021
$4.4M
Does Treating Young Persons Psychopathology Prevent the Onset of Opioid and other Substance Use Disorders?UH3DA050252 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI WILENS, TIMOTHY E, YULE, AMY · 2020 to 2020
$3.0M
A digital intervention to prevent the initiation of opioid misuse in adolescents in school-based health centersUG3DA050251 · NIDA · YALE UNIVERSITY · PI FIELLIN, LYNN ELIZABETH · 2019 to 2020
$1.4M
Optimized Interventions to Prevent Opioid Use Disorder among Adolescents and Young Adults in the Emergency DepartmentUG3DA050173 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BONAR, ERIN E., WALTON, MAUREEN A · 2019 to 2019
$699k
NCATS NIH HHS KL2 TR001862NCIPC CDC HHS U01 CE003482NIDA NIH HHS U24 DA050182NIDA NIH HHS UG3 DA050173NIDA NIH HHS UG3 DA050251NIDA NIH HHS UH3 DA050173NIDA NIH HHS UH3 DA050174NIDA NIH HHS UH3 DA050251NIDA NIH HHS UH3 DA050252
6 · The paper itself

Abstract

The purpose of this systematic review is to assess evidence for an association between opioid misuse and suicide-related outcomes among youth and young adults (aged 12-30 years). A Boolean search strategy of eligible publications from January 1990 to June 2024 identified 2,696 independent citations. An additional 10 were identified through reference screening. A total of 55 publications met the inclusion criteria. Twelve studies used administrative data and 43 were based on observational data. Risk of bias was assessed qualitatively by domain. Nearly all (98%) studies using observational data found an association between opioid misuse and at least one suicide-related outcome (e.g., suicidal ideation, suicide plan, suicide attempt). Administrative data studies had higher risk of bias compared with observational studies, typically due to higher confounding bias. Reporting bias was moderate to high across all studies in the review. Our review provides clear evidence of the association between opioid misuse and suicide-related outcomes among youth and young adults. However, we highlight a need for longitudinal research on the directionality of the association and potential mechanisms.

Indexed as

Opioid-Related DisordersSuicidal IdeationSuicideSuicide, AttemptedAdolescentAdultAnalgesics, OpioidChildFemaleHumansMaleYoung AdultAnalgesics, OpioidAdolescentEmerging adulthoodOpioidsSuicide

Identifiers

PMID39945684
PMCPMC12034481

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.