Evidence map›Paper›PMID 41106292›Full record

ArticleDrug and alcohol dependence2025

Cross sectional multi-sample study of nonfatal overdose in adolescents and young adults in the fentanyl era.

Amy M Yule, Amy S B Bohnert, Ty A Ridenour, Barrett Montgomery, Timothy E Wilens, Maureen Walton, Erin E Bonar, Lisa Saldana, Lynn E Fiellin, Danica K Knight and 6 more

Erratum issuedAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Amy M YuleBoston Medical Center and Chobanian and Avedisian School of Medicine at Boston University, Department of Psychiatry, 801 Massachusetts Avenue, Boston, MA 02118, United States. Electronic address: amy.yule@bmc.org.
Amy S B BohnertDepartment of Anesthesiology, Psychiatry, and Epidemiology at the University of Michigan, United States; VA Center for Clinical Management and Research, United States.
Ty A RidenourRTI International, 3040 East Cornwallis Rd, P.O. Box 12194, Research Triangle Park, NC 27709-2194, United States; University of North Carolina, Chapel Hill, NC 27599, United States; University of Pittsburgh, Pittsburgh, PA 15260, United States.
Barrett MontgomeryVA Center for Clinical Management and Research, United States.
Timothy E WilensMassachusetts General Hospital and Harvard Medical School, Department of Psychiatry, 55 Fruit Street, Boston, MA 02114, United States.
Maureen WaltonAddiction Center and Department of Psychiatry, University of Michigan, 2800 Plymouth Rd, Building 16, Ann Arbor, MI 48109, United States.
Erin E BonarAddiction Center and Department of Psychiatry, University of Michigan, 2800 Plymouth Rd, Building 16, Ann Arbor, MI 48109, United States.
Lisa SaldanaChestnut Health Systems-Lighthouse Institute, 1255 Pearl St. Suite 201, Eugene, OR 97401, United States.
Lynn E FiellinDepartment of Biomedical Data Science, Geisel School of Medicine at Dartmouth College, 46 Centerra Pkwy, Lebanon, NH 03766, United States.
Danica K KnightTexas Christian University, 2901 S. University Drive, Fort Worth, TX 76129, United States.
Yang YangTexas Christian University, 2901 S. University Drive, Fort Worth, TX 76129, United States.
Jason WilliamsRTI International, 3040 East Cornwallis Rd, P.O. Box 12194, Research Triangle Park, NC 27709-2194, United States.
Sazid KhanRTI International, 3040 East Cornwallis Rd, P.O. Box 12194, Research Triangle Park, NC 27709-2194, United States.
Liann TuckerRTI International, 3040 East Cornwallis Rd, P.O. Box 12194, Research Triangle Park, NC 27709-2194, United States.
Feker WondimagegnehuRTI International, 3040 East Cornwallis Rd, P.O. Box 12194, Research Triangle Park, NC 27709-2194, United States.
Kym AhrensCenter for Child Health, Behavior, and Development Research, Seattle Children's Hospital and Research Institute, 1920 Terry Ave, Seattle, WA 98101, United States.

Funding

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
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
Preventing Parental Opioid and/or Methamphetamine Addiction within DHS-Involved Families: FAIRUH3DA050193 · NIDA · OREGON SOCIAL LEARNING CENTER, INC. · PI SALDANA, LISA · 2020 to 2020
$5.1M
Preventing Opioid Use Among Justice-Involved Youth as They Transition to Adulthood: Leveraging Safe Adults (LeSA)UH3DA050250 · NIDA · TEXAS CHRISTIAN UNIVERSITY · PI KNIGHT, DANICA K · 2020 to 2020
$4.5M
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
Using SMART Design to Identify an Effective and Cost-Beneficial Approach to Preventing OUD in Justice-Involved YouthUH3DA050189 · NIDA · SEATTLE CHILDREN'S HOSPITAL · PI AHRENS, KYM R, HAGGERTY, KEVIN P · 2021 to 2023
$4.1M
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
NCIPC CDC HHS U01 CE003482NIDA NIH HHS U24 DA050182NIDA NIH HHS UH3 DA050173NIDA NIH HHS UH3 DA050189NIDA NIH HHS UH3 DA050193NIDA NIH HHS UH3 DA050250NIDA NIH HHS UH3 DA050251NIDA NIH HHS UH3 DA050252
6 · The paper itself

Abstract

introductionOverdose deaths disproportionately increased among adolescents and young adults (AYA) between 2019 and 2022, despite declining substance use. We examined the prevalence of nonfatal overdose and characteristics associated with overdose history in AYA.

methodsAYA enrolled between 2020 and 2023 in five opioid use disorder prevention studies in child welfare, healthcare, and legal settings from six states were included in this analysis. Nonfatal overdose history, demographic, and clinical characteristics were assessed at baseline. Across studies, overdose history was assessed with slight variations in wording, but most other measures were standardized. Odds ratios (OR) of lifetime overdose were calculated with logistic regression for each risk factor with demographic control variables (age, sex, race) included as covariates, and reported separately by sample.

resultsSample sizes ranged from 137 to 929 (total N = 1856). Characteristics across samples ranged from M = 16.2-26.4 years for age, and 11.7-91.9 % for female sex. For race, samples ranged from 35 % to 89.4 % White and 17.3-89.4 % Black. History of nonfatal overdose ranged from 6.6 % to 41.4 %. Statistically significant characteristics associated with overdose history in all samples included history of opioid misuse (ORs ranging from 1.98 to 6.73) and family members with a substance use problem (ORs range from 1.27 to 2.05). Frequent and early onset alcohol and cannabis use was also associated with overdose history in several samples.

conclusionsOverdose prevention interventions for AYA should include a focus on AYA who misuse opioids and families with a history of substance use problems.

Indexed as

AdolescentHEAL Prevention CooperativeNonfatal overdoseRisk factorsYoung adult

Identifiers

PMID41106292
PMCPMC12704395

What OpenQuestion holds

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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.