Commentary: Opioid use disorder and suicide: An important opportunity to address two significant public health epidemics

Prev Med. 2019 Nov:128:105854. doi: 10.1016/j.ypmed.2019.105854. Epub 2019 Oct 21.

Abstract

Nationwide, the opioid epidemic continues to have a significant and widespread adverse impact on morbidity and mortality. The number of individuals dying by suicide and unintentional overdose has continued to increase over the past decade, with opioids being involved in a significant proportion of each category of mortality in 2017. Currently, most strategies for decreasing opioid-overdose deaths do not include systematic screening for suicide risk, nor do they address the necessity to customize interventions for those who misuse opioids to decrease near-term suicide risk (defined here as less than 72 h) factors. Improved screening of near-term and chronic suicide risk along with rapid access to treatment is of critical importance to prevent opioid-related deaths by suicide.

Keywords: Opioiod use disorders, OUDs; Substance use disorders, SUDs; Suicide; Suicide assessment; Suicide screening.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Drug Overdose / epidemiology*
  • Epidemics / statistics & numerical data*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Opioid-Related Disorders / epidemiology*
  • Public Health / statistics & numerical data*
  • Suicide / statistics & numerical data*
  • United States / epidemiology