Risk Factors for Overdose in Young People Who Received Substance Use Disorder Treatment.
Am J Addict
; 28(5): 382-389, 2019 09.
Article
in En
| MEDLINE
| ID: mdl-31291042
ABSTRACT
BACKGROUND AND OBJECTIVES:
To identify substance and psychiatric predictors of overdose (OD) in young people with substance use disorders (SUDs) who received treatment.METHODS:
We conducted a retrospective review of consecutive medical records of young people who were evaluated in a SUD program between 2012 and 2013 and received treatment. An independent group of patients from the same program who received treatment and had a fatal OD were also included in the sample. OD was defined as substance use associated with a significant impairment in level of consciousness without intention of self-harm, or an ingestion of a substance that was reported as a suicide attempt. t Tests, Pearson's χ2 , and Fisher's exact tests were performed to identify predictors of OD after receiving treatment.RESULTS:
After initial evaluation, 127 out of 200 patients followed up for treatment and were included in the sample. Ten (8%) of these patients had a nonfatal OD. Nine patients who received treatment and had a fatal OD were also identified. The sample's mean age was 20.2 ± 2.8 years. Compared with those without OD, those with OD were more likely to have a history of intravenous drug use (odds ratio [OR] 36.5, P < .001) and mood disorder not otherwise specified (OR 4.51, P = .01). DISCUSSION ANDCONCLUSIONS:
Intravenous drug use and mood dysregulation increased risk for OD in young people who received SUD treatment. SCIENTIFICSIGNIFICANCE:
It is important to identify clinically relevant risk factors for OD specific to young people in SUD treatment due to the risk for death associated with OD. (Am J Addict 2019;28382-389).
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Substance-Related Disorders
/
Drug Overdose
Type of study:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Language:
En
Journal:
Am J Addict
Journal subject:
TRANSTORNOS RELACIONADOS COM SUBSTANCIAS
Year:
2019
Type:
Article