Showing posts with label emergency services. Show all posts
Showing posts with label emergency services. Show all posts

Monday, April 29, 2024

Young Adults Often Know Signs of Opioid Overdose, but Not How To Give Naloxone

A majority of young adults can correctly identify at least one sign of opioid overdose, but relatively few know how to administer naloxone, a study in JAMA Pediatrics has found.

Christina E. Freibott, M.P.H., of the Boston University School of Public Health and colleagues examined data from 7,071 young adults aged 18 to 25 attending an institution of higher learning who participated in the 2021-2022 Healthy Minds study. The participants answered four questions adapted from the Opioid Overdose Knowledge Scale and the Opioid Overdose Attitudes Scale about the following:

  • What naloxone is used for.
  • What the signs of opioid overdose are.
  • Whether the participants knew how to use naloxone.
  • Whether participants would be concerned about calling emergency services during an overdose event in case they got into trouble with their school or the police came.

The researchers found the following:

  • 30.2% of participants correctly identified what naloxone is used for.
  • 61.9% of participants correctly identified at least one sign of opioid overdose.
  • 14.2% of participants reported knowing how to administer naloxone.
  • 66.8% of participants felt comfortable calling emergency services during an overdose event.

There were significant differences in responses to all four questions based on race and ethnicity, gender identity, and sexual orientation. For example, participants who identified as Alaska Native or Pacific Islander were more likely to be knowledgeable about naloxone, correctly identify a sign of overdose, and be willing to intervene in an emergency than other racial and ethnic groups. Participants who identified as transgender or gender-expansive were more knowledgeable about naloxone compared with people who identified as males or females, but less likely to call emergency services. People who identified as lesbian, gay, bisexual, or queer were more knowledgeable about naloxone than heterosexual participants, but also less likely to call emergency services.

“Future research should explore person-centered approaches, clustering [young adults] into clinically meaningful subgroups to inform prevention and educational initiatives for a population experiencing increases in overdose fatalities,” Freibott and colleagues concluded.

For related information, see the Psychiatric News article “AMA Backs Making Overdose Reversal Meds Accessible in Schools.”

(Image: Getty Images/iStock/Drazen Zigic)




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Friday, September 29, 2023

Emergency Department Visits for Substance Use Linked to Schizophrenia Spectrum Disorders

Emergency department visits for substance use may be associated with an increased risk of developing a schizophrenia spectrum disorder, a study in JAMA Psychiatry has found. People who were seen in the emergency department for cannabis-induced psychosis had the highest risk of transitioning to a schizophrenia spectrum disorder within three years.

Daniel T. Myran, M.D., M.P.H., of the Ottawa Hospital Research Institute in Ontario and colleagues examined data from more than 9.8 million Ontaria residents aged 14 to 65 years between January 2008 and March 2022. Only those eligible for the province’s health coverage and without a history of a psychotic disorder were included.

Within three years, approximately 408,000 individuals had an emergency department visit for substance use; about 14,000 of the visits were for substance-induced psychosis. Compared with the general population, individuals with substance-induced psychosis had 163 times the risk of transitioning to a schizophrenia spectrum disorder. Individuals with an emergency department visit for substance use without psychosis had 9.8 times the risk of transitioning.

Other findings from the study include the following:

  • Those seen for cannabis use and psychosis had 241.6 times the risk of transitioning to schizophrenia spectrum disorder compared with the general population.
  • Those who did not have psychosis but were seen for amphetamine use, polysubstance use, and cannabis use had 28.4, 18.7, and 14.3 times the risk, respectively, of transitioning to a schizophrenia spectrum disorder compared with the general population.
  • For all substance use visits, younger age and male sex were associated with a higher risk of transition to schizophrenia spectrum disorder compared with older age and female sex.

“Our findings … highlight the need for targeted secondary prevention providing early intervention and reducing substance use in the highest-risk groups, which may delay or prevent transition to schizophrenia spectrum disorders,” the researchers wrote. “Several prognostic factors, including cannabis use, younger age, and male sex, were associated with greater risk of transition, with clinical and policy implications.”

For related information, see The American Journal of Psychiatry article “Transition From Substance-Induced Psychosis to Schizophrenia Spectrum Disorder or Bipolar Disorder.”

(Image: iStock/MJ Felt)




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