TY - JOUR
AU - M. A. Oquendo
AU - N. D. Volkow
A1 - 
AB - As the toll of opioid-overdose deaths in the United States rises, we face an urgent need for prevention. But preventing such deaths will require a better understanding of the diverse trajectories by which overdoses occur, including the distinction between intentional (suicide) and unintentional (accidental) deaths, be they in patients with chronic pain who overdose on their opioid analgesics or in those with a primary opioid use disorder (OUD). Interventions to prevent overdose deaths in suicidal people will differ from interventions targeted at accidental overdoses. Yet most strategies for reducing opioid-overdose deaths do not include screening for suicide risk, nor do they address the need to tailor interventions for suicidal persons. Moreover, the inaccuracy of available data on the proportion of suicides among opioid-overdose deaths � which are frequently classified as �undetermined� if there is no documented history of depression or a suicide note � hinders deployment of appropriate prevention services.
BT - New England Journal of Medicine
C5 - Opioids & Substance Use
CP - 17
DO - 10.1056/NEJMp1801417
IS - 17
JF - New England Journal of Medicine
N2 - As the toll of opioid-overdose deaths in the United States rises, we face an urgent need for prevention. But preventing such deaths will require a better understanding of the diverse trajectories by which overdoses occur, including the distinction between intentional (suicide) and unintentional (accidental) deaths, be they in patients with chronic pain who overdose on their opioid analgesics or in those with a primary opioid use disorder (OUD). Interventions to prevent overdose deaths in suicidal people will differ from interventions targeted at accidental overdoses. Yet most strategies for reducing opioid-overdose deaths do not include screening for suicide risk, nor do they address the need to tailor interventions for suicidal persons. Moreover, the inaccuracy of available data on the proportion of suicides among opioid-overdose deaths � which are frequently classified as �undetermined� if there is no documented history of depression or a suicide note � hinders deployment of appropriate prevention services.
PY - 2018
SP - 1567
EP - 1569
EP - 
T1 - Suicide: A Silent Contributor to Opioid-Overdose Deaths
T2 - New England Journal of Medicine
TI - Suicide: A Silent Contributor to Opioid-Overdose Deaths
U1 - Opioids & Substance Use
U2 - 29694805
U3 - 10.1056/NEJMp1801417
VL - 378
Y1 - 2018
ER -