Suicide, overdose and worker exit in a cohort of Michigan autoworkers

Background In recent decades, suicide and fatal overdose rates have increased in the US, particularly for working-age adults with no college education. The coincident decline in manufacturing has limited stable employment options for this population. Erosion of the Michigan automobile industry provides a striking case study. Methods We used individual-level data from a retrospective cohort study of […]

Adolescent suicide and fatal drug overdose.

Suicide and fatal drug overdose are two events that affect millions of people across the world, and are quite prominent within the United States. The Centers for Disease Control and Prevention (CDC) de!nes suicide as “death caused by selfdirected injurious behavior with an intent to die as a result of the behavior” (2018, September 6). […]

Mortality following nonfatal opioid and sedative/hypnotic drug overdose

Introduction Opioid and sedative/hypnotic drug overdoses are major causes of morbidity in the U.S. This study compares 12-month incidence of fatal unintentional drug overdose, suicide, and other mortality among emergency department patients presenting with nonfatal opioid or sedative/hypnotic overdose. Methods This is a retrospective cohort study using statewide, longitudinally linked emergency department patient record and […]

Associations between stopping prescriptions for opioids, length of opioid treatment, and overdose of suicide deaths in US veterans: Observational evaluation

Objective To examine the associations between stopping treatment with opioids, length of treatment, and death from overdose or suicide in the Veterans Health Administration. Design Observational evaluation. Setting Veterans Health Administration. Participants 1 394 102 patients in the Veterans Health Administration with an outpatient prescription for an opioid analgesic from fiscal year 2013 to the end of fiscal year 2014 (1 […]

Incidence and lethality of suicidal overdoses by drug class

Objective  To investigate the epidemiology of drug poisoning suicides. Design, Setting, and Participants  This cross-sectional study analyzed censuses of live emergency department and inpatient discharges for 11 US states from January 1, 2011, to December 31, 2012, as well as Healthcare Cost and Utilization Project national live discharge samples for January 1 to December 31, 2012, and […]

Substance use disorders and risk of suicide in a general US population: A case control study

Background Prior research suggests that substance use disorders (SUDs) are associated with risk of suicide mortality, but most previous work has been conducted among Veterans Health Administration patients. Few studies have examined the relationship between SUDs and suicide mortality in general populations. Our study estimates the association of SUDs with suicide mortality in a general […]

Suicide among people treated for drug use disorders: A Danish national record-linkage study

Background Substance use disorders are a major risk factor for suicide. However, less is known about specific risk factors for suicide in people with substance use disorders. Methods This population cohort study assessed suicide among people treated for drug use disorders in Denmark 2000–2010, and described risk factors for completed suicide. Data from 27,942 individuals […]

Importance and approach to manner of death opinions in opioid-related deaths

The majority of opioid‐related deaths are accidental. However, the number of opioid‐related suicidal deaths is likely under recognized. Presented here is a case of suicide by heroin overdose. The manner of death would have likely been deemed accidental if not for critical information shared by the decedent’s family during follow‐up telephone interviews between the forensic […]

Repetition of intentional drug overdose: A population-based study

Objectives: To determine the risk of recurrence after a first intentional overdose. Secondary objectives included characterization of the temporal course and potential predictors of repeat overdose, a strong risk factor for death from suicide. Methods: Design: Population-based cohort study. Setting: Ontario, Canada, from 1 April 2002 to 31 March 2013. Participants: All Ontario residents presenting to an emergency department […]

Trends of intentional drug overdose among youth: A population-based cohort study

Background: Intentional overdose is the commonest form of self-harm in adolescents globally. We explored temporal trends in intentional overdose among youth. Methods: Using multiple linked healthcare databases, we conducted a population-based cohort study in Ontario, Canada, from 2002 to 2015. We included all patients aged 8 to 19 years who presented to an emergency department (ED) or were […]

Suicide: A silent contributor to opioid-overdose deaths

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 […]

Suicide attempts by drug overdose at Jichi Medical University Hospital emergency centre: A study of patient characteristics and quantity of drug overdose

Objective Patients attempted suicide by psychotropic drug overdose and require medical care have increased, becoming a serious problem in Japan. This study investigated the characteristics of patients who attempted suicide by overdose and required emergency care, with a focus on quantity of drugs taken. Methods We conducted a clinical survey of 98 patients examined at […]

Pain in the nation: Building a national resilience strategy. Alcohol and drug misuse and suicide and the millennial generation — a devastating impact.

In 2017, more than 152,000 Americans died from alcohol- and drug-induced fatalities and suicide. That’s the highest number ever recorded and more than twice as many as in 1999.1 The largest number of these deaths, almost half, were the result of drug overdoses—more than the peak annual total from HIV, guns, or car crashes.2 Trust […]

Substances used in completed suicide by overdose in Toronto: An observational study of coroner’s data

OBJECTIVE: To identify the substances used by people who die from suicide by overdose in Toronto and to determine the correlates of specific categories of substances used. METHOD: Coroner’s records for all cases of suicide by overdose in Toronto, Ontario, during a 10-year period (1998 to 2007) were examined. Data collected included demographic data, all […]

US national trends in pediatric deaths from prescription and illicit opioids, 1999-2016

Key Points Question  How have US mortality rates for pediatric opioid poisonings changed over the past 2 decades? Findings  In this cross-sectional study, 8986 children and adolescents died between 1999 and 2016 from prescription and illicit opioid poisonings. During this time, the mortality rate increased 268.2%. Meaning  Pediatric-specific and family-centered interventions are needed to address pediatric opioid poisonings, […]

Increased risk of suicide attempts and unintended death among those transitioning from prison to community in later life

OBJECTIVE: The number of individuals transitioning from correctional facilities to community in later life (age ≥50 ) is increasing. We sought to determine if later-life prison release is a risk factor for suicidal behavior and death by accidental injury, including drug overdose. DESIGN: Retrospective cohort study. SETTING: U.S. Department of Veterans Affairs and Medicare healthcare […]

Discerning suicide in drug intoxication deaths: Paucity and primacy of suicide notes and psychiatric history.

Article Authors Metrics Comments Related Content Abstract Objective A paucity of corroborative psychological and psychiatric evidence may be inhibiting detection of drug intoxication suicides in the United States. We evaluated the relative importance of suicide notes and psychiatric history in the classification of suicide by drug intoxication versus firearm (gunshot wound) plus hanging/suffocation—the other two […]

Cobain: Montage of heck

Cobain – Montage of Heck invites you to experience Kurt’s life, art and mind through his own unique lens, bringing you as close to the generation-defining icon as it’s possible to get. Experience Kurt Cobain like never before in the first fully-authorized portrait of the famed rock music icon. Director Brett Morgen expertly blends Cobain’s […]

Emergency department visits for drug-related suicide attempts by adolescents: 2008.

In order to qualify as a DAWN case, the ED visit must have involved a drug, either as the direct cause of the visit or as a contributing factor. The DAWN data indicate that during 2008, 8.8 percent of drug-related ED visits made by adolescents ages 12 to 17 involved suicide attempts. Females were the […]

Characteristics of hospital-treated intentional drug overdose in Ireland and Northern Ireland.

This study compared the profile of intentional drug overdoses (IDOs) presenting to emergency departments in Ireland and in the Western Trust Area of Northern Ireland between 2007 and 2012. Specifically the study aimed to compare characteristics of the patients involved, to explore the factors associated with repeated IDO and to report the prescription rates of […]

Epidemiology of suicide and attempted suicide derived from the health system database in the Islamic Republic of Iran: 2001-2007.

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Characteristics of drug overdose in young suicide attempters.

Objective Few studies have focused on the characteristic features of drug overdose in children and adolescents who have attempted suicide in Korea. The present study examined the characteristics of drug overdose in children and adolescents who visited the emergency room following drug ingestion for a suicide attempt. Methods The medical records of 28 patients who […]

Repeat self-harm among children and adolescents referred to a specialist service.

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