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Unintentional prescription opioid-related overdose deaths: description of decedents by next of kin or best contact, Utah, 2008-2009.
J Gen Intern Med. 2013 Apr; 28(4):522-9.JG

Abstract

BACKGROUND

Little is known about the characteristics that may predispose an individual to being at risk for fatal overdose from prescription opioids.

OBJECTIVE

To identify characteristics related to unintentional prescription opioid overdose deaths in Utah.

DESIGN

Interviews were conducted (October 2008-October 2009) with a relative or friend most knowledgeable about the decedent's life.

SUBJECTS

Analyses involved 254 decedents aged 18 or older, where cause of death included overdose on at least one prescription opioid.

KEY RESULTS

Decedents were more likely to be middle-aged, Caucasian, non-Hispanic/Latino, less educated, not married, or reside in rural areas than the general adult population in Utah. In the year prior to death, 87.4 % were prescribed prescription pain medication. Reported potential misuse prescription pain medication in the year prior to their death was high (e.g., taken more often than prescribed [52.9 %], obtained from more than one doctor during the previous year [31.6 %], and used for reasons other than treating pain [29.8 %, almost half of which "to get high"]). Compared with the general population, decedents were more likely to experience financial problems, unemployment, physical disability, mental illness (primarily depression), and to smoke cigarettes, drink alcohol, and use illicit drugs. The primary source of prescription pain medication was from a healthcare provider (91.8 %), but other sources (not mutually exclusive) included: for free from a friend or relative (24 %); from someone without their knowledge (18.2 %); purchase from a friend, relative, or acquaintance (16.4 %); and purchase from a dealer (not a pharmacy) (11.6 %).

CONCLUSIONS

The large majority of decedents were prescribed opioids for management of chronic pain and many exhibited behaviors indicative of prescribed medication misuse. Financial problems, unemployment, physical disability, depression, and substance use (including illegal drugs) were also common.

Authors+Show Affiliations

Utah Department of Health, Prescription Pain Medication Program, Salt Lake City, UT, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

23070654

Citation

Johnson, Erin M., et al. "Unintentional Prescription Opioid-related Overdose Deaths: Description of Decedents By Next of Kin or Best Contact, Utah, 2008-2009." Journal of General Internal Medicine, vol. 28, no. 4, 2013, pp. 522-9.
Johnson EM, Lanier WA, Merrill RM, et al. Unintentional prescription opioid-related overdose deaths: description of decedents by next of kin or best contact, Utah, 2008-2009. J Gen Intern Med. 2013;28(4):522-9.
Johnson, E. M., Lanier, W. A., Merrill, R. M., Crook, J., Porucznik, C. A., Rolfs, R. T., & Sauer, B. (2013). Unintentional prescription opioid-related overdose deaths: description of decedents by next of kin or best contact, Utah, 2008-2009. Journal of General Internal Medicine, 28(4), 522-9. https://doi.org/10.1007/s11606-012-2225-z
Johnson EM, et al. Unintentional Prescription Opioid-related Overdose Deaths: Description of Decedents By Next of Kin or Best Contact, Utah, 2008-2009. J Gen Intern Med. 2013;28(4):522-9. PubMed PMID: 23070654.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Unintentional prescription opioid-related overdose deaths: description of decedents by next of kin or best contact, Utah, 2008-2009. AU - Johnson,Erin M, AU - Lanier,William A, AU - Merrill,Ray M, AU - Crook,Jacob, AU - Porucznik,Christina A, AU - Rolfs,Robert T, AU - Sauer,Brian, Y1 - 2012/10/16/ PY - 2012/02/08/received PY - 2012/07/13/accepted PY - 2012/06/28/revised PY - 2012/10/17/entrez PY - 2012/10/17/pubmed PY - 2013/9/27/medline SP - 522 EP - 9 JF - Journal of general internal medicine JO - J Gen Intern Med VL - 28 IS - 4 N2 - BACKGROUND: Little is known about the characteristics that may predispose an individual to being at risk for fatal overdose from prescription opioids. OBJECTIVE: To identify characteristics related to unintentional prescription opioid overdose deaths in Utah. DESIGN: Interviews were conducted (October 2008-October 2009) with a relative or friend most knowledgeable about the decedent's life. SUBJECTS: Analyses involved 254 decedents aged 18 or older, where cause of death included overdose on at least one prescription opioid. KEY RESULTS: Decedents were more likely to be middle-aged, Caucasian, non-Hispanic/Latino, less educated, not married, or reside in rural areas than the general adult population in Utah. In the year prior to death, 87.4 % were prescribed prescription pain medication. Reported potential misuse prescription pain medication in the year prior to their death was high (e.g., taken more often than prescribed [52.9 %], obtained from more than one doctor during the previous year [31.6 %], and used for reasons other than treating pain [29.8 %, almost half of which "to get high"]). Compared with the general population, decedents were more likely to experience financial problems, unemployment, physical disability, mental illness (primarily depression), and to smoke cigarettes, drink alcohol, and use illicit drugs. The primary source of prescription pain medication was from a healthcare provider (91.8 %), but other sources (not mutually exclusive) included: for free from a friend or relative (24 %); from someone without their knowledge (18.2 %); purchase from a friend, relative, or acquaintance (16.4 %); and purchase from a dealer (not a pharmacy) (11.6 %). CONCLUSIONS: The large majority of decedents were prescribed opioids for management of chronic pain and many exhibited behaviors indicative of prescribed medication misuse. Financial problems, unemployment, physical disability, depression, and substance use (including illegal drugs) were also common. SN - 1525-1497 UR - https://www.unboundmedicine.com/medline/citation/23070654/Unintentional_prescription_opioid_related_overdose_deaths:_description_of_decedents_by_next_of_kin_or_best_contact_Utah_2008_2009_ L2 - https://dx.doi.org/10.1007/s11606-012-2225-z DB - PRIME DP - Unbound Medicine ER -