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    Prescription opioid and benzodiazepine misuse is associated with suicidal ideation in older adults

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    Author
    Schepis, T.S.
    Simoni-Wastila, L.
    McCabe, S.E.
    Date
    2019
    Journal
    International Journal of Geriatric Psychiatry
    Publisher
    John Wiley and Sons Ltd
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://dx.doi.org/10.1002/gps.4999
    Abstract
    Objectives: Suicide in older adults is a major public health issue. Past research across the US adult population has linked prescription medication misuse with suicidal ideation. No work has evaluated associations between prescription opioid or benzodiazepine misuse and suicidal ideation in older adults, and this work aimed to address that gap. Methods/design: Data were from adults 50 years and older participating in the 2015 to 2016 National Survey on Drug Use and Health (n = 17,608). Design-based logistic regression evaluated links between any past-year prescription opioid or benzodiazepine use without misuse or prescription misuse and past-year suicidal ideation, after controlling for sociodemographic, physical health, mental health, and substance use correlates associated with suicidal ideation. Results: After controlling for all correlates, past-year use without misuse of prescription opioids or benzodiazepines was not associated with past-year suicidal ideation in older adults. In contrast, past-year opioid misuse (AOR = 1.84, 95% CI = 1.07-3.19) and benzodiazepine misuse (AOR = 2.00, 95% CI = 1.01-3.94) were significantly associated with past-year suicidal ideation, even after controlling for all covariates. While 2.2% of US older adults not engaged in either opioid or benzodiazepine misuse reported past-year suicidal ideation, 25.4% of those who misused both medication classes endorsed such suicidality (AOR = 4.73, 95% CI = 2.07-10.79). Conclusions: Both past-year prescription opioid and benzodiazepine misuse are associated with past-year suicidal ideation in US older adults. Clinicians encountering older adult patients at-risk for or engaged in prescription medication misuse also should screen for suicidality. © 2018 John Wiley & Sons, Ltd.
    Sponsors
    The NSDUH is funded by the Substance Abuse and Mental Health
    Keyword
    benzodiazepine
    older adult
    opioid
    prescription misuse
    suicidality
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85055149650&doi=10.1002%2fgps.4999&partnerID=40&md5=db94834e0637c8b89a62812e07894204; http://hdl.handle.net/10713/8556
    ae974a485f413a2113503eed53cd6c53
    10.1002/gps.4999
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