Prescription opioid use among individuals with serious mental illness

•Opioid use in those with serious mental disorders is nearly double the general population.•Being on an opioid was associated with indicators of high risk use in those with serious mental illness, including history of heroin use and concurrent sedative-hypnotic use.•Concurrent use of opioids with se...

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Bibliographic Details
Published in:Psychiatry research 2018-09, Vol.267, p.85-87
Main Authors: Spivak, Stanislav, Cullen, Bernadette, Eaton, William, Nugent, Katie, Spivak, Amethyst, Fenton, Ashley, Rodriguez, Katrina, Mojtabai, Ramin
Format: Article
Language:English
Subjects:
Adolescent
Adult
Analgesics, Opioid - adverse effects
Benzodiazepines - adverse effects
Community psychiatry
Cross-Sectional Studies
Female
Humans
Hypnotics and Sedatives - adverse effects
Male
Mental Disorders - diagnosis
Mental Disorders - epidemiology
Mental Disorders - psychology
Middle Aged
Opioid-Related Disorders - diagnosis
Opioid-Related Disorders - epidemiology
Opioid-Related Disorders - psychology
Overdose
Prevalence
Risk Factors
Self Report
Substance-Related Disorders - diagnosis
Substance-Related Disorders - epidemiology
Substance-Related Disorders - psychology
Suicidal Ideation
Young Adult
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Summary:•Opioid use in those with serious mental disorders is nearly double the general population.•Being on an opioid was associated with indicators of high risk use in those with serious mental illness, including history of heroin use and concurrent sedative-hypnotic use.•Concurrent use of opioids with sedative-hypnotics was associated with suicidal ideation. Prevalence and correlates of prescription opioid use were explored in individuals with serious mental illness (SMI) by examining a sample of adults from two inner city community psychiatry clinics. Of 271 participants, 12.9% (n = 35) were on a prescribed opioid. Being on an opioid was significantly associated with history of heroin use and active prescription sedative-hypnotic use, including benzodiazepine use. Concurrent use of opioids with sedative-hypnotics was significantly associated with suicidal ideation. The results highlight risks of prescription opioid use in those with SMI, particularly in combination with prescription sedative-hypnotics.
ISSN:0165-1781
1872-7123
DOI:10.1016/j.psychres.2018.05.075