Examining the association between prescription opioid misuse and suicidal behaviors among adolescent high school students in the United States.

Journal: Journal of psychiatric research

Volume: 112

Issue: 

Year of Publication: 2020

Affiliated Institutions:  The University of Texas at Arlington, School of Social Work, S. Cooper St., Box , Arlington, TX, , USA. Electronic address: philip.baiden@uta.edu. The University of Texas at Arlington, School of Social Work, S. Cooper St., Box , Arlington, TX, , USA. University of Ghana, Department of Geography & Resource Development, P.O. Box LG , Legon, Accra, Ghana. University of North Texas Health Science Center, School of Public Health, Camp Bowie Blvd, Fort Worth, TX, , USA. University of Ghana, Department of Social Work, P. O. Box LG , Legon, Accra, Ghana.

Abstract summary 

Although some studies have examined the association between prescription opioid misuse and mental health outcomes, few studies have examined the effects of prescription opioid misuse on suicidal behaviors among adolescents. The objective of this study was to examine the association between prescription opioid misuse and suicidal ideation, suicide plan, and suicide attempt among adolescents. Data for this study came from the 2017 Youth Risk Behavior Surveillance System. A sample of 8830 adolescents aged 14-18 years (50.9% female) were analyzed using logistic regression with suicidal ideation, suicide plan, and suicide attempt as outcome variables and prescription opioid misuse as the main explanatory variable. Of the 8830 adolescents, 13.3% ever misused prescription opioids; 17.7% experienced suicidal ideation, 13.3% made a suicide plan, and 6.5% attempted suicide during the past 12 months. In the multivariate logistic regression models, adolescent students who misused prescription opioids were 1.50 times more likely to have experienced suicidal ideation, 1.44 times more likely to have made a suicide plan, and 1.58 times more likely to have attempted suicide during the past 12 months when compared to their counterparts who did not misuse prescription opioids. Other significant predictors of suicidal behaviors include sexual minority, history of sexual assault, traditional bullying and cyberbullying victimization, feeling sad or hopeless, cigarette smoking, and illicit drug use. The findings of the present study demonstrate the harmful effects of prescription opioid misuse and its association with suicidal behaviors among adolescents.

Authors & Co-authors:  Baiden Philip P Graaf Genevieve G Zaami Mariama M Acolatse Charles K CK Adeku Yvonne Y

Study Outcome 

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Statistics
Citations : 
Authors :  5
Identifiers
Doi : 10.1016/j.jpsychires.2019.02.018
SSN : 1879-1379
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Adolescents;Prescription opioid misuse;Suicidal ideation;Suicide attempt;Suicide plan
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
England