Relevant bibliographies by topics / Drug overdose prevention

Academic literature on the topic 'Drug overdose prevention'

Author: Grafiati
Published: 10 December 2022
Last updated: 29 January 2023

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Journal articles on the topic "Drug overdose prevention"

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Hargrove, Sarah L., Terry L. Bunn, Svetla Slavova, Dana Quesinberry, Tracey Corey, William Ralston, Michael D. Singleton, and Van Ingram. "Establishment of a comprehensive drug overdose fatality surveillance system in Kentucky to inform drug overdose prevention policies, interventions and best practices." Injury Prevention 24, no. 1 (July 24, 2017): 60–67. http://dx.doi.org/10.1136/injuryprev-2016-042308.

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BackgroundAccording to the National Center for Health Statistics, Kentucky had the third highest drug overdose fatality rate in the nation in 2015 at 29.9 drug overdose fatalities per 100 000 population.ObjectiveThe elevated drug overdose fatality rate necessitated the development and implementation of a comprehensive multisource drug overdose fatality surveillance system (DOFSS).MethodsDOFSS stakeholder work group members and data sources were identified, and memorandums of understanding were established. The following data sources were used to establish DOFSS: (1) death certificates; (2) autopsy reports; (3) toxicology result reports; (4) coroner reports; and (5) Kentucky All Schedule Prescription Electronic Reporting (KASPER) (prescription drug monitoring programme) data. Drug overdose poisonings were defined using Injury Surveillance Workgroup 7 definitions. Analyses were performed to investigate possible drug overdose-related health disparities for disabled drug overdose decedents and to characterise gabapentin in drug overdose deaths.ResultsDOFSS identified 2106 drug overdose poisoning fatalities in Kentucky for 2013–2014. Identification of specific drugs involved in drug overdose deaths increased from 75.8% using a single data source to 97.5% using multiple data sources. Disabled drug overdose decedents were significantly more likely to have an active prescription for drugs identified in their system compared with the non-disabled drug overdose decedents. Toxicology data showed increased gabapentin involvement in drug overdose deaths from 2.9% in 2013 to 17% in 2014. Alprazolam was found most often in combination with gabapentin (41%), along with various other benzodiazepines and prescription opioids.ConclusionsA comprehensive multisource DOFSS improved drug overdose fatality surveillance by increasing completeness of data and data quality. DOFSS is a model that can be considered by other states to enhance their efforts in tracking drug overdose fatalities, identifying new and emerging trends, and informing policies and best practices, to address and reduce drug overdoses.
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Lombardi, Alexa Rose, Ritikraj Arya, Joseph G. Rosen, Erin Thompson, Ralph Welwean, Jessica Tardif, Josiah D. Rich, and Ju Nyeong Park. "Overdose Detection Technologies to Reduce Solitary Overdose Deaths: A Literature Review." International Journal of Environmental Research and Public Health 20, no. 2 (January 10, 2023): 1230. http://dx.doi.org/10.3390/ijerph20021230.

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Drug overdoses were a leading cause of injury and death in the United States in 2021. Solitary drug use and solitary overdose deaths have remained persistent challenges warranting additional attention throughout the overdose epidemic. The goal of this narrative review is to describe recent global innovations in overdose detection technologies (ODT) enabling rapid responses to overdose events, especially for people who use drugs alone. We found that only a small number of technologies designed to assist in overdose detection and response are currently commercially available, though several are in the early stages of development. Research, development, and scale-up of practical, cost-effective ODTs remains a public health imperative. Equipping places where people live, learn, work, worship, and play with the necessary tools to detect and prevent overdose deaths could complement ongoing overdose prevention efforts.
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Walters, Suzan M., Marisa Felsher, David Frank, Jessica Jaiswal, Tarlise Townsend, Brandon Muncan, Alex S. Bennett, et al. "I Don’t Believe a Person Has to Die When Trying to Get High: Overdose Prevention and Response Strategies in Rural Illinois." International Journal of Environmental Research and Public Health 20, no. 2 (January 16, 2023): 1648. http://dx.doi.org/10.3390/ijerph20021648.

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Background: Overdose is a leading cause of morbidity and mortality among people who inject drugs. Illicitly manufactured fentanyl is now a major driver of opioid overdose deaths. Methods: Semi-structured interviews were conducted with 23 participants (19 persons who inject drugs and 4 service providers) from rural southern Illinois. Data were analyzed using constant comparison and theoretical sampling methods. Results: Participants were concerned about the growing presence of fentanyl in both opioids and stimulants, and many disclosed overdose experiences. Strategies participants reported using to lower overdose risk included purchasing drugs from trusted sellers and modifying drug use practices by partially injecting and/or changing the route of transmission. Approximately half of persons who inject drugs sampled had heard of fentanyl test strips, however fentanyl test strip use was low. To reverse overdoses, participants reported using cold water baths. Use of naloxone to reverse overdose was low. Barriers to naloxone access and use included fear of arrest and opioid withdrawal. Conclusions: People who inject drugs understood fentanyl to be a potential contaminant in their drug supply and actively engaged in harm reduction techniques to try to prevent overdose. Interventions to increase harm reduction education and information about and access to fentanyl test strips and naloxone would be beneficial.
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Vivolo-Kantor, Alana, Emilia Pasalic, Stephen Liu, Pedro D. Martinez, and Robert Matthew Gladden. "Defining indicators for drug overdose emergency department visits and hospitalisations in ICD-10-CM coded discharge data." Injury Prevention 27, Suppl 1 (March 2021): i56—i61. http://dx.doi.org/10.1136/injuryprev-2019-043521.

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IntroductionThe drug overdose epidemic has worsened over the past decade; however, efforts have been made to better understand and track nonfatal overdoses using various data sources including emergency department and hospital admission data from billing and discharge files.Methods and findingsThe Centers for Disease Control and Prevention (CDC) has developed surveillance case definition guidance using standardised discharge diagnosis codes for public health practitioners and epidemiologists using lessons learnt from CDC’s funded recipients and the Council for State and Territorial Epidemiologists (CSTE) International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) Drug Poisoning Indicators Workgroup and General Injury ICD-10-CM Workgroup. CDC’s guidance was informed by health departments and CSTE’s workgroups and included several key aspects for assessing drug overdose in emergency department and hospitalisation discharge data. These include: (1) searching all diagnosis fields to identify drug overdose cases; (2) estimating drug overdose incidence using visits for initial encounter but excluding subsequent encounters and sequelae; (3) excluding underdosing and adverse effects from drug overdose incidence indicators; and (4) using codes T36–T50 for overdose surveillance. CDC’s guidance also suggests analysing intent separately for ICD-10-CM coding.ConclusionsCDC’s guidance provides health departments a key tool to better monitor drug overdoses in their community. The implementation and validation of this standardised guidance across all CDC-funded health departments will be key to ensuring consistent and accurate reporting across all entities.
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Beswick, Tracy, David Best, Jenny Bearn, Sian Rees, Michael Gossop, Ross Coomber, and John Strang. "From Salt Injection to Naloxone: Accuracy and Myths in Peer Resuscitation Methods for Opiate Overdose." Journal of Drug Issues 32, no. 4 (October 2002): 1103–14. http://dx.doi.org/10.1177/002204260203200406.

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One hundred and eight opiate addicts attending an in-patient opiate treatment unit were interviewed, using a mixed quantitative–qualitative approach, to investigate their experiences of witnessing overdoses, the associated interpretations and perceived cause of the overdose. Poly drug use and frequency of witnessed overdose was high among the sample. Use of 14 different combinations of drugs were reported, 8 of which involved the use of alcohol, and 7 benzodiazepines. Perceived cause of overdose involved attributions relating to the use of alcohol, in particular strong lager, small quantities of heroin and low levels of current opiate tolerance. Peer initiated resuscitation techniques revealed a range of responses from the probably valuable (recovery position, summon ambulance, administer naloxone) to the ineffective or frankly harmful (injecting with salt solution, immersing in a cold bath). The findings highlight the need for an overdose prevention program during in-patient detoxification and rehabilitation.
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Banta-Green, Caleb J., Phillip O. Coffin, Joseph O. Merrill, Jeanne M. Sears, Chris Dunn, Anthony S. Floyd, Lauren K. Whiteside, Norbert D. Yanez, and Dennis M. Donovan. "Impacts of an opioid overdose prevention intervention delivered subsequent to acute care." Injury Prevention 25, no. 3 (February 7, 2018): 191–98. http://dx.doi.org/10.1136/injuryprev-2017-042676.

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BackgroundOpioid overdose is a major and increasing cause of injury and death. There is an urgent need for interventions to reduce overdose events among high-risk persons.MethodsAdults at elevated risk for opioid overdose involving heroin or pharmaceutical opioids who had been cared for in an emergency department (ED) were randomised to overdose education combined with a brief behavioural intervention and take-home naloxone or usual care. Outcomes included: (1) time to first opioid overdose-related event resulting in medical attention or death using competing risks survival analysis; and (2) ED visit and hospitalisation rates, using negative binomial regression and adjusting for time at risk.ResultsDuring the follow-up period, 24% of the 241 participants had at least one overdose event, 85% had one or more ED visits and 55% had at least one hospitalisation, with no significant differences between intervention and comparison groups. The instantaneous risk of an overdose event was not significantly lower for the intervention group (sub-HR: 0.83; 95% CI 0.49 to 1.40).DiscussionThese null findings may be due in part to the severity of the population in terms of housing insecurity (70% impermanently housed), drug use, unemployment and acute healthcare issues. Given the high overdose and healthcare utilisation rates, more intensive interventions, such as direct referral and provision of housing and opioid agonist treatment medications, may be necessary to have a substantial impact on opioid overdoses for this high-acuity population in acute care settings.Trial registration numberNCT0178830; Results.
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Buxton, Jane A., Bill Spearn, Ashraf Amlani, Margot Kuo, Mark Lysyshyn, Sara Young, Roy Purssell, et al. "The British Columbia Drug Overdose and Alert Partnership: Interpreting and sharing timely illicit drug information to reduce harms." Journal of Community Safety and Well-Being 4, no. 1 (April 30, 2019): 4. http://dx.doi.org/10.35502/jcswb.92.

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Illicit drug overdose is a public health issue that leads to significant morbidity and mortality. In order to reduce the harm associated with substance use, emergent issues related to substances and substance use must be addressed in a timely manner, which requires inter-sectoral collaboration. We describe the British Columbia Drug Overdose and Alert Partnership, an innovative collaborative model of stakeholders who work in prevention, harm reduction, treatment and enforcement related to psychoactive substance use. We describe the formation, purpose, stakeholders, and operation of the partnership and resultant public health surveillance system. We use the example of fentanyl-associated overdoses and deaths to describe the attributes that make the system effective. These include timeliness, flexibility, acceptability and costs. This model of inter-sectoral collaboration and surveillance can be applied to other organizations involved in assessing and responding to drug-related harms.
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Crowell, et al, Tara. "Examining Opioid Overdose Data in Atlantic County: A Descriptive Case Study." New Jersey Studies: An Interdisciplinary Journal 5, no. 2 (July 16, 2019): 125. http://dx.doi.org/10.14713/njs.v5i2.170.

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Between 2015-2017, local police, state troopers and emergency medical personnel in Atlantic County, NJ collected data on opioid overdose victims within the County. Forms on 311 overdose victims were ultimately completed. Early in 2018, a partnership between the Atlantic County Prosecutor’s Office and Stockton University was formed in order to analyze this information and better understand Atlantic County’s opioid overdose statistics. Results painted a picture of who is using, and showed that quick response to opioid overdoses and prompt administration of the drug naloxone can save lives. Recommendations for the future include collecting additional data points for overdose victims going forward to allow for deeper study, along with increased distribution of naloxone. Such recommendations can positively contribute to future educational and prevention efforts.
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Lankenau, Stephen E., Karla D. Wagner, Karol Silva, Aleksandar Kecojevic, Ellen Iverson, Miles McNeely, and Alex H. Kral. "Injection Drug Users Trained by Overdose Prevention Programs: Responses to Witnessed Overdoses." Journal of Community Health 38, no. 1 (July 31, 2012): 133–41. http://dx.doi.org/10.1007/s10900-012-9591-7.

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Bohnert, Amy S. B., Melissa Tracy, and Sandro Galea. "Characteristics of drug users who witness many overdoses: Implications for overdose prevention." Drug and Alcohol Dependence 120, no. 1-3 (January 2012): 168–73. http://dx.doi.org/10.1016/j.drugalcdep.2011.07.018.

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Dissertations / Theses on the topic "Drug overdose prevention"

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Mathis, S., Angela Hagaman, David Kirschke, and Nicholas E. Hagemeier. "Carter County, Tennessee: A Rural Community’s Response to Opioid Overdose Deaths." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/1444.

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Zullig, Keith J., Laura Lander, Rebecca J. White, Carl Sullivan, Clara Shockley, Lili Dong, Robert P. Pack, and Tara Surber Fedis. "Preliminary Evaluation of the WV Prescription Drug Abuse Quitline." Digital Commons @ East Tennessee State University, 2010. https://dc.etsu.edu/etsu-works/6335.

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Purpose: To evaluate the effectiveness of the West Virginia Prescription Drug Abuse Quitline (WVPDAQ). Methods: Descriptive data and inferential analyses are provided for the period of operations from 9/11/2008 to 3/1/2010. Chi-square tests for Independence compared differences between callers completing at least one follow-up survey against callers completing only the baseline intake survey were observed. A Wilcoxon signed rank sum test tested differences between the scores of intake callers and follow-up callers at the one-week (n=177) and one-month (n=89) intervals. Results: A total of 1,056 calls were received, including 670 intakes, 177 1st follow-ups, 89 2nd follow-ups, and 36 3rd follow ups, and 84 caller satisfaction surveys. Chi-square analyses determined that callers who only completed the intake survey tended to have initiated drug use at a younger age ([less than or equal to] 39 years of age, [chi square]=7.63, p=.02). Longitudinal findings indicated significant self-reported declines in daily drug use (p<.0001), increased intentions to quit in the next 30 days (p<.0001), and declines in requesting a referral for treatment (p<.0001) at the one-month follow-up. Finally, approximately 19% (n=17) of callers reported obtaining a counseling/ treatment appointment as a result of calling the WVPDAQ at the one-month follow up. Conclusions: Preliminary results suggest the WVPDAQ has established itself as a meaningful resource to combat prescription drug abuse in West Virginia. Sustainable funding and greater integration of the WVPDAQ into existing and developing treatment infrastructure could provide more affordable options for the state of West Virginia and its citizens.
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Arribas-Ibar, Elisabet 1987. "Different aspects of illegal substance use in Catalonia : suicide, violence and evaluation of a preventive action." Doctoral thesis, Universitat Pompeu Fabra, 2016. http://hdl.handle.net/10803/482049.

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In Catalonia certain gaps of knowledge about health consequences related to contextual factors of illegal drug use have been identified and there is the need to assess health prevention activities implemented in the last decade. The present study aims to assess suicidal behaviors and violence among subjects using illegal substances, and to evaluate the coverage of overdose prevention programs implemented recently. Suicide risk behavior and violence were highly prevalent. Drug-scene contextual factors, including illegal/marginal income generation activities, were associated with suicidal ideation and plans (drug traffic in men and sentenced to prison in women) and violence (prison history in men and drug traffic in women). Having experienced traumatic experiences was associated with suicidal ideation and plans for both genders. Early illegal drug use was associated with victimization and offending for both genders. Overdose prevention programs coverage was considered high. Such health related problems ought to be detected in drug treatment facilities, promoting development of prevention and treatment programs.
A Catalunya s'han identificat certs buits de coneixement respecte als factors contextuals de consum de drogues il·legals, i les seves conseqüències en la salut, i s’ha vist la necessitat d'avaluar activitats de prevenció implementades en l'última dècada. El present estudi té com a objectiu avaluar els comportaments suïcides i la violència entre les persones que consumeixen substàncies il·legals, i avaluar la cobertura dels programes de prevenció de sobredosi posats en marxa recentment. El risc del comportament suïcida i la violència eren altament prevalents. Els factors contextuals de les drogues, incloent les activitats de generació d'ingressos il·legals i/o marginals, es van associar amb idees i plans suïcides (el tràfic de drogues en els homes i estar condemnat a la presó en les dones) i amb la violència (estar condemnat a la presó en els homes i el tràfic de drogues a les dones). Haver patit experiències traumàtiques es va associar amb la ideació i els plans suïcides per a tots dos gèneres. El consum de drogues il·legals precoç es va associar amb la victimització i la perpetració per a tots dos generes. La cobertura dels programes de prevenció es va considerar alta. Aquest tipus de problemes de salut han de ser detectats en els centres de tractament de drogues, promocionant el desenvolupament de programes de prevenció i de tractament.
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Redl, Donnie. "Factors in older adults' resistance to substance abuse treatment." CSUSB ScholarWorks, 2003. https://scholarworks.lib.csusb.edu/etd-project/2342.

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Urban, Michal. "Farmakovigilance v toxikologickém informačním středisku." Doctoral thesis, 2017. http://www.nusl.cz/ntk/nusl-267843.

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1 ABSTRACT Background The annual drug overdose rates have been increasing exponentially since the 90's worldwide. Toxicological information centre (TIC) represents a valuable source of information for evaluating the trends in the drug poisonings in Czech Republic. Aim of the study The purpose was to analyze the number and trends in the calls concerning poisonings due to central nervous system (CNS) affecting drugs, identify the reasons of medication errors caused by laymen, frequency and consequences of these errors across all age groups and also to analyze the numbers, causes, symptoms and severity of the paracetamol intoxications. Methods During the reference period the data from the enquiries were extracted from the TIC electronic database, discharge reports from the hospital were studied or phone call follow-ups with the patients were carried out to be able to evaluate the outcome of the poisonings. Results In the years 1997-2002 the number of calls caused by poisoning with tricyclic antidepressants and barbiturates decreased (by 366.7 % and 340,0 %, respectively) whereas the calls due to selective serotonin reuptake inhibitors and benzodiazepines overdose increased (by 1347.4 % and 359.8 %). The 0-5 years old children are at the highest risk of experiencing medication errors or accidental poisonings...
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Books on the topic "Drug overdose prevention"

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G, Lejeune Maxime, ed. Methadone-related overdose deaths: Factors and prevention measures. Hauppauge, N.Y: Nova Science, 2009.

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Anna's story. Pymble, N.S.W: Angus & Robertson, 1996.

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World Health Organization. Regional Office for Europe. Prevention of Acute Drug-related Mortality in Prison Populations During the Immediate Post-release Period. Copenhagen, Denmark: World Health Organization, Regional Office for Europe, 2010.

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Drug Overdoses and Alcohol Withdrawal: Prevalence, Trends and Prevention. Nova Science Publishers, Incorporated, 2015.

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Wollschlaeger, Bernd. Opioid Overdose Education, Prevention, and Management (DRAFT). Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190265366.003.0013.

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In reviewing the elements of opioid overdose education, prevention, and management, this chapter focuses particularly on practical interventions that are available and deserve advocacy; e.g., provision of naloxone to those with opioid use disorder and to possible first responders. It moves from a discussion of the epidemiology of opioid deaths to the more individual topic of patient risk for overdose. Prophylactic interventions in the form of education of the patient’s family and friends, and agreements for treatment with informed consent are described. There follows a discussion of management of the opioid poisoning itself, including use/distribution of naloxone injection. Two figures are included: drug overdose death rates in the United States (2014); a map describing the current states with naloxone or “good Samaritan” laws impacting opioid overdose management. A text box with resources includes directions for initiation of community overdose prevention and intervention schemes.
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Brummer, Julie, Lars Møller, and Stefan Enggist. Preventing Drug-Related Death in Recently Released Prisoners. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199374847.003.0018.

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The mortality risk for recently released prisoners is alarmingly high. These individuals, especially in the first 2 weeks following release, are at an increased risk for death compared with an age- and gender-matched general population, with the majority of fatalities attributed to overdoses. Although a number of factors contribute to these incidents, the decreased tolerance resulting from a period of abstinence during incarceration is believed to be especially important. Other important factors are the concurrent use of multiple drugs, the lack of pre-release counseling and post-release follow-up, and the failure to identify those at greatest risk. This chapter describes studies conducted in various countries on post-release drug-related deaths. The literature review supports the finding that there is a significantly heightened risk of overdose death during the initial post-release period and suggests a number of prevention and harm reduction responses that may be applied at various levels of the criminal justice system to reduce drug-related deaths in ex-prisoners. Some identified potential preventive responses are the provision of opioid substitution therapy delivered in combination with psychosocial intervention for opioid-dependent prisoners and a continuity of care and stability of treatment through all stages of the criminal justice system, including during community integration, which can be supported by close linkages between prison-health and public-health systems. Take-home naloxone programs are another promising strategy to prevent overdose deaths among people recently released from prison.
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Katz, David L., 1963- writer of foreword, ed. Do you really need that pill?: How to avoid side effects, interactions, and other dangers of overmedication. 2018.

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Jacobs, Jennifer, and David L. Katz. Do You Really Need That Pill?: How to Avoid Side Effects, Interactions, and Other Dangers of Overmedication. Skyhorse Publishing Company, Incorporated, 2018.

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Babor, Thomas F., Jonathan Caulkins, Benedikt Fischer, David Foxcroft, Keith Humphreys, María Elena Medina-Mora, Isidore Obot, et al. Harms associated with illicit drug use. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780198818014.003.0004.

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Five types of morbidity and mortality have been identified as the main health expressions of health harm associated with illicit drug use: 1) overdose; 2) other injury; 3) non-communicable physical disease; 4) mental disorders; and 5) infectious disease. Burden of disease estimates combining years of life lost due to premature mortality and disability indicate that illicit drugs ranked eighth among causes of disease, death, and disability in developed regions of the world. Opioids, cocaine, and amphetamines entail greater risks, especially when they are injected. Many harmful consequences are not completely intrinsic to the properties of the drug, but instead are associated with the physical and social environment in which drug use takes place. These epidemiological considerations need to be taken into account in the allocation of resources for prevention programmes, treatment, and social services.
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Rees, Gayla, Benjamin Shapiro, and Matthew Torrington. Integrative Approach to Sedative-Hypnotic Use Disorder. Edited by Shahla J. Modir and George E. Muñoz. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190275334.003.0005.

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Sedatives, hypnotics, and anxiolytics are CNS depressants with GABAergic activity that are potentially habit-forming due to their activity in brain reward pathways. They are central in the drug overdose epidemic with benzodiazepines (BZD) being involved in approximately 31% of all fatal overdoses. There are 4 withdrawal syndromes: High dose minor and major withdrawal, low dose withdrawal, and protracted withdrawal. Benzodiazepines are chemically related positive allosteric modulators of the GABA at the GABA-A receptor. In differential expression 5 different receptor subunits play a role in acute and prolonged withdrawal syndromes. Benzodiazepines have supplanted barbiturates for treatment of anxiety and insomnia due to their wider therapeutic index. Barbiturates can be helpful managing opiate and benazodiazapeine withdrawal. Traditional Chinese Medicine can improve hypnotics-dependent insomnia. Mindfulness-based relapse prevention and yoga may offer benefits but are poorly studied.
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Book chapters on the topic "Drug overdose prevention"

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Zack, Barry, Katie Kramer, Katie Kuenzle, and Nina Harawa. "Integrating HIV, Hepatitis, STI Prevention with Drug Education and Overdose Prevention for Incarcerated Populations: A Field Report." In Public Health Behind Bars, 151–56. New York, NY: Springer US, 2021. http://dx.doi.org/10.1007/978-1-0716-1807-3_10.

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Carroll, Jennifer J., Rita K. Noonan, and Jessica Wolff. "Building Effective Public Health and Public Safety Collaborations to Prevent Opioid Overdose at the Local, State, and Federal Levels." In A Public Health Guide to Ending the Opioid Epidemic, 241–52. Oxford University Press, 2019. http://dx.doi.org/10.1093/oso/9780190056810.003.0020.

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This chapter describes the public health role in the Overdose Response Strategy (ORS), a public health/public safety collaboration between the Office of National Drug Control Policy’s High Intensity Drug Trafficking Areas program and the US Centers for Disease Control and Prevention. The mission of the ORS is to reduce opioid overdose incidents by developing and sharing information about heroin, fentanyl, and other opioids across state and federal agencies. In addition, the ORS supports states in implementing evidence-based strategies to combat the opioid overdose epidemic, especially where those strategies are informed by local data. Teams comprising one drug intelligence officer and one public health analyst work in each of the 24 ORS states. Challenges and opportunities of public health and law enforcement collaboration are described.
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Lysyshyn, Mark, and Mark Tyndall. "Public Health Approaches to Overdose Prevention and Harm Reduction." In A Public Health Guide to Ending the Opioid Epidemic, 23–32. Oxford University Press, 2019. http://dx.doi.org/10.1093/oso/9780190056810.003.0004.

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Harm reduction aims to reduce the negative consequences of drug use in people unable or unwilling to stop. This chapter focus on harm reduction policies, programs, and practices that have been employed in Vancouver, British Columbia, including the controversial introduction of supervised injection sites. Using data from the Vancouver experience, the authors describe successful harm reduction efforts that have resulted in no overdose deaths in Vancouver’s supervised injection facilities. The authors stress that harm reduction approaches are meant to be complementary to prevention and treatment approaches, acknowledging that it is not currently possible to prevent or treat all cases of problematic substance use and also that addiction is a relapsing chronic condition. Other harm reduction strategies include drug checking and alerting, take-home naloxone, injectable therapies, hydromorphone distribution, and peer engagement.
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Höschl, Cyril, and Pavla Čermáková. "The role of restricting access to potentially lethal medication in suicide prevention." In Oxford Textbook of Suicidology and Suicide Prevention, edited by Danuta Wasserman and Camilla Wasserman, 709–12. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198834441.003.0078.

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Overdose with medications is a common method of suicide. Reviews of suicide prevention strategies confirmed that restricting access to lethal means is effective in preventing suicides. Nevertheless, there have not been any randomized controlled trials, proving that restriction of the access to toxic medications decreases suicide rates. Existing evidence is based mainly on observational, ecological, and cohort studies. Factors such as better mental health conditions, effective treatment of depression, and improvement in socioeconomic status, may also contribute to decreasing suicide rates. Restrictive measures will have a large effect if the respective method is frequent and lethal. Although there are some concerns about substitution of suicide methods if access to a specific drug is restricted, many studies suggest a life-saving potential. Restrictive measures represent an effective and feasible public health strategy for suicide prevention, particularly in individuals that carry out briefly planned impulsive acts, and in combination with other interventions.
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Medley, Bethany. "Overdose Risks and Prevention Strategies for Pregnant Women in New York City." In The Impact of Global Drug Policy on Women: Shifting the Needle, 195–200. Emerald Publishing Limited, 2020. http://dx.doi.org/10.1108/978-1-83982-882-920200027.

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Hagaman, Angela, Bill Brooks, Stephanie M. Mathis, Kelly E. Moore, and Robert Pack. "The Opioid Crisis in Appalachia." In Appalachian Health, 177–93. University Press of Kentucky, 2022. http://dx.doi.org/10.5810/kentucky/9780813155579.003.0009.

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Appalachia carries a disproportionate burden of the growing opioid epidemic across the United States. Its residents have been navigating the fallout of overdose-related deaths for over a decade, witnessing their communities transform into the epicenter of America’s drug crisis. This chapter details the three waves of the opioid epidemic and recognizes the crisis as a "syndemic". In simpler terms, it explores how multiple, interrelated processes contribute to heightened vulnerability to opioid misuse within Appalachia. Among those processes are phenomena detailed in earlier chapters, for example the region’s persistent socioeconomic disparities and the vacuum created by coal’s decline. The second half of the chapter explores public health collaboration for crisis mitigation. It details prevention, treatment, and harm reduction approaches to the opioid epidemic and explains how they can most optimally operate in Appalachia.
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Watson, Virginia. "“Top-Down” and “Bottom-Up” Initiatives Create a Comprehensive Prescription Drug Overdose Prevention Program in North Carolina." In The Practical Playbook, 343–60. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780190222147.003.0028.

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Drawing on the experiences of hundreds of public health and primary care clinicians from across the United States, this book explains why population health is receiving so much attention from policy makers in states and federal agencies, the practical steps that clinicians and public health professionals can take to work together to meet the needs of their community, signs that you are on the right track (or not) and how to sustain successes to the benefit of patients, community members, and the health care and public health teams that care for them.
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Logan, Joseph E., and James A. Mercy. "Suicide, Violence, and Other Forms of Injury." In The CDC Field Epidemiology Manual, 449–66. Oxford University Press, 2019. http://dx.doi.org/10.1093/oso/9780190933692.003.0025.

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Fatal and nonfatal self-directed and interpersonal violence and unintentional injuries can spread throughout a community just like infectious diseases. What drives people to attempt suicide, harm others, or place themselves in unsafe situations most often results from complex dynamics between themselves and their social environments. Nevertheless, outbreaks of fatal and nonfatal injuries do occur. Similar to how an infectious disease manifests and spreads, outbreaks of self-inflicted, violent injuries, and even unintentional injuries, such as drug overdoses, also can be precipitated by immediate exposures that public health prevention strategies can best address. At some point, a field epidemiologist will face the challenges and the nuances of these epidemics. This chapter provides case stories of injury-related epidemics and the exposures and circumstances that propagated them. It also reviews the types of investigations conducted to address these epidemics, common challenges, and the short- and long-term strategies used to control such dangerous and deadly outbreaks.
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Farrell, Michael, Briony Larance, and Courtney Breen. "Opioids." In New Oxford Textbook of Psychiatry, edited by John R. Geddes, Nancy C. Andreasen, and Guy M. Goodwin, 507–18. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198713005.003.0051.

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As with other substances of dependence, prolonged exposure to moderate or high dosages of pharmaceutical or illicit opioids can result in people developing the chronic, often relapsing, condition known as opioid dependence. Opioid dependence has profound social effects on the person and the people around them. The major health consequences include increased risk of blood-borne virus infections, such as HIV, hepatitis C, and hepatitis B, through injection and drug overdose, with highly elevated risks of premature mortality. The chronic nature of opioid dependence results in repeated treatment episodes and prolonged treatment need. The aims of any opioid treatment programme should be guided by the principles of reducing or ceasing non-prescribed opioid use, preventing future harms, minimizing mortality risk, and improving quality of life and well-being. Opioid agonist (maintenance) treatments, typically methadone or buprenorphine, used at the optimal dose range, are effective and lifesaving treatments. However, they remain controversial. This chapter examines key clinical considerations, including assessment and diagnosis, comorbidity, social issues, risk, and special considerations.
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Conference papers on the topic "Drug overdose prevention"

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Smith, Gordon. "558 Changing drug overdose deaths patterns where US rates are highest: global implications." In 14th World Conference on Injury Prevention and Safety Promotion (Safety 2022) abstracts. BMJ Publishing Group Ltd, 2022. http://dx.doi.org/10.1136/injuryprev-2022-safety2022.254.

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Smith, Gordon, Zheng Dai, Marie Abate, Allen Mock, and James Kramer. "7C.001 Changing drug overdose deaths patterns where US rates are highest: global implications." In Virtual Pre-Conference Global Injury Prevention Showcase 2021 – Abstract Book. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/injuryprev-2021-safety.174.

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Saunders, D., A. Hagemeyer, and L. Werhan. "0053 An analysis of drug overdose deaths by intent in Ohio from 2016–2018." In Injury and Violence Prevention for a Changing World: From Local to Global: SAVIR 2021 Conference Abstracts. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/injuryprev-2021-savir.33.

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Zhang, Jianfei, Ai-Te Kuo, Jianan Zhao, Qianlong Wen, Erin Winstanley, Chuxu Zhang, and Yanfang Ye. "Rx-refill Graph Neural Network to Reduce Drug Overprescribing Risks (Extended Abstract)." In Thirty-First International Joint Conference on Artificial Intelligence {IJCAI-22}. California: International Joint Conferences on Artificial Intelligence Organization, 2022. http://dx.doi.org/10.24963/ijcai.2022/755.

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Prescription (aka Rx) drugs can be easily overprescribed and lead to drug abuse or opioid overdose. Accordingly, a state-run prescription drug monitoring program (PDMP) in the United States has been developed to reduce overprescribing. However, PDMP has limited capability in detecting patients' potential overprescribing behaviors, impairing its effectiveness in preventing drug abuse and overdose in patients. In this paper, we propose a novel model RxNet, which builds 1) a dynamic heterogeneous graph to model Rx refills that are essentially prescribing and dispensing (P&D) relationships among various patients, 2) an RxLSTM network to explore the dynamic Rx-refill behavior and medical condition variation of patients, and 3) a dosing-adaptive network to extract and recalibrate dosing patterns and obtain the refined patient representations which are finally utilized for overprescribing detection. The extensive experimental results on a one-year state-wide PDMP data demonstrate that RxNet consistently outperforms state-of-the-art methods in predicting patients at high risk of opioid overdose and drug abuse.
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You might also be interested in the extended bibliographies on the topic 'Drug overdose prevention' for particular source types:
Journal articles
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