Unintentional Prescription Opioid-Related Overdose Deaths: Description of Decedents by Next of Kin or Best Contact, Utah, 2008–2009
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Little is known about the characteristics that may predispose an individual to being at risk for fatal overdose from prescription opioids.
To identify characteristics related to unintentional prescription opioid overdose deaths in Utah.
Interviews were conducted (October 2008–October 2009) with a relative or friend most knowledgeable about the decedent’s life.
Analyses involved 254 decedents aged 18 or older, where cause of death included overdose on at least one prescription opioid.
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 %).
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.
KEY WORDSchronic pain illicit drug use mental illness opioids overdose overprescribed prescription pain medication
This study was funded by the Centers for Disease Control and Prevention and the Utah Department of Health. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. We express our appreciation to the next of kin of best contacts that consented to be interviewed after the death of a relative or friend as a result of a drug overdose.
Conflict of Interest
The authors declare that they do not have a conflict of interest.
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