Addiction Rehab: A Prospective Cohort Study of Non-Fatal Accidental Overdose Among Street Youth: The Link With Suicidal Ideation.

A prospective cohort study of non-fatal accidental overdose among street youth: The link with suicidal ideation.

Filed under: Addiction Rehab

Drug Alcohol Rev. 2012 Nov 7;
Richer I, Bertrand K, Vandermeerschen J, Roy E

INTRODUCTION AND AIMS: Drug overdose and suicide are the two leading causes of death among street youth. The literature discusses the two faces of drug overdose: accidental act and suicide attempt. Some authors have stated that accidental overdoses may be a hidden expression of suicidal ideation. This study longitudinally examined the relationship between recent suicidal ideations and non-fatal accidental drug overdoses among street youth. DESIGN AND METHODS: Between July 2001 and December 2005, 858 street youth (14-23 years old) were recruited for a prospective cohort study. Youth were eligible if, in the previous year, they had been without a place to sleep more than once or had used the services of street youth agencies on a regular basis (?3). Participants completed baseline questionnaires and follow-up interviews were carried out every 6 months. Mixed-effect logistic regression models were conducted. Apart from suicidal ideation and accidental drug overdose, variables considered in the model were age, sex, problematic alcohol use, homelessness, injection drug use and polydrug use (?3 drugs). RESULTS: Accidental drug overdose was significantly associated with suicidal ideation (adjusted odds ratio 1.88; 95% confidence interval 1.23-2.54). Homelessness, injection drug use and polydrug use were also significant in the final model. DISCUSSION AND CONCLUSIONS: Results show that, during follow up, suicidal ideation independently increased risks of accidental overdose. They also underscore the need for interventions beyond educational prevention. Primary care practitioners should investigate suicidal ideations and behaviours of street youth in treatment for accidental overdose.
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[A smoking cessation program for prison inmates and personnel].

Filed under: Addiction Rehab

Rev Esp Sanid Penit. 2008 Oct; 10(2): 57-64
Yagüe-Olmos C, Cabello-Vázquez MI

The main aim of this initiative is to promote a culture change in the prison/tobacco conjunction by means of an intervention program that leads to reduction in the high levels of smoking amongst the prison population (70-80%) and prison personnel. We hope to demonstrate that it is possible in practice to successfully implant and extend tobacco cessations programs in prisons. This would mean an important step forward for the general health of prison inmates, who suffer from higher levels of tobacco addiction than the general population and prison staff, who for their part are forced to share a reduced and enclosed space with prisoners.
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