Congratulations to HALO PhD candidate Hugues Sampasa-Kanyinga and HALO Research Scientist Dr. Jean-Philippe Chaput on their paper titled “Nonmedical use of prescription opioids, psychological distress, and suicidality among adolescents” just published in Social Psychiatry and Psychiatric Epidemiology! Findings show that nonmedical use of prescription opioids is strongly associated with psychological distress and suicidality in adolescents. Citation details and an abstract of the paper are below.

Sampasa-Kanyinga, H., Bakwa-Kanyinga, F., Chaput, JP. et al. Nonmedical use of prescription opioids, psychological distress, and suicidality among adolescents. Soc Psychiatry Psychiatr Epidemiol 56, 783–791 (2021). https://doi.org/10.1007/s00127-020-01958-x

Abstract

Purpose
The present study examined associations between nonmedical use of prescription opioids and serious psychological distress, suicidal ideation, and suicide attempts, and tested whether age and sex moderate these relationships.

Methods
Data on 5582 adolescents were obtained from a representative province-wide survey of students in grades 7 through 12 (mean age: 15.3 years) across Ontario, Canada. Nonmedical use of prescribed opioids in the last 12 months was categorized in “no use”, “infrequent use (1–2 times)”, and “regular use (3 times or more)”. Logistic regression analysis was adjusted for age, sex, ethnicity, subjective socioeconomic status, and other substance use (i.e., tobacco cigarette, alcohol, cannabis).

Results
Overall, regular nonmedical use of prescription opioids was strongly associated with greater odds of serious psychological distress (OR: 3.47; 95% CI 1.42–8.45), suicidal ideation (OR: 2.73; 95% CI 1.84–4.05), and suicide attempts (OR: 3.21; 95% CI 1.40–7.37). However, infrequent nonmedical use of prescription opioids was associated with greater odds of serious psychological distress (OR: 1.79; 95% CI 1.08–2.98) and suicidal ideation (OR: 1.63; 95% CI 1.20–2.21), but not suicide attempts (OR: 1.84; 95% CI 0.76–4.45). Age-stratified analyses showed that both infrequent (OR: 1.61; 95% CI 1.01–2.58) and regular (OR: 3.40; 95% CI 2.11–5.46) nonmedical use of prescription opioids was strongly associated with greater odds of suicidal ideation among 15- to 20-year-olds, but not 11- to 14-year-olds.

Conclusion
These findings suggest that nonmedical use of prescription opioids is strongly associated with mental health problems among adolescents. Future research using a longitudinal design is needed to confirm age differences and temporality.

The full-text article can be accessed here.