Opioid overdose experiences in a sample of US adolescents and young adults: a thematic analysis.
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| Title: | Opioid overdose experiences in a sample of US adolescents and young adults: a thematic analysis. |
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| Authors: | Monico, Laura B. (AUTHOR), Ludwig, Ariel (AUTHOR), Lertch, Elizabeth (AUTHOR), Dionne, Ross (AUTHOR), Fishman, Marc (AUTHOR), Schwartz, Robert P. (AUTHOR), Mitchell, Shannon Gwin (AUTHOR) |
| Source: | Addiction. Apr2021, Vol. 116 Issue 4, p865-873. 9p. 1 Chart. |
| Subjects: | Narcotics, Naltrexone, Substance abuse, Drug overdose, Research methodology, Interviewing, Qualitative research |
| Geographic Terms: | United States |
| Abstract: | Background and Aims: Opioid overdose deaths among adolescents and young adults have risen sharply in the United States over recent decades. This study aimed to explore the nature of adolescent and young adult perspectives on overdose experiences. Design This study involved thematic analysis of interviews undertaken as part of a mixed‐methods, randomized trial of extended release naltrexone (XR‐NTX) versus treatment‐as‐usual (TAU) for adolescents and young adults (aged 15–21 years) with opioid use disorder (OUD). Setting: Participants were recruited during a residential treatment episode at Mountain Manor Treatment Center, in Baltimore, MD, USA. Participants/cases: As part of the qualitative component of this study, 35 adolescents/young adults completed up to three interviews: at baseline, 3 and 6 months after release from residential opioid use disorder treatment. Measurements Semi‐structured interviews solicited participant experiences with opioid use disorder treatment; their satisfaction with the medications used to treat opioid use disorder; counseling received; current substance use; issues related to treatment retention; their treatment goals; and their future outlook. Findings Four broad themes emerged: (1) adolescents/young adults had difficulty identifying overdoses due to interpreting subjective symptoms and a lack of memory of the event, (2) this sample had difficulty perceiving risk that is misaligned with traditional understandings of overdose intentionality, (3) adolescents/young adults did not interpret personal overdose events as a catalyst for behavior change and (4) this sample experienced a greater impact to behavior change through witnessing an overdose of someone in their social network. Conclusions: The sample of US adolescents and young adults in treatment for opioid use disorder expressed difficulty identifying whether or not they had experienced an overdose, expressed fluctuating intentionality for those events and did not have clear intentions to change their behavior. Witnessing an overdose appeared to be as salient an experience as going through an overdose oneself. [ABSTRACT FROM AUTHOR] |
| Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 149375738 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Opioid overdose experiences in a sample of US adolescents and young adults: a thematic analysis. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Monico%2C+Laura+B%2E%22">Monico, Laura B.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ludwig%2C+Ariel%22">Ludwig, Ariel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lertch%2C+Elizabeth%22">Lertch, Elizabeth</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dionne%2C+Ross%22">Dionne, Ross</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fishman%2C+Marc%22">Fishman, Marc</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Schwartz%2C+Robert+P%2E%22">Schwartz, Robert P.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mitchell%2C+Shannon+Gwin%22">Mitchell, Shannon Gwin</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Addiction%22">Addiction</searchLink>. Apr2021, Vol. 116 Issue 4, p865-873. 9p. 1 Chart. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Narcotics%22">Narcotics</searchLink><br /><searchLink fieldCode="DE" term="%22Naltrexone%22">Naltrexone</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+overdose%22">Drug overdose</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background and Aims: Opioid overdose deaths among adolescents and young adults have risen sharply in the United States over recent decades. This study aimed to explore the nature of adolescent and young adult perspectives on overdose experiences. Design This study involved thematic analysis of interviews undertaken as part of a mixed‐methods, randomized trial of extended release naltrexone (XR‐NTX) versus treatment‐as‐usual (TAU) for adolescents and young adults (aged 15–21 years) with opioid use disorder (OUD). Setting: Participants were recruited during a residential treatment episode at Mountain Manor Treatment Center, in Baltimore, MD, USA. Participants/cases: As part of the qualitative component of this study, 35 adolescents/young adults completed up to three interviews: at baseline, 3 and 6 months after release from residential opioid use disorder treatment. Measurements Semi‐structured interviews solicited participant experiences with opioid use disorder treatment; their satisfaction with the medications used to treat opioid use disorder; counseling received; current substance use; issues related to treatment retention; their treatment goals; and their future outlook. Findings Four broad themes emerged: (1) adolescents/young adults had difficulty identifying overdoses due to interpreting subjective symptoms and a lack of memory of the event, (2) this sample had difficulty perceiving risk that is misaligned with traditional understandings of overdose intentionality, (3) adolescents/young adults did not interpret personal overdose events as a catalyst for behavior change and (4) this sample experienced a greater impact to behavior change through witnessing an overdose of someone in their social network. Conclusions: The sample of US adolescents and young adults in treatment for opioid use disorder expressed difficulty identifying whether or not they had experienced an overdose, expressed fluctuating intentionality for those events and did not have clear intentions to change their behavior. Witnessing an overdose appeared to be as salient an experience as going through an overdose oneself. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/add.15216 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 9 StartPage: 865 Subjects: – SubjectFull: Narcotics Type: general – SubjectFull: Naltrexone Type: general – SubjectFull: Substance abuse Type: general – SubjectFull: Drug overdose Type: general – SubjectFull: Research methodology Type: general – SubjectFull: Interviewing Type: general – SubjectFull: Qualitative research Type: general – SubjectFull: United States Type: general Titles: – TitleFull: Opioid overdose experiences in a sample of US adolescents and young adults: a thematic analysis. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Monico, Laura B. – PersonEntity: Name: NameFull: Ludwig, Ariel – PersonEntity: Name: NameFull: Lertch, Elizabeth – PersonEntity: Name: NameFull: Dionne, Ross – PersonEntity: Name: NameFull: Fishman, Marc – PersonEntity: Name: NameFull: Schwartz, Robert P. – PersonEntity: Name: NameFull: Mitchell, Shannon Gwin IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 04 Text: Apr2021 Type: published Y: 2021 Identifiers: – Type: issn-print Value: 09652140 Numbering: – Type: volume Value: 116 – Type: issue Value: 4 Titles: – TitleFull: Addiction Type: main |
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