Overdose Risk and Brain Injury (Traumatic Brain Injury/Acquired Brain Injury), A Commentary.

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Title: Overdose Risk and Brain Injury (Traumatic Brain Injury/Acquired Brain Injury), A Commentary.
Authors: Martin, Samuel I. (AUTHOR), Bennett, Alex S. (AUTHOR), Elliott, Luther (AUTHOR), Gorgens, Kim A. (AUTHOR)
Source: Substance Use & Misuse. 2024, Vol. 59 Issue 11, p1656-1659. 4p.
Subjects: Drug overdose, Substance abuse, Alzheimer's disease, Social factors, Opioid abuse, Misinformation, Race, Black people, Anti-racism, Brain injuries, Medical screening, Opioid epidemic, Social stigma, Disease risk factors, Disease complications
Geographic Terms: United States
Abstract: Objective: This commentary seeks to evaluate existing knowledge about the relationship between brain injury (BI) and overdose (OD), to unify distant bodies of literature, and to enhance prevention and treatment for opioid OD among individuals with BI. Background: There is a hidden epidemic of undiagnosed BI in the United States. Due to lack of screening, the vast majority of BI sufferers do not know they have a BI. Not only are those with BI at elevated risk for opioid use, misuse, and opioid use disorder, but also they are at elevated risk for OD. Conversely, those with OUD and those who experienced an OD, are more likely to sustain BI. Key Findings/Conclusions: The existing literature suggests that primary strategies to reduce ABI (Acquired Brain Injury)/TBI (Traumatic Brain Injury) harms involve addressing: screening, stigma, racial disparities, and popular misconceptions about OD. The association between TBI and OD is an underexamined public health issue, exacerbated by the bidirectional nature of the relationship. Not only is TBI a risk factor for opioid OD; opioid OD was also found to be a major cause of ABI, which can have lifelong effects similar to Alzheimer's disease. Screening tools for BI were underutilized and inconsistently implemented across reviewed studies. Enhanced screening population wide is a promising intervention, complemented with expanded treatment and research. Black individuals face worse outcomes in BI and treatment outcomes. Anti-racist strategies must fight inequity while addressing social and structural drivers of overdose and BI within the opioid and opioid overdose crises. [ABSTRACT FROM AUTHOR]
Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd 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
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  Label: Title
  Group: Ti
  Data: Overdose Risk and Brain Injury (Traumatic Brain Injury/Acquired Brain Injury), A Commentary.
– Name: Author
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  Data: <searchLink fieldCode="AR" term="%22Martin%2C+Samuel+I%2E%22">Martin, Samuel I.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bennett%2C+Alex+S%2E%22">Bennett, Alex S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Elliott%2C+Luther%22">Elliott, Luther</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gorgens%2C+Kim+A%2E%22">Gorgens, Kim A.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Substance+Use+%26+Misuse%22">Substance Use & Misuse</searchLink>. 2024, Vol. 59 Issue 11, p1656-1659. 4p.
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  Data: <searchLink fieldCode="DE" term="%22Drug+overdose%22">Drug overdose</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Alzheimer's+disease%22">Alzheimer's disease</searchLink><br /><searchLink fieldCode="DE" term="%22Social+factors%22">Social factors</searchLink><br /><searchLink fieldCode="DE" term="%22Opioid+abuse%22">Opioid abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Misinformation%22">Misinformation</searchLink><br /><searchLink fieldCode="DE" term="%22Race%22">Race</searchLink><br /><searchLink fieldCode="DE" term="%22Black+people%22">Black people</searchLink><br /><searchLink fieldCode="DE" term="%22Anti-racism%22">Anti-racism</searchLink><br /><searchLink fieldCode="DE" term="%22Brain+injuries%22">Brain injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+screening%22">Medical screening</searchLink><br /><searchLink fieldCode="DE" term="%22Opioid+epidemic%22">Opioid epidemic</searchLink><br /><searchLink fieldCode="DE" term="%22Social+stigma%22">Social stigma</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+risk+factors%22">Disease risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+complications%22">Disease complications</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Objective: This commentary seeks to evaluate existing knowledge about the relationship between brain injury (BI) and overdose (OD), to unify distant bodies of literature, and to enhance prevention and treatment for opioid OD among individuals with BI. Background: There is a hidden epidemic of undiagnosed BI in the United States. Due to lack of screening, the vast majority of BI sufferers do not know they have a BI. Not only are those with BI at elevated risk for opioid use, misuse, and opioid use disorder, but also they are at elevated risk for OD. Conversely, those with OUD and those who experienced an OD, are more likely to sustain BI. Key Findings/Conclusions: The existing literature suggests that primary strategies to reduce ABI (Acquired Brain Injury)/TBI (Traumatic Brain Injury) harms involve addressing: screening, stigma, racial disparities, and popular misconceptions about OD. The association between TBI and OD is an underexamined public health issue, exacerbated by the bidirectional nature of the relationship. Not only is TBI a risk factor for opioid OD; opioid OD was also found to be a major cause of ABI, which can have lifelong effects similar to Alzheimer's disease. Screening tools for BI were underutilized and inconsistently implemented across reviewed studies. Enhanced screening population wide is a promising intervention, complemented with expanded treatment and research. Black individuals face worse outcomes in BI and treatment outcomes. Anti-racist strategies must fight inequity while addressing social and structural drivers of overdose and BI within the opioid and opioid overdose crises. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd 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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      – Type: doi
        Value: 10.1080/10826084.2024.2359722
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 4
        StartPage: 1656
    Subjects:
      – SubjectFull: Drug overdose
        Type: general
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Alzheimer's disease
        Type: general
      – SubjectFull: Social factors
        Type: general
      – SubjectFull: Opioid abuse
        Type: general
      – SubjectFull: Misinformation
        Type: general
      – SubjectFull: Race
        Type: general
      – SubjectFull: Black people
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      – SubjectFull: Anti-racism
        Type: general
      – SubjectFull: Brain injuries
        Type: general
      – SubjectFull: Medical screening
        Type: general
      – SubjectFull: Opioid epidemic
        Type: general
      – SubjectFull: Social stigma
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      – SubjectFull: Disease risk factors
        Type: general
      – SubjectFull: Disease complications
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Overdose Risk and Brain Injury (Traumatic Brain Injury/Acquired Brain Injury), A Commentary.
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            NameFull: Martin, Samuel I.
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            NameFull: Bennett, Alex S.
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            NameFull: Elliott, Luther
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              M: 09
              Text: 2024
              Type: published
              Y: 2024
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