Prevention of lethal opioid overdose in the community
- Phillip Coffin, MD, MIA
Phillip Coffin, MD, MIA
- Director of Substance Use Research
- Center for Public Health Research, San Francisco Department of Public Health
Drug overdose, principally due to opioids, is rising in many developed countries; in the United States, for example, it has been the leading cause of injury-related death since 2009. The incidence of opioid overdose increased dramatically between 1990 and 2010. Opioid overdose is defined as opioid-induced respiratory depression such that assistance is needed to revive the person.
Interventions found to reduce mortality from opioid overdose include: treatment of opioid use disorder with an opioid agonist , provision of naloxone to lay persons , and establishment of a supervised injection facility .
This topic describes prevention of lethal opioid overdose in the community. The epidemiology, pharmacology, screening, assessment, diagnosis, and treatment of opioid use disorder are discussed separately. Management of intoxication and withdrawal from opioids are also discussed separately, as is abuse of prescription drugs.To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information on subscription options, click below on the option that best describes you:
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- EPIDEMIOLOGY OF OVERDOSE
- Risk factors
- CLINICAL FEATURES OF OVERDOSE
- COMMUNITY-BASED INTERVENTION
- Who should receive?
- - Overdose education
- - Community-based naloxone
- Adverse effects
- SOCIETY GUIDELINE LINKS
- SUMMARY AND RECOMMENDATIONS