Increasing rates of opioid overdose and suicide deaths have fueled interest in defining the extent to which these 2 urgent public health problems are syndemic. Although it has been assumed that approximately one-quarter of opioid overdose deaths are intentional,1 prior research has not evaluated the national distribution of opioid-related deaths by manner. Reevaluation of officially classified poisoning deaths of undetermined intent suggests that 21% may be misclassified suicides.2 We evaluated trends in US drug overdose deaths involving opioids certified as unintentional, suicide, or undetermined intent.
Olfson M, Rossen LM, Wall MM, Houry D, Blanco C. Trends in Intentional and Unintentional Opioid Overdose Deaths in the United States, 2000-2017. JAMA. 2019;322(23):2340–2342. doi:10.1001/jama.2019.16566
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