Journal of Addiction Medicine, Journal Year: 2025, Volume and Issue: unknown
Published: April 25, 2025
Objective: This study investigated community bystander presence and naloxone administrations by location type during accidental fatal opioid-involved overdoses in Rhode Island. Methods: We analyzed overdose fatalities among adults Island between 2020 2022, obtained from the State’s Unintentional Drug Overdose Reporting System (SUDORS). Variables of interest included death, presence, administration. calculated proportion deaths where bystanders were present was administered. Using multivariable Poisson regression with robust standard errors, we identified statistically significant ( P <0.05) correlates administration any responder events. Results: Of 1084 analyzed, 44.7% cases. Most occurred housing environments (84.5%), widest disparity (61.1%) (29.0%) observed. In analysis, more likely to be administered occurring outdoor spaces (adjusted prevalence ratio [adjPR] = 1.50, 95% CI: 1.07–2.02), hotels/motels (adjPR=1.57, 1.12–2.21), businesses (adjPR=1.89, 1.14–3.12), motor vehicles (adjPR=2.00, 1.18–3.38), relative environments. Naloxone clustered younger decedents (10-year decrements: adjPR=1.10, 1.01–1.20) persons experiencing homelessness (adjPR=1.67, 1.23–2.26). Conclusion: Fatal have but less responders intervene naloxone. Equipping families cohabitants tools, resources, self-efficacy for earlier, timelier intervention may address
Language: Английский