Suicide and Opioid Use Disorder
A study done at the University of Vermont Medical Center in Burlington, stressed the importance of raising clinician awareness about "internal and external conditions, very proximal to self-injury deaths” for suicide prevention in opioid use disorder.
Experts have identified the following “imminent” risk factors for a fatal outcome in patients with substance use disorders:
1. The presence of acute withdrawal or craving
2. Changes in patterns of use
3. Loss of agency, identity, or sense of belonging and the erosion of social supports, dysphoria, shame, humiliation, or
insomnia
4. Increased use of other substances
5. Recent personal events, such as relapse, legal problems, or relationship conflict
(from Psychiatry Advisor)