Experts estimate that about 30% of opioid overdoses are suicide attempts. [1] If someone you love uses opioids, understanding suicide warning signs could help you to save a life.
Opioids change how your brain responds to pleasure, making the lows even lower when they wear off, thus raising the risk of suicide. Executive functioning, decision-making, and impulse control are all impacted by opioid use, which can also elevate the odds of suicide.
Specific factors can also contribute to suicide or the development of an OUD.
Chronic pain can be a risk factor for OUD and suicide. [5]
Opioids offer temporary relief from pain; however, they are highly addictive substances. The longer someone takes them, the more dependent they can become on them, and they can conversely cause hyperalgesia, or increased sensitivity to pain over time.
Chronic pain can significantly decrease a person’s quality of life, increasing the risk for substance misuse, mental health disorders, and suicide.
Rates of both suicide and OUD are higher among veterans than non-veterans, with suicide rates 1.5 times higher and OUD rates 7 times higher.[6] Veterans are likely to experience injuries and trauma during their time in service. These experiences can result in chronic pain or mental health conditions, such as PTSD, anxiety or depression. All of these factors can increase the risk of OUD and suicide.
Nearly three-quarters of people dependent on opioid drugs also have at least one psychiatric comorbid disorder.[7] Common mental health issues include the following:
People with a history of psychiatric treatment, those of a younger age, and people with a history of opioid and alcohol use have higher rates of completed suicides than those without these risk factors.[7]
Childhood trauma is a big risk factor for both the development of SUD and suicide. The brain is not fully formed until young adulthood.
Drug use in adolescence can cause dysfunctional brain formation, poor coping skills, impaired decision-making, and reduced executive function. All these can lead to an increased risk of self-harm and/or suicide.
One of the best ways to prevent suicide is to know what to look for. Warning signs of suicide include the following:
In 2019, approximately 12 million adults in the United States had serious thoughts about suicide.[8] Suicide is one of the top 10 leading causes of death in America and needs to be taken seriously.
If you think a loved one is at risk of harming themselves, take action immediately. Do not leave them alone or promise to “keep it secret.”
Seek professional help. If you think someone is in immediate danger or crisis, call 911 or take them to the nearest emergency room. You can also contact the National Suicide Prevention Lifeline.[9]
If a patient intentionally takes a high dose of opioids to attempt suicide, Narcan can be administered intranasally (by spraying into the nose) or intramuscularly (injected).
Anyone who has a prescription for an opioid, or is known to be using opioids illicitly, should seek a prescription for Narcan from a local pharmacy. Most states offer Narcan over the counter without a prescription to make sure anyone with OUD or any family or friend of someone using opioids can obtain the medication and be ready to administer it properly in case of an attempted (or accidental) overdose.
