Characteristics and Risk of Adverse Mental Health Events Amongst Users of the National Overdose Response Service (NORS) Telephone Hotline

IF 3.2 3区 医学 Q2 PSYCHIATRY International Journal of Mental Health and Addiction Pub Date : 2024-03-25 DOI:10.1007/s11469-024-01285-1
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Abstract

The National Overdose Response Service (NORS) is a Canadian mobile or virtual overdose response hotline intended to prevent drug overdose deaths but has unexpectedly received mental health related calls, including adverse mental health events. Our study aimed to examine these occurrences and caller characteristics predictive of adverse mental health outcomes. Using the NORS call dataset, we conducted a descriptive representation of mental health occurrences and mental health emergencies along with correlative statistics. We found that NORS had received 2518 mental health calls, with 28 (1.1%) being adverse events. Men, rural callers, polyroute substance consumption and history of overdosing were found to have increased odds of having an adverse mental health event, while being from Quebec, using non-standard consumption routes and using the line between 50 and 99 times were found to decrease odds. This supports the utility of overdose prevention hotlines to also support people experiencing adverse mental health situations and reduce harm for individuals with mental health and/or substance use disorders.

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国家用药过量应对服务电话热线(NORS)用户的特征和发生不良心理健康事件的风险
摘要 全国用药过量响应服务(NORS)是加拿大的一条移动或虚拟用药过量响应热线,旨在预防用药过量死亡,但却意外接到了与心理健康有关的电话,包括不良心理健康事件。我们的研究旨在检查这些情况以及可预测不良心理健康后果的呼叫者特征。利用 NORS 呼叫数据集,我们对心理健康事件和心理健康紧急情况进行了描述性表述,并进行了相关统计。我们发现,NORS 共接到 2518 次心理健康呼叫,其中 28 次(1.1%)为不良事件。我们发现,男性、农村来电者、多路径药物消费和用药过量史会增加发生不良心理健康事件的几率,而来自魁北克、使用非标准消费路线和使用热线 50 到 99 次会降低几率。这支持了预防用药过量热线的效用,它还可以为经历不良精神健康状况的人提供支持,并减少对精神健康和/或药物使用障碍患者的伤害。
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来源期刊
CiteScore
15.90
自引率
2.50%
发文量
245
审稿时长
6-12 weeks
期刊介绍: The International Journal of Mental Health and Addictions (IJMH) is a publication that specializes in presenting the latest research, policies, causes, literature reviews, prevention, and treatment of mental health and addiction-related topics. It focuses on mental health, substance addictions, behavioral addictions, as well as concurrent mental health and addictive disorders. By publishing peer-reviewed articles of high quality, the journal aims to spark an international discussion on issues related to mental health and addiction and to offer valuable insights into how these conditions impact individuals, families, and societies. The journal covers a wide range of fields, including psychology, sociology, anthropology, criminology, public health, psychiatry, history, and law. It publishes various types of articles, including feature articles, review articles, clinical notes, research notes, letters to the editor, and commentaries. The journal is published six times a year.
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