Home > Non-fatal opioid overdose after release from prison among men who injected drugs prior to their imprisonment: a prospective data linkage study.

Curtis, Michael and Dietze, Paul and Winter, Rebecca J and Rathnayake, Kasun and Smith, Karen and Stoove, Mark (2023) Non-fatal opioid overdose after release from prison among men who injected drugs prior to their imprisonment: a prospective data linkage study. The Medical Journal of Australia, 218, (2), pp. 94-95. https://doi.org/10.5694/mja2.51774.

External website: https://onlinelibrary.wiley.com/doi/10.5694/mja2.5...


In the first two weeks after their release from prison, people are at greater risk than usual of fatal opioid overdose. They are also at greater risk of non-fatal opioid overdose, which is associated with considerable morbidity. An analysis of linked Queensland ambulance data (non-fatal opioid overdose-related ambulance contacts defined as those reporting improved Glasgow Coma Scale [GCS] scores or case notes describing clinical improvement after naloxone administration) estimated that the crude incidence rate of non-fatal opioid overdose among people released from prison was 4.5 (95% confidence interval [CI], 2.8–7.2) cases per 1000 person-years. However, the study included people who reported never having injected drugs, and thereby probably underestimated non-fatal opioid overdose incidence among those at greatest risk: people who had injected drugs prior to their imprisonment.

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