'Extreme personal stress' and 'a lot of pain': Exploring the physical, mental and social contexts of extramedical pharmaceutical opioid use in Australian paramedic case descriptions.
James WilsonTina LamDebbie ScottRose CrossinSharon MatthewsKaren SmithDan I LubmanSuzanne NielsenPublished in: Drug and alcohol review (2020)
This study is one of the first to explore the contexts of extramedical pharmaceutical opioid use leading to acute harm. Our analysis found patients in complex, emergency situations, seeking rapid relief from physical pain, psychological distress, social issues and/or suicidal thoughts. These data highlight the complex needs of those experiencing harm from extramedical pharmaceutical opioid use, regardless of opioid type, and the importance of contextual factors shaping both use and subsequent harm.
Keyphrases
- mental health
- chronic pain
- pain management
- healthcare
- end stage renal disease
- physical activity
- neuropathic pain
- ejection fraction
- chronic kidney disease
- emergency department
- newly diagnosed
- public health
- prognostic factors
- liver failure
- climate change
- big data
- machine learning
- electronic health record
- hepatitis b virus
- aortic dissection
- heat stress
- drug induced
- quantum dots
- extracorporeal membrane oxygenation