{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T15:17:14Z","timestamp":1792682234284,"version":"4.5.0"},"reference-count":56,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,10,16]],"date-time":"2018-10-16T00:00:00Z","timestamp":1539648000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["R01 CA212517"],"award-info":[{"award-number":["R01 CA212517"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"publisher","award":["R01 AA025684"],"award-info":[{"award-number":["R01 AA025684"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["R01 DA036541"],"award-info":[{"award-number":["R01 DA036541"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["R01 DA042146"],"award-info":[{"award-number":["R01 DA042146"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["R01 DA043696"],"award-info":[{"award-number":["R01 DA043696"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Suicide in older adults is a major public health issue. Past research across the US adult population has linked prescription medication misuse with suicidal ideation. No work has evaluated associations between prescription opioid or benzodiazepine misuse and suicidal ideation in older adults, and this work aimed to address that gap.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods\/design<\/jats:title>\n                    <jats:p>Data were from adults 50\u00a0years and older participating in the 2015 to 2016 National Survey on Drug Use and Health (n\u00a0=\u00a017\u00a0608). Design\u2010based logistic regression evaluated links between any past\u2010year prescription opioid or benzodiazepine use without misuse or prescription misuse and past\u2010year suicidal ideation, after controlling for sociodemographic, physical health, mental health, and substance use correlates associated with suicidal ideation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After controlling for all correlates, past\u2010year use without misuse of prescription opioids or benzodiazepines was not associated with past\u2010year suicidal ideation in older adults. In contrast, past\u2010year opioid misuse (AOR\u00a0=\u00a01.84, 95% CI\u00a0=\u00a01.07\u20103.19) and benzodiazepine misuse (AOR\u00a0=\u00a02.00, 95% CI\u00a0=\u00a01.01\u20103.94) were significantly associated with past\u2010year suicidal ideation, even after controlling for all covariates. While 2.2% of US older adults not engaged in either opioid or benzodiazepine misuse reported past\u2010year suicidal ideation, 25.4% of those who misused both medication classes endorsed such suicidality (AOR\u00a0=\u00a04.73, 95% CI\u00a0=\u00a02.07\u201010.79).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Both past\u2010year prescription opioid and benzodiazepine misuse are associated with past\u2010year suicidal ideation in US older adults. Clinicians encountering older adult patients at\u2010risk for or engaged in prescription medication misuse also should screen for suicidality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/gps.4999","type":"journal-article","created":{"date-parts":[[2018,10,17]],"date-time":"2018-10-17T00:03:58Z","timestamp":1539734638000},"page":"122-129","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":67,"title":["Prescription opioid and benzodiazepine misuse is associated with suicidal ideation in older adults"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3655-0496","authenticated-orcid":false,"given":"Ty S.","family":"Schepis","sequence":"first","affiliation":[{"name":"Department of Psychology Texas State University  San Marcos TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5363-1816","authenticated-orcid":false,"given":"Linda","family":"Simoni\u2010Wastila","sequence":"additional","affiliation":[{"name":"Peter Lamy Center on Drug Therapy and Aging, and Department of Pharmaceutical Health Services Research, School of Pharmacy University of Maryland  Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9622-4652","authenticated-orcid":false,"given":"Sean Esteban","family":"McCabe","sequence":"additional","affiliation":[{"name":"Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing University of Michigan  Ann Arbor MI USA"},{"name":"Institute for Research on Women and Gender University of Michigan  Ann Arbor MI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,10,16]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"National Center for Health Statistics.Health United States 2016: With Chartbook on long\u2010term trends in health. In. Hyattsville MD: Author;2017."},{"key":"e_1_2_8_3_1","first-page":"1","article-title":"Increase in suicide in the United States, 1999\u20102014","volume":"241","author":"Curtin SC","year":"2016","journal-title":"NCHS Data Brief"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2014.04.003"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-014-0466-8"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-014-0495-3"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cnur.2016.01.010"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/sjp.2014.15"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4012"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610213001634"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2013.05.009"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2013.301600"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.je.2016.06.008"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2012.08.046"},{"issue":"3","key":"e_1_2_8_15_1","first-page":"20","article-title":"Analysis of suicide in the elderly in Italy. Risk factors and prevention of suicidal behavior","volume":"24","author":"Terranova C","year":"2012","journal-title":"Aging Clin Exp Res"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2016.303088"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph15010141"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.3109\/10826084.2015.1027931"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2015.07.003"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2016.1802"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2015.10.010"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.15288\/jsad.2012.73.178"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2017.03.011"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2015.01.027"},{"key":"e_1_2_8_25_1","doi-asserted-by":"crossref","unstructured":"PaulozziLJ StricklerGK KreinerPW KorisCM.Controlled substance prescribing patterns\u2010\u2010prescription behavior surveillance system eight states 2013. Morbidity and mortality weekly report Surveillance summaries (Washington Dc: 2002).2015;64(9):1\u201014.","DOI":"10.15585\/mmwr.ss6409a1"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2018.06.013"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13702"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.1464"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2016.06.003"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.145.11.1424"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.60.1.14"},{"key":"e_1_2_8_32_1","volume-title":"2015 National Survey on Drug Use and Health public use file codebook","author":"Center for Behavioral Health Statistics and Quality","year":"2016"},{"key":"e_1_2_8_33_1","volume-title":"2016 National Survey on Drug Use and Health: Methodological summary and definitions","author":"Center for Behavioral Health Statistics and Quality","year":"2017"},{"key":"e_1_2_8_34_1","volume-title":"Reliability of Key Measures in the National Survey on Drug Use and Health (Office of Applied Studies, Methodology Series M\u20108, HHS Publication No. SMA 09\u20134425)","author":"Substance Abuse and Mental Health Services Administration","year":"2010"},{"key":"e_1_2_8_35_1","volume-title":"National Survey on Drug Use and Health: 2014 and 2015 Redesign Changes","author":"Center for Behavioral Health Statistics and Quality","year":"2015"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2014.05.040"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2014.07.003"},{"key":"e_1_2_8_38_1","volume-title":"Diagnostic and statistical manual of mental disorders: DSM\u2010IV\u2010TR","author":"American Psychiatric Association","year":"2000"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1053\/comp.2001.24556"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.60.2.184"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2008.09.005"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.313"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1080\/1462220042000202481"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1991.tb01879.x"},{"issue":"4","key":"e_1_2_8_45_1","first-page":"381","article-title":"Variance estimation for complex estimators in sample surveys","volume":"1","author":"Rust K","year":"1985","journal-title":"J Off Stat"},{"key":"e_1_2_8_46_1","volume-title":"Estimation of sampling errors for complex survey data. In","author":"Yansaneh IS","year":"2003"},{"key":"e_1_2_8_47_1","doi-asserted-by":"publisher","DOI":"10.1002\/0471722146"},{"key":"e_1_2_8_48_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a115101"},{"key":"e_1_2_8_49_1","doi-asserted-by":"publisher","DOI":"10.1186\/1751-0473-3-17"},{"key":"e_1_2_8_50_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11739-018-1804-3"},{"key":"e_1_2_8_51_1","doi-asserted-by":"publisher","DOI":"10.3109\/10826088309033049"},{"key":"e_1_2_8_52_1","first-page":"31","article-title":"Issues of validity and population coverage in student surveys of drug use","volume":"57","author":"Johnston LD","year":"1985","journal-title":"NIDA Res Monogr"},{"key":"e_1_2_8_53_1","volume-title":"National Survey on Drug Use and Health (NSDUH): Summary of Methodological Studies, 1971\u20132014","author":"Center for Behavioral Health Statistics and Quality","year":"2014"},{"key":"e_1_2_8_54_1","volume-title":"National Survey on drug use and health: methodological summary and definitions","author":"Center for Behavioral Health Statistics and Quality","year":"2014"},{"key":"e_1_2_8_55_1","unstructured":"CunninghamD FlickerL MurphyJ AldworthJ MyersS KennetJ.Incidence and impact of controlled access situations on nonresponse. American Association for Public Opinion Research 60th annual conference; 2015; Miami Beach FL"},{"key":"e_1_2_8_56_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610210000608"},{"key":"e_1_2_8_57_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4142"}],"container-title":["International Journal of Geriatric Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fgps.4999","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/gps.4999","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/gps.4999","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/gps.4999","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T15:04:24Z","timestamp":1694358264000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/gps.4999"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,10,16]]},"references-count":56,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,1]]}},"alternative-id":["10.1002\/gps.4999"],"URL":"https:\/\/doi.org\/10.1002\/gps.4999","archive":["Portico"],"relation":{},"ISSN":["0885-6230","1099-1166"],"issn-type":[{"value":"0885-6230","type":"print"},{"value":"1099-1166","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,10,16]]},"assertion":[{"value":"2018-04-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-09-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-10-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}