The opioid overdose crisis remains a public health concern, and rates of suicide with opioid involvement have increased.
Objective:
To describe the prevalence of and factors associated with self-reported past 30-day suicide attempt or attempt “only when high or in withdrawal from alcohol or drugs” among reproductive-age women with past 30-day nonmedical prescription opioid use.
Methods:
Estimates are reported among women 18–55 years from 338 locations in 35 states using 2018–2020 National Addictions Vigilance Intervention and Prevention Program data. Bivariate analysis and multinomial logistic regression identified prevalence of and factors associated with past 30-day suicide attempt and attempt “only when high or in withdrawal from alcohol or drugs.”
Results:
Among 10,095 women, 2.7% reported a past 30-day suicide attempt, and 1.5% reported an attempt “only when high or in withdrawal from alcohol or drugs.” The largest magnitude of association for suicide attempt was extreme alcohol problem (adjusted odds ratio [aOR] = 2.84, 95% confidence interval [CI]: 1.80–4.47), and the largest magnitude of association for attempt “only when high or in withdrawal from alcohol or drugs” was no stable living arrangement (aOR = 2.66, 95% CI: 1.78–3.98).
Conclusion:
Comprehensive, upstream suicide prevention initiatives and substance use treatment can address factors associated with suicide attempt among reproductive-age women.
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