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Superusers experiences in using naloxone to reverse opioid overdose - A qualitative study

Published online by Cambridge University Press:  01 September 2022

K. Troberg ,
P. Isendahl ,
D. Dahlman  and
A. Håkansson
K. Troberg*
Affiliation:
Department of Psychiatry, Addiction Center Malmö, Malmö, Sweden Psychiatry, Department Of Clinical Sciences, Lund University, Lund, Sweden
P. Isendahl
Affiliation:
University Hospital Skåne, Department Of Infectious Disease, Malmö, Sweden
D. Dahlman
Affiliation:
Center for Primary Healthcare Research, Department Of Clinical Sciences, Malmö, Sweden
A. Håkansson
Affiliation:
Psychiatry, Department Of Clinical Sciences, Lund University, Lund, Sweden
*
*Corresponding author.

Abstract

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Introduction

Since June 2018, multi-site overdose prevention education and naloxone distribution has been available in the County of Skåne, Sweden. Among the participants there are individuals who have used naloxone to reverse overdose on multiple occasions (three times or more). Situations of overdose management are characterized by different conditions which inevitably lead to different decisions and outcomes.

Objectives

To investigate the complex interaction of individual, social, and environmental factors of opioid overdose management, how these overdose situations affect responders´ lives, what impact prior experiences may have on engagement in future overdose situations and if needs of support to deal with these situations are met.

Methods

Qualitative study employing semi-structured interviews with individuals trained at needle exchange programs within the region who have used naloxone on more than two occasions to reverse opioid overdose. Interviews will be conducted during Q4 2021 and analysed thematically during Q1 2022.

Results

Preliminary clinical observations point to the ambivalence between positive consequences of empowerment and pride in saving lives, and negative feelings of prior decisions and the burden to engage in future overdoses, in addition to insufficient access to support when dealing with these negative consequences.

Conclusions

Not yet available.

Disclosure

No significant relationships.

Keywords

Overdose managementNaloxoneQualitative studyOpioid overdose
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S820 - S821
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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