Survey of Southern Wisconsin Needle Exchange Clients Regarding Opioid Overdose and Naloxone Use

WMJ. 2019 Jul;118(2):84-87.

Abstract

Background: Factors surrounding opioid overdose and naloxone use must be explored from the user perspective in order to more effectively combat the current opioid crisis.

Methods: AIDS Resource Center of Wisconsin needle exchange clients were surveyed regarding overdose victim demographics, interventions, experience with naloxone, and overdose outcomes.

Results: Most respondents (102/108, 94.4%) reported either experiencing or witnessing an overdose. While naloxone was often used (64/102, 62.7%), other recommended interventions, such as calling 911 (44/102, 43.1%) and rescue breathing (31/102, 30.4%) often were not. Potential legal consequences were cited as a major barrier for contacting emergency medical services (42.3%).

Discussion/conclusion: There appears to be a need for education and/or policy change to facilitate appropriate overdose prevention and use of emergency medical services in the setting of opioid overdose.

MeSH terms

  • Adult
  • Drug Overdose / drug therapy*
  • Drug Overdose / prevention & control*
  • Emergency Medical Services
  • Emergency Treatment
  • Female
  • Humans
  • Male
  • Naloxone / administration & dosage*
  • Narcotic Antagonists / administration & dosage*
  • Needle-Exchange Programs*
  • Opioid-Related Disorders / drug therapy*
  • Opioid-Related Disorders / prevention & control*
  • Surveys and Questionnaires
  • Wisconsin

Substances

  • Narcotic Antagonists
  • Naloxone