This webinar will review the complex relationships between substance misuse and suicide, with a focus on opioid use disorder (OUD) as a category associated with significant elevation of suicide risk and premature mortality. Methodological challenges in detecting drug poisoning suicides will be reviewed along with emerging clinical data that suggest treatment-seeking OUD patients who have survived non-fatal opioid overdose report desire and intention to die prior to overdose along a continuum of severity, suggesting the utility of suicide screening and prevention integrated into routine care of patients with OUD.
This webinar is the first of a 3-part series on the intersection of migraine and opioid use disorder (OUD). Patients with headache commonly report overlapping chronic pain disorders, and may also experience comorbid OUD. Following a brief review of the epidemiology of chronic pain, headache, and OUD, the faculty will describe the intersection of these common conditions, with a focus on comorbid migraine and OUD, particularly in the setting of medication-overuse headache (MOH). An understanding of the pathophysiologic mechanisms underlying pain and headache will help to guide patient assessment and treatment. The faculty will present data to support an opioid-sparing approach to headache due to potential comorbid OUD and multiple other reasons, and describe non-opioid pharmacologic treatments for migraine to consider in the management of patients with comorbid OUD, while acknowledging the importance of treatment for OUD.