Abstract

The National Overdose Response Service (NORS) is a Canadian mobile or virtual overdose response hotline intended to prevent drug overdose deaths but has unexpectedly received mental health related calls, including adverse mental health events. Our study aimed to examine these occurrences and caller characteristics predictive of adverse mental health outcomes. Using the NORS call dataset, we conducted a descriptive representation of mental health occurrences and mental health emergencies along with correlative statistics. We found that NORS had received 2518 mental health calls, with 28 (1.1%) being adverse events. Men, rural callers, polyroute substance consumption and history of overdosing were found to have increased odds of having an adverse mental health event, while being from Quebec, using non-standard consumption routes and using the line between 50 and 99 times were found to decrease odds. This supports the utility of overdose prevention hotlines to also support people experiencing adverse mental health situations and reduce harm for individuals with mental health and/or substance use disorders.

中文翻译：

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国家药物过量反应服务 (NORS) 电话热线用户不良心理健康事件的特征和风险

摘要

国家药物过量反应服务 (NORS) 是加拿大的移动或虚拟药物过量反应热线，旨在预防药物过量死亡，但意外地接到了与心理健康相关的电话，包括不良心理健康事件。我们的研究旨在检查这些事件和来电者特征，以预测不良心理健康结果。使用 NORS 呼叫数据集，我们对心理健康事件和心理健康紧急情况以及相关统计数据进行了描述性表示。我们发现 NORS 已收到 2518 起心理健康电话，其中 28 起（1.1%）是不良事件。研究发现，男性、农村来访者、多途径物质消费和过量服用药物史会增加发生不良心理健康事件的几率，而来自魁北克、使用非标准消费途径和使用该线路 50 至 99 次的人发生不良心理健康事件的几率会降低赔率。这支持了过量预防热线的实用性，也可以为经历不良心理健康状况的人们提供支持，并减少对患有心理健康和/或药物滥用障碍的个人的伤害。