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Discerning suicide in drug intoxication deaths: Paucity and primacy of suicide notes and psychiatric history

https://doi.org/10.1371/journal.pone.0190200

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What this work says

Outgoing claims: the papers this work cites, builds on, or argues with.

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Essays in Self-Destruction.

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Self-injury Mortality in the United States in the Early 21st Century

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Examining Undetermined and Accidental Deaths as Source of ‘Under-Reported-Suicide’ by Age and Sex in Twenty Western Countries

inferredcites →https://doi.org/10.1016/j.amepre.2017.01.043openalex-snapshot

The National Violent Death Reporting System: Use of the Restricted Access Database and Recommendations for the System’s Improvement

inferredcites →https://doi.org/10.1016/j.annepidem.2006.01.006openalex-snapshot

The Validity of the Certification of Manner of Death by Ontario Coroners

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Injury elimination and survival a cross-national study

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Rates of postmortem examination in Austria

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Psychological autopsy studies of suicide: a systematic review

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Time trends in coroners' use of different verdicts for possible suicides and their impact on officially reported incidence of suicide in England: 1990–2005

inferredcites →https://doi.org/10.1037/e719942007-001openalex-snapshot

Reducing Suicide--A National Imperative

inferredcites →https://doi.org/10.1093/ije/dyq094openalex-snapshot

Suicide in England and Wales 1861–2007: a time-trends analysis

inferredcites →https://doi.org/10.1093/pubmed/fds103openalex-snapshot

Time trends and geographical variations in mortality due to suicide and causes of undetermined intent in Spain, 1991-2008

inferredcites →https://doi.org/10.1097/00005792-199411000-00001openalex-snapshot

Suicide as an Outcome for Medical Disorders

inferredcites →https://doi.org/10.1111/1467-9566.12011openalex-snapshot

Suicide rates and socioeconomic factors in Eastern European countries after the collapse of the Soviet Union: trends between 1990 and 2008

inferredcites →https://doi.org/10.1111/1556-4029.12138openalex-snapshot

Evolution of the Psychological Autopsy: Fifty Years of Experience at the Los Angeles County Chief Medical Examiner‐Coroner's Office

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Obtaining Adequate Data to Determine Causes of Opioid-Related Overdose Deaths

inferredcites →https://doi.org/10.1111/j.1540-6237.2012.00937.xopenalex-snapshot

The Role of Medicolegal Systems in Producing Geographic Variation in Suicide Rates

inferredcites →https://doi.org/10.1111/j.1600-0447.1998.tb10069.xopenalex-snapshot

Suicides hidden among undetermined deaths

inferredcites →https://doi.org/10.1111/j.1943-278x.2012.00081.xopenalex-snapshot

Rates and Correlates of Undetermined Deaths among African Americans: Results from the National Violent Death Reporting System

inferredcites →https://doi.org/10.1111/j.1943-278x.2012.0081.xopenalex-snapshot

Rates and Correlates of Undetermined Deaths among African Americans: Results from the National Violent Death Reporting System

inferredcites →https://doi.org/10.1111/sltb.12079openalex-snapshot

Comparative Analysis of Suicide, Accidental, and Undetermined Cause of Death Classification

inferredcites →https://doi.org/10.1136/emj.2009.072025openalex-snapshot

Emergency medical services at the crossroads

inferredcites →https://doi.org/10.1136/injuryprev-2011-040070openalex-snapshot

Validity of suicide statistics in Europe in relation to undetermined deaths: developing the 2-20 benchmark

inferredcites →https://doi.org/10.1136/injuryprev-2012-040631openalex-snapshot

Misclassification of suicide deaths: examining the psychiatric history of overdose decedents

inferredcites →https://doi.org/10.1136/injuryprev-2015-041819openalex-snapshot

The National Violent Death Reporting System: overview and future directions

inferredcites →https://doi.org/10.1136/ip.2007.015230openalex-snapshot

Suicide-associated comorbidity among US males and females: a multiple cause-of-death analysis

inferredcites →https://doi.org/10.1136/ip.5.4.311openalex-snapshot

Injury and violence: a public health perspective

inferredcites →https://doi.org/10.1136/jech.2009.096701topenalex-snapshot

Suicide in England and Wales 1861–2005: a time trends analysis

inferredcites →https://doi.org/10.1176/appi.ajp.160.8.1534openalex-snapshot

Reducing Suicide: A National Imperative

inferredcites →https://doi.org/10.1177/0886260516647006openalex-snapshot

Within and Inter-Institutional Differences Between Death Certifiers on Autopsy Conclusions

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Race/ethnicity and potential suicide misclassification: window on a minority suicide paradox?

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Psychiatric diagnoses in 3275 suicides: a meta-analysis

inferredcites →https://doi.org/10.1186/1471-2458-10-705openalex-snapshot

Suicide and unintentional poisoning mortality trends in the United States, 1987-2006: two unrelated phenomena?

inferredcites →https://doi.org/10.1192/bjp.123.1.15openalex-snapshot

A Psychiatric Approach to the Diagnosis of Suicide and its Effect upon the Edinburgh Statistics

inferredcites →https://doi.org/10.1192/bjp.178.5.465openalex-snapshot

Open verdict v. suicide – importance to research

inferredcites →https://doi.org/10.1371/journal.pone.0125730openalex-snapshot

The Impact of Improving Suicide Death Classification in South Korea: A Comparison with Japan and Hong Kong

inferredcites →https://doi.org/10.1371/journal.pone.0135296openalex-snapshot

Variable Classification of Drug-Intoxication Suicides across US States: A Partial Artifact of Forensics?

inferredcites →https://doi.org/10.1520/jfs12589jopenalex-snapshot

Operational Criteria for the Determination of Suicide

inferredcites →https://doi.org/10.1521/suli.34.3.233.42785openalex-snapshot

Suicide Surveillance in the U.S. Military—Reporting and Classification Biases in Rate Calculations

inferredcites →https://doi.org/10.15585/mmwr.mm6450a3openalex-snapshot

Increases in Drug and Opioid Overdose Deaths — United States, 2000–2014

inferredcites →https://doi.org/10.15620/cdc:112340openalex-snapshot

Drug Overdose Deaths in the United States, 1999–2020

inferredcites →https://doi.org/10.2105/ajph.2014.302244openalex-snapshot

Confronting Death From Drug Self-Intoxication (DDSI): Prevention Through a Better Definition

inferredcites →https://doi.org/10.2105/ajph.2017.303863openalex-snapshot

Deciphering Suicide and Other Manners of Death Associated with Drug Intoxication: A Centers for Disease Control and Prevention Consultation Meeting Summary

inferredcites →https://doi.org/10.23907/2013.029openalex-snapshot

State Variation in Certifying Manner of Death and Drugs Involved in Drug Intoxication Deaths

inferredcites →https://doi.org/10.23907/2014.001openalex-snapshot

A Perspective on Medicolegal Death Investigation in the United States: 2013

What points at this work

Incoming claims: where this work appears in other papers’ reference lists and arguments.

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Defining Misprescribing to Inform Opioid Policy

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Spain’s suicide statistics: do we believe them?

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Adherence to psychotropic medication in completed suicide in Sweden 2006–2013: a forensic-toxicological matched case-control study

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Methodological Complexities in Quantifying Rates of Fatal Opioid-Related Overdose

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Racial/Ethnic Differences in Preceding Circumstances of Suicide and Potential Suicide Misclassification Among US Adolescents

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ED recommendations for suicide prevention in adults: The ICAR2E mnemonic and a systematic review of the literature

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Changes in post-mortem marijuana-positive toxicologies among youth suicide decedents, 2005–2015

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Unintentional and intentional drug poisoning deaths, Australia, 2012–2016: Drug pattern profile and demographic characteristics

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inferred← citeshttps://doi.org/10.1016/j.drugalcdep.2022.109714openalex-snapshot

County-level predictors of US drug overdose mortality: A systematic review

inferred← citeshttps://doi.org/10.1016/j.eclinm.2021.100741openalex-snapshot

Fatal self-injury in the United States, 1999–2018: Unmasking a national mental health crisis

inferred← citeshttps://doi.org/10.1016/j.ehb.2026.101600openalex-snapshot

County-level income inequality and suicide in the United States

inferred← citeshttps://doi.org/10.1016/j.focus.2024.100280openalex-snapshot

Randomized Pilot of a Clinical Decision Support Tool to Increase Suicide Screening for at-Risk Primary Care Patients With Opioid Use Disorder

inferred← citeshttps://doi.org/10.1016/j.forsciint.2019.01.029openalex-snapshot

Suicide identification during on-site inspection. Proposal and application of an interpretative method for death scene investigation

inferred← citeshttps://doi.org/10.1016/j.forsciint.2021.110959openalex-snapshot

Sharp force fatalities: Differentiating homicide from suicide through a retrospective review (2012–2019) of autopsy findings in Lisbon (Portugal)

inferred← citeshttps://doi.org/10.1016/j.genhosppsych.2020.03.008openalex-snapshot

Association between unintentional injuries and self-harm among adolescent emergency department patients

inferred← citeshttps://doi.org/10.1016/j.jad.2019.10.054openalex-snapshot

Male depressive traits in relation to violent suicides or suicide attempts: A systematic review

inferred← citeshttps://doi.org/10.1016/j.jad.2021.06.063openalex-snapshot

The contribution of method choice to gender disparity in suicide mortality: A population-based study in Hong Kong and the United States of America

inferred← citeshttps://doi.org/10.1016/j.jpsychires.2022.06.039openalex-snapshot

Distinguishing clinical factors associated with unintentional overdose, suicidal ideation, and attempted suicide among opioid use disorder in-patients

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Poisoning deaths among late-middle aged and older adults: comparison between suicides and deaths of undetermined intent

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High dimensional predictions of suicide risk in 4.2 million US Veterans using ensemble transfer learning

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Individual and County-Level Disparities in Drug and Opioid Overdose Mortality for Hispanic Men in Massachusetts and the Northeast United States

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Variable Circumstances of Suicide Among Racial/Ethnic Groups by Sex and Age: A National Violent-Death Reporting System Analysis

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Psychological Autopsy of Drug-Related Suicide Deaths: A Five-Year Retrospective Study from Türkiye

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inferred← citeshttps://doi.org/10.1111/ajad.13506openalex-snapshot

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inferred← citeshttps://doi.org/10.1111/jrh.12574openalex-snapshot

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Effect of type of diet on blood and plasma taurine concentrations, cardiac biomarkers, and echocardiograms in 4 dog breeds

inferred← citeshttps://doi.org/10.1111/nup.12324openalex-snapshot

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inferred← citeshttps://doi.org/10.1111/sltb.12591openalex-snapshot

Discovering the Unclassified Suicide Cases Among Undetermined Drug Overdose Deaths Using Machine Learning Techniques

inferred← citeshttps://doi.org/10.1111/sltb.12862openalex-snapshot

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Mortality in the United States from self-injury surpasses diabetes: a prevention imperative

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Unrecognised self-injury mortality (SIM) trends among racial/ethnic minorities and women in the USA

inferred← citeshttps://doi.org/10.1136/injuryprev-2020-043830openalex-snapshot

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inferred← citeshttps://doi.org/10.1136/ip-2025-045810openalex-snapshot

Injury fatality trends in US urban and rural children and adolescents by intent type, 2014–2023

inferred← citeshttps://doi.org/10.1136/ip-2025-046028openalex-snapshot

Association between undetermined intent death classification and county death investigation system for drug poisoning deaths in nine US jurisdictions

inferred← citeshttps://doi.org/10.1136/ip-2025-046146openalex-snapshot

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inferred← citeshttps://doi.org/10.1145/3588765openalex-snapshot

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inferred← citeshttps://doi.org/10.1155/2020/8873893openalex-snapshot

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inferred← citeshttps://doi.org/10.1176/appi.ajp.2018.18060694openalex-snapshot

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inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288openalex-snapshot

The American Psychiatric Association Publishing Textbook of Suicide Risk Assessment and Management

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg01openalex-snapshot

Chapter 1. Suicide Risk Assessment

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg02openalex-snapshot

Chapter 2. Psychopharmacology and Neuromodulation

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg03openalex-snapshot

Chapter 3. Cognitive and Behavioral Therapy

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg04openalex-snapshot

Chapter 4. Psychodynamic Treatment

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg05openalex-snapshot

Chapter 5. Split Treatment

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg06openalex-snapshot

Chapter 6. Cultural Humility and Structural Competence in Suicide Risk Assessment

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg07openalex-snapshot

Chapter 7. Depressive Disorders

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg08openalex-snapshot

Chapter 8. Anxiety Disorders, Obsessive-Compulsive Disorder, and Posttraumatic Stress Disorder

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg09openalex-snapshot

Chapter 9. Substance-Related Disorders

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg10openalex-snapshot

Chapter 10. Bipolar Spectrum Disorders

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg11openalex-snapshot

Chapter 11. Schizophrenia and Other Psychotic Disorders

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg12openalex-snapshot

Chapter 12. Personality Disorders

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg13openalex-snapshot

Chapter 13. Sleep and Suicide

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg14openalex-snapshot

Chapter 14. Emergency Services

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg15openalex-snapshot

Chapter 15. Outpatient Treatment of the Suicidal Patient

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg16openalex-snapshot

Chapter 16. Inpatient Treatment

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg17openalex-snapshot

Chapter 17. Civil Commitment

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg18openalex-snapshot

Chapter 18. Children and Adolescents

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg19openalex-snapshot

Chapter 19. College and University Students

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg20openalex-snapshot

Chapter 20. Suicide in the Elderly Population

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg21openalex-snapshot

Chapter 21. Jails and Prisons

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg22openalex-snapshot

Chapter 22. Military Personnel and Veterans

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg23openalex-snapshot

Chapter 23. Suicide and Gender

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg24openalex-snapshot

Chapter 24. Self-Injurious Behavior

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg25openalex-snapshot

Chapter 25. Social Media and the Internet

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg26openalex-snapshot

Chapter 26. Physician-Assisted Dying

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg27openalex-snapshot

Chapter 27. Suicide Risk Management

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg28openalex-snapshot

Chapter 28. The Psychological Autopsy and Retrospective Evaluation of Suicidal Intent

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg29openalex-snapshot

Chapter 29. Suicide and Firearms

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg30openalex-snapshot

Chapter 30. Suicide Prevention Programs

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg31openalex-snapshot

Chapter 31. Teaching Suicide Risk Assessment in Psychiatric Residency Training

inferred← citeshttps://doi.org/10.1176/appi.books.9781615375288.lg32openalex-snapshot

Chapter 32. Psychiatrist Reactions to Patient Suicide and the Clinician’s Role

inferred← citeshttps://doi.org/10.1176/appi.focus.20180043openalex-snapshot

Novel Formulations of Buprenorphine for Treatment of Opioid Use Disorder

inferred← citeshttps://doi.org/10.1176/appi.focus.20190003openalex-snapshot

Psychiatry and the Opioid Overdose Crisis

inferred← citeshttps://doi.org/10.1176/appi.ps.20230175openalex-snapshot

The Zero Suicide Model in Addiction Treatment Settings: Recognizing the Need for Feasibility and Implementation Data

inferred← citeshttps://doi.org/10.1177/00030651221086622openalex-snapshot

The Psychoanalytic Study of Suicide, Part I: An Integration of Contemporary Theory and Research

inferred← citeshttps://doi.org/10.1177/00221465231223723openalex-snapshot

Institutional Failures as Structural Determinants of Suicide: The Opioid Epidemic and the Great Recession in the United States

inferred← citeshttps://doi.org/10.1177/08862605241243366openalex-snapshot

Suicide While Locked Up in Texas: Risk Factors for Death by Suicide in Custody

inferred← citeshttps://doi.org/10.1177/10731911251330498openalex-snapshot

Psychometric Properties of the Beck Scale for Suicidal Ideation in a Diverse Sample

inferred← citeshttps://doi.org/10.1177/1077558720974144openalex-snapshot

The Affordable Care Act Young Adult Mandate and Suicidal Behavior

inferred← citeshttps://doi.org/10.1177/19253621211022464openalex-snapshot

Inconsistencies in Overdose Suicide Death Investigation Practice and Potential Remedies Using Technology: A Centers for Disease Control and Prevention Consultation Meeting Summary

inferred← citeshttps://doi.org/10.1186/s12864-021-07834-5openalex-snapshot

Multi-locus genome-wide association mapping for spike-related traits in bread wheat (Triticum aestivum L.)

inferred← citeshttps://doi.org/10.1186/s12888-022-03766-wopenalex-snapshot

Comparing gender-specific suicide mortality rate trends in the United States and Lithuania, 1990–2019: putting one of the “deaths of despair” into perspective

inferred← citeshttps://doi.org/10.1186/s12889-020-8261-4openalex-snapshot

Suicide among people treated for drug use disorders: a Danish national record-linkage study

inferred← citeshttps://doi.org/10.1186/s12889-022-13596-wopenalex-snapshot

Achieving health equity in US suicides: a narrative review and commentary

inferred← citeshttps://doi.org/10.1186/s12889-023-15188-8openalex-snapshot

Escalating costs of self-injury mortality in the 21st century United States: an interstate observational study

inferred← citeshttps://doi.org/10.1186/s12890-020-01302-8openalex-snapshot

Hermansky-Pudlak syndrome-associated pneumothorax with rapid progression of respiratory failure: a case report

inferred← citeshttps://doi.org/10.1186/s13024-021-00432-9openalex-snapshot

Deletion of Socs3 in LysM+ cells and Cx3cr1 resulted in age-dependent development of retinal microgliopathy

inferred← citeshttps://doi.org/10.1186/s13722-023-00415-9openalex-snapshot

The temporal association between suicide and comorbid mental disorders in people treated for substance use disorders: a National registry study

inferred← citeshttps://doi.org/10.1186/s13722-026-00652-8openalex-snapshot

Study protocol for a randomized trial examining a peer grief support approach for people grieving drug overdose deaths

inferred← citeshttps://doi.org/10.1186/s40621-020-00293-8openalex-snapshot

An emergency department medical record review for adolescent intentional self-harm injuries

inferred← citeshttps://doi.org/10.1192/bjo.2019.99openalex-snapshot

Exploring psychological symptoms and associated factors in patients receiving medication-assisted treatment for opioid-use disorder

inferred← citeshttps://doi.org/10.1192/bjo.2020.23openalex-snapshot

Suicide after contact with substance misuse services: a national registry study

inferred← citeshttps://doi.org/10.1192/bjo.2025.10863openalex-snapshot

Comparison of suicide rates in the USA and Australia between 1921 and 2020: major shifts in youth and elderly suicide rates over a century

inferred← citeshttps://doi.org/10.1215/00703370-11861195openalex-snapshot

Research Note: Does Despair in Young Adulthood Predict Mortality?

inferred← citeshttps://doi.org/10.1371/journal.pone.0197805openalex-snapshot

Method overtness, forensic autopsy, and the evidentiary suicide note: A multilevel National Violent Death Reporting System analysis

inferred← citeshttps://doi.org/10.15288/jsad.2018.79.893openalex-snapshot

Prescription-, Illicit-, and Self-Harm Opioid Overdose Cases Treated in Hospital

inferred← citeshttps://doi.org/10.15388/stepp.2022.39openalex-snapshot

Demographic Losses due to Women’s Suicide in Lithuania 2007–2020: Social Disparities and Challenges for Mental Health Policy

inferred← citeshttps://doi.org/10.1542/peds.2020-049750openalex-snapshot

Initiation of Opioid Prescription and Risk of Suicidal Behavior Among Youth and Young Adults

inferred← citeshttps://doi.org/10.15446/rsap.v26n1.116420openalex-snapshot

Determinantes sociales de la salud: propuesta explicativa alternativa al enfoque biomédico de la conducta suicida

inferred← citeshttps://doi.org/10.2105/ajph.2019.305422openalex-snapshot

Reconciling Suicides With “Accidental” Drug-Intoxication Deaths: A Behaviorally Based Definition of Self-Injury Mortality

inferred← citeshttps://doi.org/10.2105/ajph.2024.307745openalex-snapshot

Trends in Drug Overdose Deaths by Intent and Drug Categories, United States, 1999‒2022

inferred← citeshttps://doi.org/10.21203/rs.3.rs-4442577/v1openalex-snapshot

Hidden suicides. Comparing drug death rates in Canada and Australia

inferred← citeshttps://doi.org/10.31235/osf.io/nkyaqopenalex-snapshot

Integrating topic modeling and word embedding to characterize violent deaths

inferred← citeshttps://doi.org/10.3390/ijerph23060699openalex-snapshot

Suicide and Drug Overdose Mortality Among Washington State Workers: A Stratified Analysis by Industry, Occupation, Sex, and Race/Ethnicity, 2014–2023

inferred← citeshttps://doi.org/10.33915/etd.7640openalex-snapshot

Changing Dynamics of Opioid Overdoses in West Virginia and Impact of Medication for Opioid Use Disorder and Recurrence of Overdose on Reducing Mortality among West Virginia Medicaid Beneficiaries

inferred← citeshttps://doi.org/10.3928/00485713-20200311-01openalex-snapshot

Suicide and Substance Use Disorder

inferred← citeshttps://doi.org/10.46932/sfjdv2n2-144openalex-snapshot

Riesgo suicida y recaída en el consumo de sustancias psicoactivas: Una revisión sistemática

inferred← citeshttps://doi.org/10.53558/xsyb5741openalex-snapshot

Demographics of Suicide Victims in Maine for 2017 and 2018 with Emphasis on Suicide Notes

inferred← citeshttps://doi.org/10.6084/m9.figshare.19194059openalex-snapshot

Additional file 1 of Comparing gender-specific suicide mortality rate trends in the United States and Lithuania, 1990–2019: putting one of the “deaths of despair” into perspective

inferred← citeshttps://doi.org/10.6084/m9.figshare.26625880openalex-snapshot

Additional file 1 of The temporal association between suicide and comorbid mental disorders in people treated for substance use disorders: a National registry study

inferred← citeshttps://doi.org/10.6084/m9.figshare.26625883openalex-snapshot

Additional file 2 of The temporal association between suicide and comorbid mental disorders in people treated for substance use disorders: a National registry study

inferred← citeshttps://doi.org/10.7759/cureus.18084openalex-snapshot

Suicide by Opioid: Exploring the Intentionality of the Act

Editorial review for independent work. ICSAC — the Institute for Complexity Science and Advanced Computing — runs a structured editorial panel for researchers publishing outside journals, and publishes on CiteStamp rails. Submission is free and goes through ORCID: icsacinstitute.org/submit.