Viste Dylan, Rioux Will, Rider Nathan, Orr Taylor, Cristall Nora, Seitz Dallas, Ghosh S Monty
Department of Medicine, Cumming School of Medicine, University of Calgary, 205 3500 Varsity Drive NW, Calgary, AB T2L 1Y3 Canada.
Department of Medicine, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB Canada.
Int J Ment Health Addict. 2025;23(4):3184-3205. doi: 10.1007/s11469-024-01285-1. Epub 2024 Mar 25.
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.
国家过量用药应对服务（NORS）是加拿大的一个移动或虚拟过量用药应对热线，旨在预防药物过量死亡，但意外接到了与心理健康相关的电话，包括不良心理健康事件。我们的研究旨在调查这些事件以及预测不良心理健康结果的来电者特征。利用NORS通话数据集，我们对心理健康事件和心理健康紧急情况进行了描述性呈现，并进行了相关统计。我们发现，NORS共接到2518个心理健康相关电话，其中28个（1.1%）为不良事件。研究发现，男性、农村来电者、多途径药物使用和过量用药史会增加发生不良心理健康事件的几率，而来自魁北克、使用非标准用药途径以及拨打热线50至99次则会降低几率。这支持了过量用药预防热线在支持心理健康状况不佳的人群以及减少患有心理健康和/或物质使用障碍的个体的伤害方面的作用。
