Commentary: Emergency room doctors urged to take more steps to prevent opioid overdoses

People with opioid withdrawal symptoms who seek help at a hospital emergency room often are referred to a psychological counseling program first instead of being treated with a medication, wrote Jun Nakagawa, a doctoral candidate at Harvard T.H. Chan School of Public Health, in a January 30, 2018 commentary.

“A drug [buprenorphine] to treat opioid use disorder safely and effectively exists — but few ER providers prescribe it,” wrote Nakagawa, who is applying behavioral science to study this issue. Many physicians are trained to treat drug addiction by referring patients to detoxification programs for psychological treatment first, she wrote. “We know, however, that psychological treatment for addiction — when given by itself — often fails. Research has found that compared to those treated with medication, patients suffering from opioid addiction who receive only psychological support were twice as likely to die from overdose.”

Read the WBUR commentary: Nudging ER Doctors To Prevent Opioid Overdoses

Learn more

Physicians’ opioid prescribing patterns linked to patients’ risk for long-term drug use (Harvard Chan School press release)

The Opioid Crisis (The Forum at Harvard Chan School)

An Opioid Emergency (Harvard Chan School’s This Week in Health podcast)

Recent Massachusetts effort to curb opioid prescriptions may not be effective (Harvard Chan School news)

Overcoming the opioid crisis (Harvard Chan School news)