Heroin overdose-related child and adolescent hospitalizations: Insight on comorbid psychiatric and substance use disorders

Uwandu Queeneth, Narmada N. Bhimanadham, Pranita Mainali, Henry K. Onyeaka, Amaya Pankaj, Rikinkumar S. Patel

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Objective: To evaluate the association between psychiatric comorbidities, substance use disorders and heroin overdose-related hospitalizations (HOD). Next, to understand the demographic trend of HOD hospitalizations and comorbidities. Methods: Using the Nationwide Inpatient Sample (NIS), we included 27,442,808 child and adolescent hospitalizations, and 1432 inpatients (0.005%) were managed primarily for HOD. The odds ratio (OR) of the association of variables in HOD inpatients were measured using a logistic regression model. Results: Adolescents had 56 times higher odds (95% CI 43.36–73.30) for HOD-related hospitalizations compared to 4.6% children under 11 years. About three-fifth of the HOD inpatients were male, and they had 1.5-fold higher odds (95% CI 1.30–1.64) compared to 43% females in the study population. Whites were considerably higher in proportion (81%) than other race/ethnicities. A greater portion of HOD inpatients (40%) were from high-income families. Most common comorbid psychiatric disorders were mood (43.8%) and anxiety (20.4%). The prevalent comorbid substance use disorders were opioid (62.4%), tobacco (36.8%) and cannabis (28.5%) use disorders. Conclusion: HOD-related hospitalizations were predominant in males, White and older adolescents (12–18 years). Prescription opioids are the bridge to heroin abuse, thereby increasing the vulnerability to other substance abuse. This requires more surveillance and should be explored to help reduce the heroin epidemic in children.

Original languageEnglish
Article number77
JournalBehavioral Sciences
Issue number7
StatePublished - 13 Jul 2019
Externally publishedYes


  • Adolescents
  • Emergency visits
  • Epidemiology
  • Heroin overdose
  • Hospitalization
  • Opioid abuse
  • Substance use


Dive into the research topics of 'Heroin overdose-related child and adolescent hospitalizations: Insight on comorbid psychiatric and substance use disorders'. Together they form a unique fingerprint.

Cite this