Table 3.
Association between concurrent substance (poisoning or intoxication) and likelihood of an intentional vs. unintentional benzodiazepine poisoning
| Odds of intentional BZD poisoning vs. unintentional | ||||
|---|---|---|---|---|
| Adolescents, 12–17 years | Young adults, 18–29 years | |||
| OR | aOR* (95% CI) | OR | aOR* (95% CI) | |
| Any concurrent substance | 2.19 | 1.86 (1.43–2.42) | 0.93 | 0.84 (0.74–0.96) |
| Alcohol | 0.72 | 0.80 (0.45–2.21) | 1.30 | 1.33 (1.14–1.56) |
| Opioid | 1.35 | 1.33 (0.86–2.06) | 0.26 | 0.29 (0.24–0.34) |
| Cocaine, LSD, other hallucinogen | 0.92 | 1.00 (0.51–1.98) | 0.28 | 0.32 (0.24–0.45) |
| Cannabis | 0.44 | 0.57 (0.33–0.98) | 0.27 | 0.32 (0.24–0.45) |
| Psychostimulant | 2.40 | 2.25 (1.06–4.79) | 0.51 | 0.55 (0.41–0.73) |
| Psychotropic drug | ||||
| Sedative, hypnotic, antiepileptic | 2.25 | 1.60 (0.80–3.21) | 2.59 | 2.09 (1.60–2.72) |
| Antidepressant | 8.21 | 6.27 (2.78–14.17) | 6.47 | 4.23 (3.02–5.93) |
| Other psychotropic | 5.49 | 4.43 (1.62–12.07) | 2.73 | 2.08 (1.58–2.72) |
| Other drug, medicine, or biological | 4.93 | 4.05 (2.64–6.22) | 2.70 | 2.01 (1.65–2.44) |
BZD: benzodiazepine; ED: emergency department; OR: odds ratio; aOR: adjusted odds ratio OR above 1: increased likelihood BZD poisoning was recorded as intentional self-harm (vs. unintentional) by that particular concurrent substance
Adjusted for age, sex, mental health diagnoses (depression, other mood, anxiety, other mental health diagnosis)