Opioids are a class of drugs that include the illegal drug heroin, synthetic opioids such as fentanyl, and pain relievers available legally by prescription.

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The connection between mental illness and opioid prescribing is particularly concerning because mental illness is also a prominent risk factor for overdose.
The study, "Prescription opioid use among adults with mental health disorders in the United States," is among the first to show the extent to which the population of Americans with mental illness use opioids.
Researchers found that among the 38.6 million Americans diagnosed with mental health disorders, more than 7 million, or 18 percent, are prescribed opioids each year. By comparison, only 5 percent of adults without mental disorders are likely to use prescription opioids.
"Because of the vulnerable nature of patients with mental illness, such as their susceptibility for opioid dependency and abuse, this finding warrants urgent attention to determine if the risks associated with such prescribing are balanced with therapeutic benefits," said study co-author Brian Sites, an anesthesiologist at Dartmouth-Hitchcock Medical Center.
The connection between mental illness and opioid prescribing is particularly concerning because mental illness is also a prominent risk factor for overdose and other adverse opioid-related outcomes, Sites and Davis say.
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