PMID- 26678258 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20181113 IS - 1097-9891 (Electronic) IS - 0095-2990 (Print) IS - 0095-2990 (Linking) VI - 42 IP - 1 DP - 2016 TI - Characteristics of novel psychoactive substance exposures reported to New York City Poison Center, 2011-2014. PG - 39-47 LID - 10.3109/00952990.2015.1106551 [doi] AB - BACKGROUND: Novel psychoactive substances (NPS) are emerging at an unprecedented rate. Likewise, prevalence of use and poisonings has increased in recent years. OBJECTIVE: To compare characteristics of NPS exposures and non-NPS-drug-related exposures and to examine whether there are differences between exposures involving synthetic cannabinoid receptor agonists (SCRAs) and other NPS. METHODS: Poison control center data from the five counties of New York City and Long Island were examined from 2011-2014. We examined prevalence and characteristics of NPS exposures (classified as intentional abuse) and compared characteristics of cases involving SCRAs and other NPS. RESULTS: Prevalence of NPS exposures was 7.1% in 2011, rising to 12.6% in 2014. Most exposures (82.3%) involved SCRA use. The second and third most prevalent classes were phenethylamines/synthetic cathinones ("bath salts"; 10.2%) and psychedelic phenethylamines (4.3%). Compared to other drug-related exposures (i.e. involving licit and illicit drugs), those who used NPS were more likely to be younger, male, and to have not co-used other drugs (ps < 0.001). SCRA exposures increased sharply in 2014 and the mean age of users increased over time (p < 0.01). Females exposed to SCRAs were younger than males (p < 0.001), and in 2014, individuals exposed to SCRAs were more likely to report concomitant use of alcohol than users of other NPS (p = 0.010). Users of other NPS were more likely than SCRA users to report concomitant use of ecstasy/3,4-methylenedioxymethamphetamine (MDMA)/"Molly" (p < 0.001). CONCLUSION: Exposures reported to the poison center that involve NPS are increasing and the majority involve SCRAs. These findings should inform prevention and harm reduction approaches. FAU - Palamar, Joseph J AU - Palamar JJ AD - a Department of Population Health , New York University Langone Medical Center , New York , NY , USA. FAU - Su, Mark K AU - Su MK AD - b Division of Medical Toxicology , New York University School of Medicine , New York , NY , USA. AD - c New York City Poison Control Center , New York , NY , USA. FAU - Hoffman, Robert S AU - Hoffman RS AD - b Division of Medical Toxicology , New York University School of Medicine , New York , NY , USA. LA - eng GR - K01 DA038800/DA/NIDA NIH HHS/United States PT - Journal Article DEP - 20151217 PL - England TA - Am J Drug Alcohol Abuse JT - The American journal of drug and alcohol abuse JID - 7502510 RN - 0 (Cannabinoid Receptor Agonists) RN - 0 (Psychotropic Drugs) SB - IM MH - Adolescent MH - Adult MH - Cannabinoid Receptor Agonists/poisoning MH - Female MH - Humans MH - Male MH - New York City/epidemiology MH - Poison Control Centers/*statistics & numerical data/trends MH - Poisoning/*epidemiology MH - Prevalence MH - Psychotropic Drugs/*poisoning MH - Risk Factors MH - Young Adult PMC - PMC4767576 MID - NIHMS746301 OTO - NOTNLM OT - 4-methylenedioxy-methamphetamine OT - MDMA) OT - Novel psychoactive substances OT - drug exposures OT - ecstasy (3 OT - synthetic cannabinoid receptor agonists OT - synthetic cathinones COIS- Declaration of interest The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this article. EDAT- 2015/12/19 06:00 MHDA- 2016/12/15 06:00 PMCR- 2017/01/01 CRDT- 2015/12/19 06:00 PHST- 2015/12/19 06:00 [entrez] PHST- 2015/12/19 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] PHST- 2017/01/01 00:00 [pmc-release] AID - 10.3109/00952990.2015.1106551 [doi] PST - ppublish SO - Am J Drug Alcohol Abuse. 2016;42(1):39-47. doi: 10.3109/00952990.2015.1106551. Epub 2015 Dec 17.