Leveraging Implementation Factors and Policy to Improve the Effectiveness of Naloxone.

More than 50 years of high-quality data demonstrate that naloxone is an efficacious and cost-effective overdose reversal agent. Intranasal naloxone is now available in the United States as an over-the-counter and generic medication for the first time since the start of the overdose crisis more than 20 years ago. As the overdose crisis continues to contribute to substantial loss of life, there is an historic opportunity for jurisdictions to expand equitable and sustained access to intranasal naloxone.

Traumatic life events, everyday discrimination, and posttraumatic symptoms among sexual minority men.

Objective: Experiences of everyday discrimination are linked with mental health issues for sexual minority individuals, including posttraumatic symptoms (PTS), yet it is unclear whether experiences of discrimination are linked with PTS after accounting for the influence of traumatic life events. This study sought to increase understanding of the link between everyday discrimination and PTS, among sexual minority men.

Method: A sample of 290 gay men living in the United States completed an online survey including measures of traumatic life events, everyday discrimination, and PTS.

Privilege and distress intolerance at the margins: Exploring the role of critical consciousness and entitlement.

With a U.S.-based sample of 219 people of color with diverse sexual orientations, the present study aimed to reveal how perceived privilege may be associated with distress intolerance, and the mediating roles of critical consciousness and entitlement.

The rate of nonunion in the MRI-detected occult scaphoid fracture.

Aims: There is a lack of published evidence relating to the rate of nonunion seen in occult scaphoid fractures, diagnosed only after MRI. This study reports the rate of delayed union and nonunion in a cohort of patients with MRI-detected acute scaphoid fractures.

Methods: This multicentre cohort study at eight centres in the UK included all patients with an acute scaphoid fracture diagnosed on MRI having presented acutely following wrist trauma with normal radiographs.

Minority stress, repetitive negative thinking, and internalizing symptoms in sexual minorites: Does cognitive content matter?

Background: The Psychological Mediation Framework theorizes that repetitive negative thinking (RNT) mediates the relationship between minority stress and mental health, and this theory has been consistently supported by previous research. Yet, it is unclear whether the process or content of RNT is more important in the development of internalizing symptoms in sexual minorities. Consequently, the goal of the current study was to use structural equation modeling to determine whether there are significant indirect effects of repetitive negative thought content in the relationship between minority stress and internalizing psychopathology.