Abstract

Over the past year, approximately 10,000 Americans have died by psychostimulant overdose, and over 50% of these deaths were caused by prescription stimulant misuse. A comprehensive approach to detect a drug overdose in the environment where it occurs is imperative to reduce the number of prescription stimulant overdose-related deaths. Teenagers are at the highest risk for prescription stimulant overdose, so this study proposes a multi-factor overdose detection system named Hero which is designed to noninvasively operate within the context of a teen’s life. Hero monitors five factors that indicate stimulant abuse: extreme mood swings, presence of amphetamine metabolite in sweat excreted from the fingertip, heart rate, blood pressure, and respiration rate. An algorithm to detect extreme mood swings in a teen’s outgoing SMS messages was developed by collecting over 3.6 million tweets, creating groups of tweets for euphoria and melancholy using guidelines adapted from DSM-5 criteria, and training six Artificial Intelligence models. These models were used to create a dual-model-based extreme mood swing detection algorithm that was accurate 96% of the time. A biochemical strip, which consisted of a diagnostic measure that changes color when in contact with amphetamine metabolite and a control measure that changes color when the appropriate volume of sweat is excreted, was created. A gold nanoparticle-based diagnostic measure and pH-based control measure were evaluated individually and on the overall strip. The diagnostic measure had an accuracy of 90.62% while the control measure had 84.38% accuracy. Lastly, a vital sign measurement algorithm was built by applying photoplethysmography image processing techniques. A regression model with height, age, and gender features was created to convert heart rate to blood pressure, and the final algorithm had an accuracy of 97.86%. All five of these factors work together to create an accurate and easily integrable system to detect overdoses in real-time and prevent prescription stimulant abuse-related deaths.

Highlights

  • Prescription stimulants are drugs intended to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy by increasing dopamine and norepinephrine activity [1]

  • Approximately 10,000 Americans have died by psychostimulant overdose, and over 50% of these deaths were caused by prescription stimulant misuse

  • According to the 2018 CDC Annual Surveillance Report of drug-related risks and outcomes, approximately 10,000 Americans died by psychostimulant overdose in past years and over 50% were caused by prescription stimulant misuse [5]

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Summary

Introduction

Prescription stimulants are drugs intended to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy by increasing dopamine and norepinephrine activity [1]. If used when medically necessary at the correct dosage, prescription stimulants are inherently safe medications, but the line between intended use and abuse can often be blurred. These drugs are highly addictive and can lead to substance use disorder (SUD) and overdose [1]. According to the 2018 CDC Annual Surveillance Report of drug-related risks and outcomes, approximately 10,000 Americans died by psychostimulant overdose in past years and over 50% were caused by prescription stimulant misuse [5]. The relative ease with which these medications can be obtained on school campuses contributes to the increasing number of overdose cases among young people [6]

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