This learning course will examine the trends and demographics for suicide in the US, the role that prescription and illicit opioids and Opioid Use Disorder (OUD) have played in those trends, the risk factors for suicidality in the context of chronic pain and in OUD, and the impact of opioid de-prescribing on suicidality and on population health. A broad overview of compassionate opioid tapering will be covered, as well as the concept of Complex Persistent Opioid Dependence (CPOD).

Learning Objectives
At the end of this course, participants will:
- The links between opioid use, chronic pain, suicide, and the subsequent impact on patient care.
- Prevention strategies for unintentional opioid overdose and suicide.
- The principles of ethical and compassionate opioid tapering aimed at reducing unintentional overdose and suicide.
Course Structure
This course is self-paced and available to any user who registers with the Maine Medical Association, Center for Quality Improvement Learning Lab. The course consists of multiple sub-sections or units and will contain various elements, including video lessons, hyperlinks to readings and web resources, and pre-and post-tests for you to gauge your knowledge and understanding of the course topic.
Estimated Time to Complete: 60 minutes
Note: The course is divided into short digestible units (10-20 minutes in length) that can be completed in small increments.
Disclosures
The planners, presenters, and speakers do not have any relevant financial relationships to disclose. Their position titles and organizational affiliations are those at the time the course was recorded.
Noah Nesin, MD, FAAFP
Innovation Advisor
Penobscot Community Health Center
Amy Carter, BSHA-M
Director
Maine Medical Association, Center for Quality Improvement
Janet Johnson
Administrative Assistant
Maine Medical Association, Center for Quality Improvement
Funding: This module is made possible by the generous support and funding from our partners at the Maine Board of Licensure in Medicine.
Original Launch: September 1, 2023
Renewed: July 1, 2026
Expires: June 30, 2029
Assessment and Grading
This course begins with a pre-test that will test your knowledge and allow you to gauge your baseline understanding of the topics to be covered. At the end of the course, there is a post-test. A comparison of your pre-test score and post-test score will help you assess how much knowledge you’ve gained on the topic.
To Obtain a CME Certificate or a CME Certificate of Participation
- Complete all the units within the course
- Complete the Survey Monkey evaluation at the end of the course
Upon completion of the evaluation in Survey Monkey, including the required demographic information, a CME Certificate will be emailed to M.D.s and D.O.s and a CME Certificate of Participation will be emailed to all other learners. These certificates will be emailed within 10 business days of completing the evaluation.
Joint Providership Statement
The Hanley Center for Health Leadership and Education designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
This activity qualifies for 1 credit of the 3 CME credit requirement for opioid medication education found in P.L. 2015, Chapter 488, Maine’s legislation to address the opioid drug crisis.
This activity meets 1 hour(s) of the MATE Act educational training criteria for the one-time, eight-hour training requirement for DEA-registered practitioners.
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Hanley Center for Health Leadership and Education and the Maine Medical Association, Center for Quality Improvement. The Hanley Center for Health Leadership and Education is accredited by the Maine Medical Association Committee on Continuing Medical Education and Accreditation to provide continuing medical education for physicians.
None of the planners or presenters for this activity have relevant financial relationships to disclose.
Table of Contents
Getting Started
- Test Your Knowledge: Chronic Pain, Opioids, and Suicide
Course Units
- Unit 1: Data Trends on Suicidality in the U.S.
- Unit 2: Risk Factors for Suicidality
- Unit 3: Overdose and Suicidality
- Unit 4: Interventions to Reduce the Risk of Suicidality
- Unit 5: Tapering Considerations
Course Wrap Up
- Post Test: Chronic Pain, Opioids, and Suicide
- Evaluation Survey – Chronic Pain, Opioids, and Suicide