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Table 1 Paraphrased and de-identified example Tweets describing overdose from users geolocated Tribal lands between 2014 and 2015

From: Exploring substance use disorder discussions in Native American communities: a retrospective Twitter infodemiology study

State

Primary account

Secondary account

Substance

SI

Signal (%)

Paraphrased examples

OK

18 (31.0%)

8 (13.8%)

11 (18.9%)

11 (18.9%)

26 (45%)

Woke up early because my friend overdosed. Why!?

You overdosed in school. Get out of this conversation

Wouldn’t it be great if I just overdosed on Xanax

I’d rather overdose than live

NC

10 (17.2%)

3 (5.1%)

8 (13.8%)

8 (13.8%)

13 (22%)

I hope I overdose, bye all

Way too many community overdoses from K2/Spice in the last month

CA

4 (7.0%)

1 (1.7%)

3 (5.1%)

3 (5.1%)

5 (8.6%)

Hand me the pills to OD

Our teens are dying from methamphetamine

NE

2 (3.5%)

1 (1.7%)

2 (3.5%)

I’ve OD and died in the past

Took too much [laundry] softener this time. OD’d

  1. OD = Overdose, K2 = synthetic cannabinoid, SI = suicidal ideation