Monico LB, Ludwig A, Lertch E, et al. - Given a sharp increase in opioid overdose deaths among adolescents and young adults in the United States over recent decades, researchers sought to determine the nature of adolescent and young adult perspectives on overdose experiences. They performed thematic analysis of interviews conducted as part of a mixed‐methods, randomized trial of extended release naltrexone (XR‐NTX) vs treatment‐as‐usual (TAU) for adolescents and young adults (aged 15–21 years) with opioid use disorder (OUD). Up to three interviews were completed by 35 adolescents/young adults: at baseline, 3 and 6 months after release from residential opioid use disorder treatment. Data gained revealed that difficulty is encountered by the sample of US adolescents and young adults in treatment for opioid use disorder in identifying whether or not they had experienced an overdose. Further, the participants expressed fluctuating intentionality for those events and did not have clear intentions to modify their behavior. Witnessing an overdose seemed to be as important an experience as going through an overdose oneself.