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[Self-reported substance abuse related emergencies: frequency and nature]
G Schäfer1, H Smoltczyk, W Dengler
1Universitätsklinik für Psychiatrie und Psychotherapie Tübingen. gerd.schaefer@med-uni-tuebingen.de
Objective:
The aim of this study was to estimate the frequency and nature of self-reported and drug-related emergencies.
Methods:
47 patients of a ward for opiate detoxification were interviewed about their experiences with drug-related emergencies. Typical categories had to be found like overdoses, seizures, accidents and suicide attempts respectively.
Results:
68% had own experience with drug-related emergency. A majority suffered opiate overdose with different extensions as unconsciousness or breath-depression. Alcohol and polydrug use was associated with overdose. Drug-related accidents were only reported by men. Half the number of drug-related emergencies were treated in hospital. Most emergencies occurred alone either in a home environment or outside.
Conclusion:
Harm reduction interventions like observed user rooms should be established. Furthermore other strategies to reduce the number of emergencies as sharing naloxon or resuscitation programs in wards for detoxification could also be an effective method to prevent near fatal or fatal overdoses in dependent subjects.