コカインの使用,リスクを取る,そして致命的なロシアンルーレット
P M Marzuk1, K Tardiff, D Smyth
1Department of Psychiatry, Cornell University Medical College, New York, NY 10021.
JAMA
|May 20, 1992
まとめ
最近のコカイン使用は,ロシアン・ルーレットをプレイするなど,極端なリスクを負う行動に従事する可能性が高いと関連付けられました. この研究は,刺激剤の薬物使用と危険な活動との関連性を強調しています.
科学分野:
- 法医学毒理学 法医学毒理学
- 行動心理学は,行動心理学である.
- 公衆衛生は公衆衛生である.
背景:
- コカインの使用は広く存在し,さまざまな健康リスクと関連しています.
- ロシアンルーレットのように,極端なリスクを負う行動は,危険な活動の深刻な形態を表しています.
- このような行動に寄与する要因を理解することは,公衆衛生の介入にとって極めて重要です.
研究 の 目的:
- 最近のコカイン使用と,極端なリスクを伴う行動への参加の相関を調査する.
- ロシアンルーレットでの死亡におけるコカインの役割を具体的に検討し,高リスク行動のパラダイムとなる.
主な方法:
- ケース・コントロール・スタディ・デザインが採用されました.
- 症例は,ロシアンルーレットでのすべての死亡者 (N=14) を含む.
- コントロールは,人口統計学的に類似した,ランダムに選択されたグループ (N=54) で,ニューヨーク市で同じ期間に銃を使って自殺して死亡した個人でした.
主要な成果:
- コカインは,ロシアンルーレットでの死亡例の64%で検出され,対照群では35%であった (P < .05).
- ロシアンルーレットでの死亡者は,主に若くて失業している男性で,黒人とヒスパニック系の人々が過度に代表されています.
- コカインは,ロシアンルーレットの犠牲者の解剖で確認された最も一般的な薬物として浮上しました.
結論:
- 最近のコカイン使用は,生命を脅かすリスクを負う行動への関与と関連している可能性があります.
- 発見は,刺激剤の使用と重度の衝動性やスリル探求の間の潜在的な関連を示唆しています.
- 多様な集団におけるこの関連性を調べるためにさらなる研究が必要である.
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