可卡因使用,冒险和致命的俄罗斯轮盘
P M Marzuk1, K Tardiff, D Smyth
1Department of Psychiatry, Cornell University Medical College, New York, NY 10021.
JAMA
|May 20, 1992
概括
最近使用可卡因与参与极端冒险行为的可能性更高,例如玩俄罗斯轮盘. 这项研究强调了兴奋剂药物使用与危险活动之间的关联.
科学领域:
- 法医毒理学 法医毒理学
- 行为心理学 行为心理学
- 公共卫生 公共卫生
背景情况:
- 可卡因使用很普遍,并与各种健康风险有关.
- 极端的冒险行为,就像俄罗斯轮盘游戏一样,代表了危险活动的严重形式.
- 了解导致这种行为因素对于公共卫生干预至关重要.
研究的目的:
- 调查最近使用可卡因与参与极端冒险行为之间的相关性.
- 专门研究可卡因在俄罗斯轮盘中死亡的作用,这是高风险行动的范例.
主要方法:
- 采用了一种病例控制研究设计.
- 这些病例包括所有俄罗斯轮盘死亡事件 (N=14).
- 对照组是一个人口统计学上相似的,随机选择的组 (N=54) 在纽约市同期使用手枪自杀死亡的个人.
主要成果:
- 在64%的俄罗斯轮盘死亡中检测到可卡因,而对照组中为35% (P < .05).
- 俄罗斯轮盘的死亡人数主要是年轻的,失业的男性,黑人和西班牙裔人数过多.
- 可卡因成为俄罗斯轮盘受害者尸检中发现的最常见的毒品.
结论:
- 最近使用可卡因可能与参与危及生命的冒险行为有关.
- 这些发现表明,兴奋剂使用与严重的冲动性或寻求刺激之间存在潜在联系.
- 需要进一步的研究,以探索不同人群中的这种关联.
相关概念视频
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