兴奋剂和阿片类药物使用中的死亡原因和情况-一项比较研究
Ada Åhman1, Carl Johan Wingren2,3, Anders Håkansson1
1Department of Clinical Sciences Lund, Lund University, Psychiatry, Lund, Sweden.
PloS one
|February 7, 2024
概括
与那些死于阿片类药物的人相比,那些死于兴奋剂的人的自杀率和事故率更高. 这凸显了针对精神疾病和兴奋剂使用者的冒险行为进行干预的必要性.
科学领域:
- 法医毒理学 法医毒理学
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
背景情况:
- 兴奋剂的使用是与各种死亡风险相关的重大公共卫生问题.
- 了解与兴奋剂使用相关的具体情况和死亡原因对于有针对性的干预至关重要.
- 将兴奋剂相关死亡与阿片类药物相关死亡进行比较,可以阐明不同的风险概况.
研究的目的:
- 调查涉及兴奋剂使用死亡的特征,原因和情况.
- 为了比较那些在系统中死于兴奋剂的人与那些死于阿片类药物的人.
主要方法:
- 追溯分析2000年至2018年的尸体解剖数据,瑞典斯卡内县.
- 在死亡时,包括18岁以上的个人,他们的系统中含有兴奋剂 (n=310),阿片类药物 (n=2,039) 或两者 (n=385).
- 评估人口统计,死亡地点,BMI,共同检测的物质,器官重量和死亡原因,并进行统计比较.
主要成果:
- 研究人口 (n=2,734) 的平均年龄为45.5岁,73.2%是男性.
- 自杀是兴奋剂组 (26.8%) 比阿片类药物组 (20.8%) 更常见的死亡原因.
- 与阿片类药物组相比,在兴奋剂和多重物质组中,意外中毒 (38.2%) 和交通事故明显高于阿片类药物组.
结论:
- 与那些死于阿片类药物的人相比,服用兴奋剂的人死于自杀和意外的死亡率更高.
- 这些发现强调了识别和预防精神疾病和风险行为在兴奋剂使用者的必要性.
- 需要针对兴奋剂使用者制定有针对性的预防策略,重点关注自杀风险和意外死亡预防.
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