Analysis of psychotropic drug-related deaths in south Osaka.

IF 5.1 Q1 SUBSTANCE ABUSE
Substance Abuse and Rehabilitation Pub Date : 2018-09-24 eCollection Date: 2018-01-01 DOI:10.2147/SAR.S163491
Naoto Tani, Tomoya Ikeda, Tomomi Michiue, Shigeki Oritani, Fumiya Morioka, Takaki Ishikawa
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引用次数: 2

Abstract

Objective: The aim of this study was to investigate the occurrence of deaths due to psychotropic drugs in south Osaka during a 10-year period and discuss societal factors from a medical viewpoint.

Methods: Psychotropic drug-related deaths were retrospectively investigated based on the forensic postmortem data of 1,746 decedents in 2005-2014, and we excluded cases in which stimulant drugs were detected. Of these, 133 cases (7.6%) were found to be psychotropic drug-related deaths and were analyzed.

Results: Psychotropic drug-related deaths occurred in 78 males (59%; age range, 14-95 years) and 55 females (41%; 20-84 years). The direct cause of death was acute drug intoxication in many cases, and of these, acute combined drug intoxication due to the use of multiple drugs accounted for 76% of the deaths. Most of these victims were found to have gastrointestinal and cardiovascular diseases. Cases of psychotropic drug-related deaths had especially poor medical conditions. In addition, tests were positive for blood alcohol in 23% of the cases.

Conclusion: The descriptive results revealed several factors that may be related to psychotropic drug-related deaths. To prevent drug abuse, several factors were deemed to be important, including improvements in the medical state of an individual, the avoidance of social isolation, and from a medical standpoint, the management of prescription drugs by medical personnel.

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大阪南部精神药物相关死亡分析。
目的:本研究的目的是调查近10年来大阪南部精神药物死亡的发生情况,并从医学角度探讨社会因素。方法:回顾性分析2005-2014年1746例精神药物相关死亡病例的法医尸检资料,排除检出兴奋剂的病例。其中133例(7.6%)为精神药物相关死亡,并进行了分析。结果:精神药物相关死亡男性78例(59%;年龄范围:14-95岁)和55名女性(41%;20 - 84年)。许多病例的直接死亡原因是急性药物中毒,其中,多种药物使用引起的急性联合药物中毒占死亡人数的76%。这些受害者中的大多数被发现患有胃肠道和心血管疾病。与精神药物有关的死亡病例的医疗条件特别差。此外,23%的病例血液酒精检测呈阳性。结论:描述性结果揭示了可能与精神药物相关死亡有关的几个因素。为了防止药物滥用,有几个因素被认为是重要的,包括改善个人的健康状况,避免社会孤立,以及从医学的角度来看,由医务人员管理处方药。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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