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2018, vol. 47, br. 3-4, str. 7-11
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Samoubilačko poreklo smrti narkomana
Suicide as a cause of death with drug addicts
Univerzitet u Prištini sa privremenim sedištem u Kosovskoj Mitrovici, Medicinski fakultet, Srbija
e-adresa: jaleee71@gmail.com
Sažetak
Na Institutu za Sudsku medicinu u Beogradu u periodu od 2006-2015 godine, obdukavano je ukupno 351 narkomana. Najčešće je poreklo smrti bilo zadesno a uzrok smrti koriščenje psihoaktivnih supstanci 219 (62.4%), slede smrti samoubilačkog porekla 35 (10.0 %) i zadesne smrti nastale kao posledica saobraćajnog traumatizma 13 (3.7%). Najčešći način izvršenja samoubistva bilo je vešanje (48.6%), skok sa visine (28.6%), samoubistvo vatrenim oružjem (17.8%). Nije zabeležen ni jedan slučaj samoubistva 'predoziranjem'. Uzrast obdukovanih narkomana kod kojih je poreklo smrti bilo samoubilačko, nije se statistički značajno razilkovao od uzrasta narkomana kod kojih je poreklo smrti bilo zadesno, a uzrok korišćenje psihoaktivnih supstanci. Međutim narkomani stradali u saobraćajnom traumatizmu bili su statistički zančajno mlađeg uzrasta u odnosu na prve dve grupe. Medijana vrednosti koncentracije slobodnog morfina u krvi nije se statistički značajno razlikovala u sve tri ispitivane grupe. Prisustvo alkohola u krvi najčešće je zabeleženo kod narkomana stradalih u saobraćajnom traumatizmu.
Abstract
There were 351 drug addicts examined post mortem from 2006 till 2015 at The Institute of Forensic Medicine in Belgrade. In most of the cases death was accidental, caused by the use of psychoactive substances totaling 219(62,4%), followed by suicidal deaths 35 (10,0%) and deaths from traumas caused in traffic accidents. The most common manner of suicide was death by hanging (48,6%), jump from a height (28,6%), suicide by firearm (17,8%). There were no recorded suicides by overdose. The age of post mortem drug addicts where the suicide was a cause of death, did not statistically differ from others, accidental deaths, caused by the use of psychoactive substances. However, drug addicts died from traumas in traffic accident were statistically significantly younger in comparison to previous two groups. The median blood morphine levels concentration value did not statistically differ significantly in all three examined groups. Quite often there was alcohol presence in blood of drug addicts who died in traffic accidents.
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Reference
|
|
Darke, S., Degenhardt, L., Mattick, R. (2007) Mortality amongst illicit drug users; epidemiology, causes and intervention. Cambridge: Cambridge University Press
|
|
Darke, S., Duflou, J., Torok, M. (2010) Comparative Toxicology of Intentional and Accidental Heroin Overdose*. Journal of Forensic Sciences, 55(4): 1015-1018
|
|
Druid, H., Holmgren, P. (1998) Fatal injections of heroin. Interpretation of toxicological findings in multiple specimens. International Journal of Legal Medicine, 112(1): 62-66
|
|
Drummer, O.H., Yap, S. (2016) The involvement of prescribed drugs in road trauma. Forensic Science International, 265:17-21
|
|
Dukes, P.D., Robinson, G.M., Robinson, B.J. (1992) Mortality of intravenous drug users: attenders of the Wellington Drug Clinic, 1972-89. Drug and Alcohol Review, 11(2): 197-201
|
|
Evans, J. L., Tsui, J. I., Hahn, J. A., Davidson, P. J., Lum, P. J., Page, K. (2012) Mortality Among Young Injection Drug Users in San Francisco: A 10-Year Follow-up of the UFO Study. American Journal of Epidemiology, 175(4): 302-308
|
|
Fugelstad, A., Ahlner, J., Brandt, L., Ceder, G., Eksborg, S., Rajs, J., Beck, O. (2003) Use of morphine and 6-monoacetylmorphine in blood for the evaluation of possible risk factors for sudden death in 192 heroin users. Addiction, 98(4): 463-470
|
|
Gjersing, L., Bretteville-Jensen, A.L. (2014) Gender differences in mortality and risk factors in a 13-year cohort study of street-recruited injecting drug users. BMC Public Health, 14(1)
|
|
Hessol, N. A., Kalinowski, A., Benning, L., Mullen, J., Young, M., Palella, F., Anastos, K., Detels, R., Cohen, M. H. (2007) Mortality among Participants in the Multicenter AIDS Cohort Study and the Women's Interagency HIV Study. Clinical Infectious Diseases, 44(2): 287-294
|
|
Jones, A.W., Kugelberg, F.C., Holmgren, A., Ahlner, J. (2011) Drug poisoning deaths in Sweden show a predominance of ethanol in mono-intoxications, adverse drug-alcohol interactions and poly-drug use. Forensic Science International, 206(1-3): 43-51
|
|
Jones, A.W., Holmgren, A., Ahlner, J. (2012) Concentrations of free-morphine in peripheral blood after recent use of heroin in overdose deaths and in apprehended drivers. Forensic Science International, 215(1-3): 18-24
|
|
Kinton, V.R., Pfannkoch, E.A., Whitecavage, J.A. (2005) Blood alcohol analysis using an automated static headspace method. u: Gerstel Application Note 1
|
|
Meatherall, R. (2005) GC-MS Quantitation of Codeine, Morphine, 6-Acetylmorphine, Hydrocodone, Hydromorphone, Oxycodone, and Oxymorphone in Blood*. Journal of Analytical Toxicology, 29(5): 301-308
|
|
Mravcik, V., Zabranisky, T., Vorel, F. (2010) Ethanol and other psyhoactive supstances if fatal road traffick accidents in the Czech Republic in 2008. Cas Lek Cesk., 149: 332-6
|
|
Neale, J. (2000) Suicidal intent in non-fatal illicit drug overdose. Addiction, 95(1): 85-93
|
|
Oyefeso, A., Ghodse, H., Clancy, C., Corkefy, J.M. (1999) Suicide among drug addicts in the UK. British Journal of Psychiatry, 175(03): 277-282
|
|
Pavlekić, S. (2004) Sudskomedicinska dijagnoza uzroka smrti nakromana. Beograd, doktorska disertacija
|
|
Schlueter, S.A., Hutchison, J.Jr., Hughes, J.M. (2005) Determination of opiates and metabolites in blood using electrospray LC/MS. Application Note. Agilent Technologies
|
|
Toprak, S., Cetin, I. (2009) Heroin Overdose Deaths and Heroin Purity Between 1990 and 2000 in Istanbul, Turkey. Journal of Forensic Sciences, 54(5): 1185-1188
|
|
Tunving, K. (1988) Fatal outcome in drug addiction. Acta Psychiatrica Scandinavica, 77(5): 551-566
|
|
Wilcox, H., Connor, K., Caine, E. (2004) Associtation of alchohol and drug use disorders and completed suicide: an empirical review of cohort studies. Drug Alcohol Depende, 76: 11-9
|
|
|
|