Acta Medica Iranica 2011. 49(6):383-389.

A Survey on Substance Abuse Related Deaths Referred to Tehran's Legal Medicine Organization During 2007 and 2008
Hamid Reza Daneshparvar, Fariba Sardari, Nasrin Esfahanizadeh

Abstract


Doubtlessly one of the major problems in Iran is drug abuse or substance abuse. The transmission of HIV/AIDS has made the problem so complicated that has created an urgent need for a campaign against this awful phenomenon. The objective of this study-that was carried out through the cross-sectional method- is considering the situation of the addict death and the related factors. The target population consists of the corpses of the addicts referred to the Legal Medicine Organization of Tehran during 2007 and 2008. The cadavers were examined in the preliminary stage. The blood, urine and the contents of the gall-bladder, stomach and viscera were collected and sent to the toxicology laboratory to examine and find narcotics metabolites and other drugs. The samples of the brain, heart, lungs, liver and kidneys were sent to the pathology laboratories. All of the extracted data were recorded and analyzed using SPSS software. It was diagnosed that 248 cases (79.7%) out of the total 311 in this study, died of substance abuse. Totally 300 cases were reported as male addicts (96.5%). The oldest and youngest addicts were 49 and 17 respectively. The most frequent drugs used were heroin and combination of heroin and opium. No meaningful difference was observed between the death cause of different groups of drug abusers . It seems that the increase in the population of the substance users is the main cause of frequency changes of the addicts' deaths.


Keywords


Substance related disorders; Forensic medicine; Cadaver

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References


Bjornaas MA, Bekken AS, Ojlert A, Haldorsen T, Jacobsen D, Rostrup M, Ekeberg O. A 20-year prospective study of mortality and causes of death among hospitalized opioid addicts in Oslo. BMC Psychiatry 2008;8:8.

Thiblin I, Eksborg S, Petersson A, Fugelstad A, Rajs J. Fatal intoxication as a consequence of intranasal administration (snorting) or pulmonary inhalation (smoking) of heroin. Forensic Sci Int 2004;139(2-3):241-7.

Copeland L, Budd J, Robertson JR, Elton RA. Changingpatterns in causes of death in a cohort of injecting drug users, 1980-2001. Arch Intern Med 2004;164(11):1214-20.

Oyefeso A, Ghodse H, Clancy C, Corkery J, Goldfinch R. Drug abuse-related mortality: a study of teenage addicts.over a 20-year period. Soc Psychiatry Psychiatr Epidemiol 1999;34(8):437-41.

Farrell M, Neeleman J, Griffiths P, Strang J. Suicide and overdose among opiate addicts. Addiction 1996;91(3):321-3.

Pedersen CL, Steentoft A, Kringsholm B. Deaths among drug addicts in Eastern Denmark 2005. Ugeskr Laeger 2008;170(50):4124-7.

Gossop M, Stewart D, Treacy S, Marsden J. A prospective study of mortality among drug misusers during a 4-year period after seeking treatment. Addiction 2002;97(1):39-47.

Steentoft A, Teige B, Ceder G, Vuori E, Kristinsson J, Simonsen KW, Holmgren P, Wethe G, Kaa E. Fatal poisoning in drug addicts in the Nordic countries. Forensic Sci Int 2001;123(1):63-9.

Pedersen CL, Steentoft A, Kringsholm B. Deaths among drug addicts in Eastern Denmark 2005. Ugeskr Laeger 2008;170(50):4124-7.

Hafeiz HB. Socio-demographic correlates and pattern of drug abuse in eastern Saudi Arabia. Drug Alcohol Depend 1995;38(3):255-9.

Steentoft A, Teige B, Holmgren P, Vuori E, Kristinsson J, Kaa E, Wethe G, Ceder G, Pikkarainen J, Simonsen KW. Drug addict deaths in the Nordic countries: a study based on medicolegally examined cases in the five Nordic countries in 1991. Forensic Sci Int 1996;77(1-2):109-18.

Morgan O, Vicente J, Griffiths P, Hickman M. Trends in overdose deaths from drug misuse in Europe: what do the data tell us? Addiction 2008;103(5):699-700.

Flanagan RJ, Fisher DS. Volatile substance abuse and crime: data from U.K. press cuttings 1996-2007. Med Sci Law 2008;48(4):295-306.

Steentoft A, Linnet K. Blood concentrations of clonazepam and 7-aminoclonazepam in forensic cases in Denmark for the period 2002-2007. Forensic Sci Int 2009;184(1-3):74-9.

McGinnis JM, Foege WH. Mortality and morbidity attributable to use of addictive substances in the United States. Proc Assoc Am Physicians 1999;111(2):109-18.

Chen CC, Kuo CJ, Tsai SY. Causes of death of patients with substance dependence: a record-linkage study in a psychiatric hospital in Taiwan. Addiction 2001;96(5):729-36.

Quaglio G, Talamini G, Lechi A, Venturini L, Lugoboni F, Mezzelani P. Gruppo Intersert di CollaborazioneScientifica (GICS). Study of 2708 heroin-related deaths in north-eastern Italy 1985-98 to establish the main causes of death. Addiction 2001;96(8):1127-37.

Bloor M, Gannon M, Hay G, Jackson G, Leyland AH, McKeganey N. Contribution of problem drug users' deaths to excess mortality in Scotland: secondary analysis of cohort study. BMJ 2008;337:a478. doi: 10.1136/bmj.a478.

Milloy MJ, Kerr T, Tyndall M, Montaner J, Wood E. Estimated drug overdose deaths averted by North America's first medically-supervised safer injection facility. PLoS One 2008;3(10):e3351.

King R, Bird SM, Hay G, Hutchinson SJ. Estimating current injectors in Scotland and their drug-related death rate by sex, region and age-group via Bayesian capture: recapture methods. Stat Methods Med Res 2009;18(4):341-59.

Sutlović D, Definis-Gojanović M. Fatal poisoning by alcohol and heroin. Arh Hig Rada Toksikol 2007;58(3):323-8.


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