Prevalence of cocaine use among residents of New York City who committed suicide during a one-year period.
Prevalence of cocaine use among residents of New York City who committed suicide during a one-year period.
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一年内自杀的纽约市居民吸食可卡因的比例。
DOI：
10.1176/ajp.149.3.371
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发表时间：
1992
期刊：
影响因子：
--
通讯作者：
Mann,JJ
中科院分区：
文献类型：
--
作者：
Marzuk,PM;Tardiff,K;Leon,AC;Stajic,M;Morgan,EB;Mann,JJ
目的 20 世纪 80 年代中期，称为“快克”的可卡因在纽约市广泛流行。作者试图确定这一时期纽约市自杀者尸检中检测到的可卡因代谢物的流行率。方法对一年内在该市自杀的所有 61 岁以下人员的尸检和毒理学记录进行单独审查，以确定人口特征、自杀方法以及死亡时使用可卡因和酒精。结果在研究的每 5 个案例中，有 1 个自杀者在自杀后几天内使用过可卡因。她的死。自杀的年轻西班牙裔男性中使用可卡因的比例为 45%。年轻人、黑人或西班牙裔以及在致命伤害前曾饮酒的人最有可能最近吸食过可卡因。在控制人口变量和乙醇使用后，调查人员发现，用枪支自杀的人使用可卡因的可能性是使用其他方法的人的两倍。 结论 与这一时期的区域和家庭调查结果相反，该结果表明纽约市目前可卡因使用率为 3%-5%，这些结果表明自杀的年轻人在死亡前几天使用可卡因的比例很高。需要进行更多研究来确定可卡因如何成为自杀的危险因素。
ObjectiveIn the mid-1980s the form of cocaine called" crack" became widely available in New York City. The authors sought to determine the prevalence of cocaine metabolites detected at autopsy in persons who committed suicide in New York City during this period.MethodIndividual reviews of the autopsy and toxicological records of all persons under the age of 61 who had committed suicide in the city during a 1-year period were conducted to determine demographic characteristics, suicide methods, and cocaine and alcohol use at the time of death.ResultsIn one of every five cases studied, the person who committed suicide had used cocaine within days of his or her death. The prevalence of cocaine use among young Hispanic males who committed suicide was 45%. Persons who were young, black, or Hispanic and who had used alcohol immediately before the fatal injury were most likely to have been recent cocaine users. After controlling for demographic variables and ethanol use, the investigators found that individuals who committed suicide with firearms were twice as likely to have used cocaine as those who used other methods.ConclusionsIn contrast to the results of regional and household surveys during this period, which suggested that the current prevalence of cocaine use in New York City was 3%-5%, these results suggest a high prevalence of cocaine use in the days immediately preceding death by young persons who commit suicide. Additional studies are needed to determine how cocaine may act as a risk factor for suicide.