TY - JOUR PY - 2011// TI - Distinguishing between suicides and accidental deaths in substance-related deaths (UK, 2001-2007) JO - Progress in neuro-psychopharmacology and biological psychiatry A1 - Vento, Alessandro E. A1 - Pompili, Maurizio A1 - Schifano, Fabrizio A1 - Corkery, John Martin A1 - Innamorati, Marco A1 - Girardi, Paolo A1 - Ghodse, Hamid SP - 1279 EP - 1283 VL - 35 IS - 5 N2 - BACKGROUND: Substance-related deaths account for a great number of suicides. Aim To investigate levels and characteristics of suicide verdicts, as opposed to accidental deaths, in substance misusers. METHODS: Psychological autopsy study of cases from the UK National Programme on Substance Abuse Deaths (np-SAD) during the period 2001-2007. RESULTS: Between January 2001 and December 2007, 2108 suicides for whom autopsy was carried out were reported to the np-SAD. Typical suicide victims were White and older than 50 (respectively 95% and 41% of cases). Medications, especially antidepressants (44%), were prescribed to 87% of victims. Significantly fewer suicides than controls presented with positive blood toxicological results for illicit drugs (namely: cocaine, heroin, amphetamines, ecstasy-type drugs, cannabis, GHB/GBL, etc.) and alcohol. CONCLUSIONS: Suicide prevention programmes should devote specific attention to deaths among substance-misusers who are at high risk of fatal intentional self-harm. Specific characteristics distinguish those at risk; caregivers should be better educated as to what these factors are.

Language: en

LA - en SN - 0278-5846 UR - http://dx.doi.org/10.1016/j.pnpbp.2011.02.014 ID - ref1 ER -