Trube-Becker E
Med Klin. 1975 Jan 24;70(4):133-40.
23 cases are demonstrated, in which the connection between drug use and sudden death is to be accepted. The victims are only males and juveniles. It is demonstrated by the cases reported, that upon the sudden death of a juvenile increased consideration must also be given to a possible connection between death and drug use. First and foremost the drug used is susceptible of leading to death by way of an intoxication due to too large a dosage or owing to oversensitiveness. Far advanced putrefaction, the combined effects of several drugs including alcohol, the difficulty in furnishing chemical proof of the presence of hashish and LSD in body-fluids and organs can make it nearly impossible to clarify the cause of death. Only what has been related in respect of the manner of living and drug use by members of the family, mates and friends makes the connection between death and drug use appear quite likely. The indirect connection between drug use and the juvenile's death is to be accepted if it comes to the accident under the influence of drugs - be it under the impression of invulnerability or omnipotence or in a state of hallucinations. Depressions under the influence of drugs are also susceptible of resulting in real suicidal actions. In case of inexplicable accidents or entirely unexpected suicide drug effects must, therefore, nowadays be thought of.
展示了23个案例，其中药物使用与猝死之间的关联是可以被接受的。受害者均为男性青少年。所报告的案例表明，对于青少年猝死，也必须更多地考虑死亡与药物使用之间可能存在的关联。首先，所使用的药物可能因剂量过大或过于敏感而导致中毒死亡。高度腐败、包括酒精在内的多种药物的联合作用、难以在体液和器官中提供大麻和麦角酸二乙酰胺存在的化学证据，几乎可能无法查明死因。只有通过家庭成员、同伴和朋友提供的关于生活方式和药物使用的情况，才使得死亡与药物使用之间的关联显得很有可能。如果是在药物影响下发生事故——无论是处于刀枪不入或无所不能的错觉中，还是处于幻觉状态，那么药物使用与青少年死亡之间的间接关联是可以被接受的。药物影响下的抑郁也可能导致真正的自杀行为。因此，如今在发生无法解释的事故或完全意想不到的自杀时，必须考虑药物的作用。
