Marzuk P M, Tardiff K, Smyth D, Stajic M, Leon A C
Department of Psychiatry, Cornell University Medical College, New York, NY 10021.
JAMA. 1992 May 20;267(19):2635-7.
To examine the association between recent cocaine use and risk taking, particularly in the form of playing Russian roulette, a paradigm for extreme risk-taking behavior.
A case-control study. CASES AND CONTROLS: The prevalence of cocaine use among all Russian roulette fatalities (N = 14) was compared with a demographically similar, randomly selected sample (N = 54) of all suicides by handgun during a contemporaneous 4-year period in New York City, NY.
Recent use of cocaine, the most common drug found at autopsy, was detected in 64% of Russian roulette fatalities and in 35% of the control group (P less than .05). All Russian roulette fatalities were male and usually young and unemployed. Blacks and Hispanics accounted for 80% of all cases and were overrepresented compared with their numbers in the general population.
In some populations cocaine may be associated with life-threatening risk-taking behaviors.
研究近期使用可卡因与冒险行为之间的关联，尤其是以玩俄罗斯轮盘赌这种极端冒险行为模式为例。
一项病例对照研究。
将纽约市同期4年期间所有玩俄罗斯轮盘赌致死案例（N = 14）中使用可卡因的患病率，与从所有手枪自杀案例中按人口统计学特征随机抽取的样本（N = 54）进行比较。
尸检中发现的最常见毒品是近期使用的可卡因，在64%的玩俄罗斯轮盘赌致死案例中被检测到，而在对照组中这一比例为35%（P < .05）。所有玩俄罗斯轮盘赌致死案例均为男性，通常较为年轻且失业。黑人和西班牙裔占所有案例的80%，与他们在普通人群中的数量相比，占比过高。
在某些人群中，可卡因可能与危及生命的冒险行为有关。
