Wakeman Sarah E, Bowman Sarah E, McKenzie Michelle, Jeronimo Alexandra, Rich Josiah D
Warren Alpert Medical School of Brown University, Providence, RI, USA.
J Addict Dis. 2009;28(2):124-9. doi: 10.1080/10550880902772423.
Death from opiate overdose is a tremendous source of mortality, with a heightened risk in the weeks following incarceration. The goal of this study is to assess overdose experience and response among long-term opiate users involved in the criminal justice system. One hundred thirty-seven subjects from a project linking opiate-dependent individuals being released from prison with methadone maintenance programs were asked 73 questions regarding overdose. Most had experienced and witnessed multiple overdoses; 911 was often not called. The majority of personal overdoses occurred within 1 month of having been institutionalized. Nearly all participants expressed an interest in being trained in overdose prevention with Naloxone. The risk of death from overdose is greatly increased in the weeks following release from prison. A pre-release program of overdose prevention education, including Naloxone prescription, for inmates with a history of opiate addiction would likely prevent many overdose deaths.
阿片类药物过量致死是一个巨大的死亡原因，在监禁后的几周内风险会升高。本研究的目的是评估参与刑事司法系统的长期阿片类药物使用者的过量用药经历及应对情况。对一个将从监狱释放的阿片类药物依赖者与美沙酮维持治疗项目相联系的项目中的137名受试者，询问了73个关于过量用药的问题。大多数人都经历过并目睹过多次过量用药情况；通常不会拨打911。大多数个人过量用药情况发生在被监禁后的1个月内。几乎所有参与者都表示有兴趣接受纳洛酮过量用药预防培训。从监狱释放后的几周内，过量用药致死风险会大幅增加。为有阿片类药物成瘾史的囚犯开展包括纳洛酮处方在内的释放前过量用药预防教育项目，可能会预防许多过量用药死亡情况。
