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摇头丸:与海洛因一样有害?

Ecstasy: as harmful as heroin?

作者信息

Scott Russ

机构信息

High Security Inpatient Services, The Park - Centre for Mental Health, Sumner Park, Brisbane, Queensland.

出版信息

J Law Med. 2009 Dec;17(3):327-48.

PMID:20169795
Abstract

There is evidence that the use of MDMA (methylenedioxymethamphetamine), colloquially known as "ecstasy" particularly among late adolescents and young adults is increasing in Australia. Despite recent government-sponsored public education programs, there is a perception that recreational use of MDMA is much less harmful than other illicit substances like heroin. Recent seizures by police in Australia underline the extent of the demand for MDMA and how lucrative trafficking in MDMA has become. In two recent Australian cases, appellate courts considered the legislative intent of both State and Commonwealth legislation and held that a quantity-based penalty regime applied which distinguished between "traffickable" and "commercial" quantities of illicit drugs and that no distinction turned on the relative "harmfulness" of MDMA. In examining the question of harmfulness, this column summarises the pharmacology and morbidity of MDMA and considers the links between MDMA and other substances of abuse and the implications for further prevention programs.

摘要

有证据表明,在澳大利亚,俗称“摇头丸”的3,4-亚甲基二氧甲基苯丙胺(MDMA)的使用,尤其在青少年晚期和青年成年人中呈上升趋势。尽管最近有政府资助的公共教育项目,但人们认为,摇头丸的娱乐性使用比海洛因等其他非法药物的危害要小得多。澳大利亚警方最近的查获行动突显了对摇头丸的需求程度以及摇头丸贩运变得多么有利可图。在澳大利亚最近的两起案件中,上诉法院审议了州和联邦立法的立法意图,并裁定适用基于数量的刑罚制度,该制度区分了非法药物的“可贩运”数量和“商业”数量,而且对摇头丸的相对“有害性”没有区分。在研究有害性问题时,本专栏总结了摇头丸的药理学和发病率,并考虑了摇头丸与其他滥用物质之间的联系以及对进一步预防项目的影响。

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