School of Public Health, University of Nevada, Reno, 1664 N. Virginia St. MC 0274, Reno, NV, 89509, USA.
University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
Harm Reduct J. 2022 Jan 16;19(1):4. doi: 10.1186/s12954-022-00588-7.
The USA is experiencing increases in methamphetamine use and methamphetamine-related or attributed deaths. In the current study, we explore qualitative narratives of methamphetamine overdose and strategies used by people who use drugs to reduce the undesirable effects associated with methamphetamine use.
We conducted 21 qualitative interviews with people over the age of 18 who reported using methamphetamine in the previous 3 months in Nevada and New Mexico. Interviews were recorded, transcribed, and analyzed using qualitative thematic analysis.
Respondents described a constellation of psychological and physical symptoms that they characterized as "overamping," experienced on a continuum from less to more severe. Reports of acute, fatal methamphetamine overdose were rare. Few reported seeking medical attention for undesirable effects (usually related to psychological effects). General self-care strategies such as sleeping and staying hydrated were discussed.
When asked directly, our respondents claimed that acute, fatal methamphetamine overdose is rare or even impossible. However, they described a number of undesirable symptoms associated with overconsumption of methamphetamine and had few clinical or harm reduction strategies at their disposal. Addressing this current wave of drug-related deaths will require attention to the multiple factors that structure experiences of methamphetamine "overdose," and a collaborative effort with PWUDs to devise effective harm reduction and treatment strategies.
美国正经历着冰毒使用量的增加以及与冰毒使用相关或归因于冰毒使用的死亡人数的增加。在当前的研究中,我们探讨了冰毒过量的定性叙述,以及吸毒者用来减少与冰毒使用相关的不良影响的策略。
我们在内华达州和新墨西哥州对过去 3 个月内报告使用过冰毒的年龄在 18 岁以上的 21 人进行了定性访谈。访谈采用定性主题分析进行记录、转录和分析。
受访者描述了一系列他们称之为“过度兴奋”的心理和生理症状,这些症状从轻到重呈连续体分布。急性、致命的冰毒过量报告很少见。很少有人因不良影响(通常与心理影响有关)寻求医疗帮助。讨论了一般的自我护理策略,如睡眠和保持水分。
当被直接问及急性、致命的冰毒过量是否常见时,我们的受访者声称这种情况很少见,甚至不可能发生。然而,他们描述了与过量吸食冰毒相关的许多不良症状,并且可供他们使用的临床或减少伤害的策略很少。要解决当前这一波与毒品相关的死亡事件,需要关注构成冰毒“过量”体验的多种因素,并与吸毒者合作,制定有效的减少伤害和治疗策略。