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与自杀者可卡因使用相关的因素。

Factors Associated with Cocaine Consumption among Suicide Victim.

机构信息

Health Sciences Teaching and Research Foundation's, Brasília 70710-907, Federal District, Brazil.

Department of Health of University of Brasilia, Brasília 70910-900, Federal District, Brazil.

出版信息

Int J Environ Res Public Health. 2022 Nov 2;19(21):14309. doi: 10.3390/ijerph192114309.

Abstract

Cocaine use is an increasingly frequent event, especially in young people, and can cause irreversible consequences, such as suicide. To evaluate the factors associated with cocaine use in the moments preceding to suicide. This is a population-based, cross-sectional, and analytical study conducted in the Brazilian Federal District by researchers from the Department of Health and the Civil Police Institute of Criminalistics. All people who died due to suicide in 2018 were included in the survey. Cocaine use was considered the dependent variable, and robust Poisson regression was performed to estimate the crude and adjusted prevalence ratios and their respective population confidence intervals. In 2018, 12,157 deaths were recorded, of which suicide accounted for 1.56% of all deaths. It was observed that being between 25 and 44 years old, male, and under the influence of alcohol or cannabis, had a strong positive association with cocaine consumption among suicide victims. Males, people with black skin, with lower level of education, with employment, and who were under the effect of the use of cannabis and/or alcohol in the previous hours of death had a higher propensity to consume cocaine immediately before suicide, with a moderate to strong magnitude of prevalence ratio. The findings of this research indicated the need for monitoring, by health services, of people most vulnerable to suicide through the consumption of psychoactive substances.

摘要

可卡因的使用越来越频繁,尤其是在年轻人中,可能会导致不可逆转的后果,如自杀。本研究旨在评估自杀前与可卡因使用相关的因素。这是一项在巴西联邦区进行的基于人群的、横断面和分析性研究,由卫生部门和刑事司法研究所的研究人员开展。调查纳入了 2018 年因自杀而死亡的所有人。可卡因使用被视为因变量,采用稳健泊松回归估计粗患病率比和调整后患病率比及其相应的人群置信区间。2018 年,共记录了 12157 例死亡,其中自杀占所有死亡的 1.56%。结果显示,自杀者中,年龄在 25-44 岁之间、男性、处于酒精或大麻影响下与可卡因消费之间存在很强的正相关关系。自杀前几小时使用大麻和/或酒精、男性、黑皮肤、受教育程度较低、有工作、处于酒精和/或大麻影响下的自杀者,有更高的倾向在自杀前立即使用可卡因,其可卡因消费的流行率比具有中等至强的程度。本研究结果表明,卫生服务部门需要对通过使用精神活性物质而处于自杀高风险的人群进行监测。

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