Drug deaths in St. Louis City and County: a brief survey, 1977-1979.

The vast majority of drug deaths in St. Louis City and County through 1977-1979 were of adults who ingested multiple drugs with suicidal intent. In this 3-year survey, seven deaths were due to accidental overdose of ethanol, seven to "over-the-counter" products or laboratory reagents, eight from "classic poisons," and only eight to drug abuse. The remaining 117 deaths (80%) resulted from ingestion of legally obtained prescription drugs. Sixty-two percent of all deaths were due to multiple drug administration. Only one child was fatally poisoned. Barbiturates, benzodiazepines, ethanol, propoxyphene, and tricyclic antidepressants were the most common agents encountered.