Unnatural Death among Treatment Seeking Substance Users in Singapore: A Retrospective Study

International Journal of Environmental Research and Public Health
Asharani PvGomathinayagam Kandasami

Abstract

Substance use carries a higher risk of unnatural death. A retrospective analysis of 42 treatment seekers between 2011-2015 was conducted through medical record review to understand the profile and circumstances leading to premature deaths. Ninety percent of the subjects were males. The mean age at death was 44.9 (SD ± 13.1). Opioids (52.4%), benzodiazepines (45.2%) and alcohol (35.7%) were the main substances used by the group. Suicide was the most common cause of death (n = 27, 64.3%) followed by accidents (n = 15; 35.7%). Among the suicide cases, alcohol was the main substance used (33.3%) followed by opioids (25.9%). A total of 58.5% (n = 24) deaths occurred within a year of their last visit while 41.5% (n = 17) were dead more than a year after their last visit. Of the total cases (n = 41), 63% had a history of mental illness with depressive disorder (53.8%) being the most common. History of suicide attempts were reported in 34.1% (n = 14) of cases and 50% of the subjects (n = 21) had a history of suicidal ideation. Drug related offences were reported in 57.1% of the subjects, of which 60% (n = 18) committed suicide. The findings support the need for appropriate treatment resources to reduce the untimely deaths among substan...Continue Reading

References

Jan 1, 1985·Archives of General Psychiatry·R L MartinP J Clayton
Mar 1, 1983·Journal of Studies on Alcohol·R HonkanenT Visuri
Jan 1, 1983·Comprehensive Psychiatry·S L MurphyH D Kleber
Jan 1, 1994·British Medical Bulletin·E Glucksman
May 22, 2002·The Journal of Clinical Psychiatry·Alec Roy
Nov 2, 2002·Addiction·Shane Darke, Joanne Ross
Feb 28, 2004·Emergency Medicine Journal : EMJ·J J E Johnston, S J McGovern
Nov 2, 2004·The Medical Journal of Australia·Carolyn CoffeyGeorge C Patton
Jan 27, 2005·Social Psychiatry and Psychiatric Epidemiology·Kirsi SuominenJouko Lönnqvist
Sep 13, 2006·Forensic Science International : Synergy·Anna K JönssonJohan Ahlner
Jan 19, 2010·Drug and Alcohol Review·Marlene StenbackaAnders Romelsjö
Jul 10, 2010·International Journal of Environmental Research and Public Health·Maurizio PompiliDavid Lester
Sep 30, 2010·Journal of Clinical Pathology·Helen Ingoldsby, Grace Callagy
Mar 2, 2011·Drug and Alcohol Review·Chian-Jue KuoChiao-Chicy Chen
Oct 9, 2012·Medicine, Science, and the Law·Marian Wang, Chi-Keong Ching
Dec 12, 2012·Journal of Forensic and Legal Medicine·J TuusovM Väli
Jun 24, 2014·Annals of Epidemiology·Mark S KaplanKurt B Nolte
Oct 30, 2016·Journal of Public Health·Jalal PoorolajalNahid Darvishi
Nov 17, 2015·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Robert J TaitSimon Lenton
Apr 29, 2016·Journal of Forensic Sciences·Dayong LeeBruce A Goldberger
Mar 27, 2018·Substance Use & Misuse·Ninive von GreiffAnders Bergmark
May 2, 2018·JAMA : the Journal of the American Medical Association·Christopher M JonesWilson M Compton

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Citations

Apr 16, 2020·International Journal of Environmental Research and Public Health·T Wing LoCherry H L Tam

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