Experience of heroin overdose among drug users attending general practice

British Journal of General Practice

Volumn 50, Issue 456, 2000, Pages 546-549

  Cullen, Walter ^a   Bury, G ^b   Langton, D ^b  

^a UNIVERSITY COLLEGE DUBLIN   (Ireland)

^b NONE

Author keywords

Drug misuse; General practitioners; Methadone; Preventive medicine

Indexed keywords

DIAMORPHINE; METHADONE;

ADULT; ARTICLE; CLINICAL ARTICLE; DRUG MISUSE; DRUG OVERDOSE; GENERAL PRACTICE; GENERAL PRACTITIONER; HUMAN; IRELAND; MALE; MORTALITY; PATIENT CARE; PREVENTIVE MEDICINE;

ADULT; FAMILY PRACTICE; FEMALE; HEROIN; HEROIN DEPENDENCE; HUMANS; MALE; METHADONE; NARCOTICS; NORTHERN IRELAND; OVERDOSE; PHYSICIAN'S ROLE; QUESTIONNAIRES;

EID: 0033924814     PISSN: 09601643     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (43)

1. Watterson O, Simpson DD, Sells SB. Death rates and causes of death among opioid addicts in community drug treatment programs during 1970-73. Am J Drug Alcohol Abuse 1975; 2: 99-111.
2. Joe GW, Lehman W, Simpson DD. Addict death rates during a four year post-treatment follow-up. Am J Public Health 1982; 72: 703-709.
3. Joe GW, Simpson DD. Mortality rates among opioid addicts in a longitudinal study. Am J Public Health 1987; 77: 347-348.
4. Haarstrup S, Jepson P. Eleven-year follow up of 300 young opioid addicts. Acta Psychiatr Scand 1988; 77: 22-26.
5. Tunving K. Fatal outcome in drug addiction. Acta Psychiatr Scand 1988; 77: 551-566.
6. Perucci CA, Davoli M, Rapiti E, et al. Mortality of intravenous drug users in Rome: a cohort study. Am J Public Health 1991; 81: 1307-1310.
7. Engstrom A, Adamsson C, Allebeck P, Rydberg W. Mortality in patients with substance abuse: a follow up in Stockholm County, 1973-1984. Int J Addictions 1991; 26: 91-106.
8. Frischer M. Estimated prevalence of injecting drug use in Glasgow. Br J Addiction 1992; 87: 235-243.
9. Frischer M, Bloor M, Goldberg D, et al. Mortality among injecting drug users: a critical reappraisal. J Epidemiol Community Health 1993; 47: 59-63.
10. Frischer M, Green S, Taylor A. Challenging the stereotype of affluent cocaine users: a study of cocaine use and HIV risk behaviour among injecting drug users in Glasgow. Addiction Research 1993; 1: 89-96.
11. Oppenheimer E, Tobutt C, Taylor C, Andrew T. Death and survival in a cohort of heroin addicts from London clinics: a 22-year follow-up study. Addiction 1994; 89: 1299-1308.
12. Risser D, Schneider B. Drug-related deaths between 1985 and 1992 examined at the Institute of Forensic Medicine in Vienna, Austria. Addiction 1994; 89: 851-857.
13. Hammersley R, Cassidy MT, Oliver J. Drugs associated with drug-related deaths in Edinburgh and Glasgow, November 1990 to October 1992. Addiction 1995; 90: 959-965.
14. Zador D, Sunjic S, Darke S. Heroin related deaths in New South Wales, 1982: toxicological findings and circumstances. Med J Aust 1996; 164: 204-207.
15. Frischer M, Goldberg D, Rahman M, Berney L. Mortality and survival among a cohort of drug users in Glasgow, 1982-1994. Addiction 1997; 92(4): 419-427.
16. Comiskey C. Estimating the prevalence of opiate drug use in Dublin, Ireland during 1996. Dublin: Department of Health and Children, 1996.
17. Department of Public Health. Public Health in the Eastern Health Board Region. Dublin: Eastern Health Board, 1998.
18. Bourke M. Factfile on drug misuse: working with drug users in general practice. Dublin: Irish College of General Practitioners/Eastern Health Board, 1997.
19. O'Kelly F, Bury G. An analysis of the effects of HIV infection in a cohort of intravenous drug users. Ir Med J 1996; 89(3): 112-114.
20. Bury G. O'Kelly F. Human immunodeficiency virus infection in a Dublin general practice. J R Coll Gen Pract 1989; 39(320): 101-103.
21. Robertson R. Introduction and background. In: Robertson R (ed). Management of drug users in the community. London: Oxford University Press, 1998.
22. Glanz A. The fall and rise of the general practitioner. In: Strang J, Gossop M (eds). Heroin addiction and drug policy: The British system. London: Oxford University Press, 1994.
23. Martin E, Canavan A, Butler R. A decade of caring for drug users entirely within general practice. Br J Gen Pract 1998; 48: 1679-1682.
24. Whittaker A, MacLeod J. Care in the community. In: Robertson R (ed). Management of drug users in the community. London: Oxford University Press, 1998.
25. Gerada C, Farrell M. Shared care. In: Robertson R (ed). Management of drug users in the community. London: Oxford University Press, 1998.
26. Gossop M, Marsden J, Stewart D, et al. Methadone treatment practices and outcome for opiate addicts treated in drug clinics and in general practice: results from the National Treatment Outcome Research Study. Br J Gen Pract 1999; 49: 31-34.
27. Cook S, Moeschler O, Michaud K, Yersin B. Acute opiate overdose: characteristics of 190 consecutive cases. Addiction 1998; 93(10): 1559-1565.
28. Cullen W, Bury G. Profile of drug users attending general practice in an Irish Health Board area. [Unpublished data.] 1999.
29. Hutchinson L, Keenan E, Cheasty M, et al. A comparison of attendance for drug misuse to Dublin Accident & Emergency Departments 1985-1993. Ir Med J 1995; 88(2): 56-57.
30. O'Kelly FD, O'Doherty K, Bury G, O'Callaghan E. Heroin abuse in an inner city practice. Ir Med J 1986; 79(4): 85-87.
31. Bury G, O'Kelly F, Pomeroy L. The use of primary care services by drug users attending a HIV prevention unit. Ir Med J 1993; 86(2): 53-55.
32. Gossop M, Griffiths P, Powis B, et al. Frequency of non-fatal overdose: a survey in non-clinical settings. BMJ 1996: 313: 402.
33. Darke S, Ross J, Hall W. Overdose among heroin users in Sydney, Australia: 1. Prevalence and correlates of non-fatal overdose. Addiction 1996; 91(3): 405-411.
34. Darke S, Ross J, Hall W. Overdose among heroin users in Sydney, Australia: II. Responses to overdose. Addiction 1996; 91(3): 413-417.
35. Manning FJ, Ingraham LH. Drug "overdoses" among U.S. soldiers in Europe, 1978-79. 1. Demographics and toxicology. Int J Addictions 1983; 18: 89-98.
36. Bammer G, Sengoz A. Non-fatal overdoses. Med J Aust 1994; 161: 572-573.
37. Grund JPC. Drug use as a social ritual. Functionality, symbolism and determinants of self-regulation. Rotterdam: University of Rotterdam, 1993.
38. Goldstein P, Spunt B, Miller T, Bellucci P. Ethnographic field stations. In: Lambert E (ed). The Collection and Interpretation of Data from Hidden Populations, NIDA Research Monograph. Rockville, MD: National Institute of Drug Abuse, 1990.
39. McGregor C, Darke S, Ali R, Christie P. Experience of non-fatal overdose among heroin users in Adelaide, Australia: circumstances and risk perceptions. Addiction 1998; 93(5): 701-711.
40. Gossop M, Darke S, Griffiths P, et al. The Severity of Dependence Scale (SDS): psychometric properties of the SDS in English and Australian samples of heroin, cocaine and amphetamine users. Addiction 1995; 90: 607-614.
41. Walsh RA. Opioid drug accidental deaths in the Newcastle area of New South Wales, 1970-1987. Drug and Alcohol Review 1991; 10: 79-83.
42. Guttierez J, DeLa Torre R, Ortuno J, et al. Psychotropic drug consumption and other factors associated with heroin overdose. Drug Alcohol Depend 1994; 35: 169-174.
43. Strang J, Darke S, Hall W, et al. Heroin overdose: the case for take home naloxone BMJ 1996; 312: 1435-1436.