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Factors associated with fatal overdoses in Oslo 2006-2008

Factors associated with fatal overdoses in Oslo 2006-2008. Linn Gjersing, Thomas Clausen, Jørgen Bramness, Helge Waal, Stian Biong & Edle Ravndal. Definitions. Drug-induced deaths

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Factors associated with fatal overdoses in Oslo 2006-2008

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  1. Factorsassociatedwith fatal overdoses in Oslo2006-2008 Linn Gjersing, Thomas Clausen, Jørgen Bramness, Helge Waal, Stian Biong & Edle Ravndal

  2. Definitions • Drug-induced deaths • Deaths directly due to use of illegal substances, although these often occur in combination with other substances such as alcohol or psychoactive medicines. These deaths occur generally shortly after the consumption of the substance • Overdoses or poisonings (EMCDDA 2009) Universitetet i Oslo

  3. Background Universitetet i Oslo EMCDDA 2009 s 84

  4. Background • City council of Oslo • March 2009 • Investigate all overdoses in Oslo and identify possible causes • Norwegian Centre for Addiction Research (Seraf) • November 2009 • To identify all drug-induced deaths in Norway 2006-2008 • To assess the drug-induced deaths in Oslo • Assess toxicology • Place of death (street, low threshold housing facilities, hospitals) • Possible causes • Role of primary and secondary health care services Universitetet i Oslo

  5. Methods • Epidemiologicalstudy • Cross-linked • Qualitative research study Universitetet i Oslo

  6. Cases • Overdoses • European Monitoring Centre for Drugs and Drug Addiction’s (EMCDDA) definition • T42.4 benzodiazepines • Alcohol • F100 Acuteintoxication • X45 Accidentalpoisoning • X65 Intentionalpoisoning • < 70 år Universitetet i Oslo

  7. *T43.6 Psychostimulantswithabusepotential ** T40.0-.9 Narcotics and psychodysleptics Universitetet i Oslo

  8. Identification of cases • General Mortality Registry • Cause of death • Contributing cause of death • Age • Date of death • Residency according to Directory of Residents • Region of death • Place (hospital, home, street etc) Universitetet i Oslo

  9. Registries • The Incarceration Registry • 2/3 time, end of time, date of release • Registry for Drug-related Deaths • Toxicology reports • The Drug Prescription Registry • The Norwegian institute of Public Health • Prescribed medications previous 12 months before death Universitetet i Oslo

  10. Patientrecords • Hospitals • Community health care services • Outpatient emergency clinics • Low threshold facilities • Housing, street clinics • Outreach services • Social welfare offices • Treatment centres • Detoxification units • Salvation army, Bymisjonen, P22, Fredheim, Tyrilistiftelsen Universitetet i Oslo

  11. Preliminary resultsDeaths in Oslo Universitetet i Oslo

  12. Age of death Universitetet i Oslo

  13. Place of death Universitetet i Oslo

  14. Type of deaths Universitetet i Oslo

  15. Release from prison Universitetet i Oslo

  16. Age and death after prison release Universitetet i Oslo

  17. Preliminary conclusions • 70% Oslo residents • 20% women • Women older than men • Most deaths accidental • First month after prison release critical • Majority of those that die after prison release were between 26 and 36 yrs Universitetet i Oslo

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