When is a little knowledge dangerous?: circumstances of recent heroin overdose and links to knowledge of overdose risk factors
MetadataShow full item record
The link to the journal’s home page is: http://www.elsevier.com/wps/find/journaldescription.cws_home/506052/description#description
Copyright © 2006 Elsevier Ltd. All rights reserved
Objectives: To describe the circumstances surrounding recent heroin overdose among a sample of heroin overdose survivors and the links to their knowledge of overdose risk. Methods: A cross-sectional survey of 257 recent non-fatal heroin overdose survivors was undertaken to examine self-reported knowledge of overdose risk reduction strategies, behaviour in the 12 h prior to overdose and attributions of overdose causation. Results: Most of the overdoses occurred in public spaces as a result of heroin use within 5 min of purchasing the drug. A substantial number of overdoses occurred with no one else present and/or involved the concomitant use of other drugs. While knowledge of at least one overdose prevention strategy was reported by 90% of the sample, less than half of the sample knew any single strategy. Furthermore knowledge of the dangers of mixing benzodiazepines and/or alcohol with heroin was associated with an increased likelihood of such mixing being reported prior to overdose. Conclusions: While heroin users can articulate knowledge of key overdose risk reduction strategies, this knowledge was not generally associated with a reduction in risk behaviours but was in some cases associated with increased reports of overdose risk behaviours. Further research is required in order to better understand this paradoxical effect, focussing on risk reduction education amenable to the social contexts in which heroin use takes place.
Showing items related by title, author, creator and subject.
Comparing drug-related hospital morbidity following heroin dependence treatment with methadone maintenance or naltrexone implantationNgo, H.; Tait, Robert; Hulse, G. (2008)Context: Most research on heroin dependence treatments assesses short-term changes in patients' self-reported drug use. To our knowledge, long-term sustainability of changes in patients' drug use and associated hospital ...
The relationship between age and risky injecting behaviours among a sample of Australian people who inject drugsHoryniak, Danielle; Dietze, Paul; Degenhardt, Louisa; Higgs, Peter; McIlwraith, F; Alati, Rosa; Bruno, Raimondo; Lenton, Simon; Burns, Lucy (2013)Background: Limited evidence suggests that younger people who inject drugs (PWID) engage in high-risk injecting behaviours. This study aims to better understand the relationships between age and risky injecting behaviours. ...
Potential impacts on the incidence of fatal heroin-related overdose in Western Australia: a time-series analysisHargreaves, K.; Lenton, Simon; Phillips, M.; Swensen, G. (2002)In response to the rising concerns about the rate of heroin-related fatalities, overdose prevention campaigns, run by both users' organizations and government agencies, have been implemented in a number of states across ...