Confronting death from drug self-intoxication (DDSI): Prevention through a better definition
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© 2013 American Public Health Association. Suicide and other selfdirected violence deaths are likely grossly underestimated, reflecting inappropriate classification ofmany drug intoxication deaths as accidents or unintentional and heterogeneous ascertainment and coding practices across states. As the tide of prescription and illicit drug-poisoning deaths is rising, public health and research needs would be better satisfied by considering most of these deaths a result of self-intoxication. Epidemiologists and prevention scientists could design better intervention strategies by focusing on premorbid behavior. We propose incorporating deaths from drug selfintoxication and investigations of all poisoning deaths into the National Violent Death Reporting System, which contains misclassified homicides and undetermined intent deaths, to facilitate efforts to comprehend and reverse the surging rate of drug intoxication fatalities.
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Discerning suicide in drug intoxication deaths: Paucity and primacy of suicide notes and psychiatric historyRockett, I.; Caine, E.; Connery, H.; D'Onofrio, G.; Gunnell, D.; Miller, Ted; Nolte, K.; Kaplan, M.; Kapusta, N.; Lilly, C.; Nelson, L.; Putnam, S.; Stack, S.; Värnik, P.; Webster, L.; Jia, H. (2018)© 2018 Rockett et al. Objective A paucity of corroborative psychological and psychiatric evidence may be inhibiting detection of drug intoxication suicides in the United States. We evaluated the relative importance of ...
Method overtness, forensic autopsy, and the evidentiary suicide note: A multilevel national violent death reporting system analysisRockett, I.; Caine, E.; Stack, S.; Connery, H.; Nolte, K.; Lilly, C.; Miller, Ted; Nelson, L.; Putnam, S.; Nestadt, P.; Jia, H. (2018)© 2018 Rockett et al. Objective Higher prevalence of suicide notes could signify more conservatism in accounting and greater proneness to undercounting of suicide by method. We tested two hypotheses: (1) an evidentiary ...
Self-injury Mortality in the United States in the Early 21st Century: A Comparison With Proximally Ranked DiseasesRockett, I.; Lilly, C.; Jia, H.; Larkin, G.; Miller, Ted; Nelson, L.; Nolte, K.; Putnam, S.; Smith, G.; Caine, E. (2016)Importance: Fatal self-injury in the United States associated with deliberate behaviors is seriously underestimated owing to misclassification of poisoning suicides and mischaracterization of most drug poisoning deaths ...