Historique
Rapport
Preventing opioid overdoses in Europe: A critical assessment of known risk factors and preventative measures
Auteur(s) :
FRISHER, M. ;
BALDACCHINO, A. ;
CROME, I. ;
BLOOR, R.
Année
2012
Page(s) :
84 p.
Sous-type de document :
Revue de la littérature / Literature review
Langue(s) :
Anglais
Éditeur(s) :
Lisbon : OEDT / EMCDDA
Collection :
Scientific Studies
Refs biblio. :
46
Domaine :
Drogues illicites / Illicit drugs
Thésaurus géographique
EUROPE
;
UNION EUROPEENNE
Thésaurus mots-clés
OPIACES
;
HEROINE
;
SURDOSE
;
PREVENTION
;
FACTEUR DE RISQUE
;
MORTALITE
;
INTERVENTION
;
EFFICACITE
;
RECOMMANDATION
Note de contenu :
TABLE OF CONTENTS:
• Introductory note
• Summary
• Introduction
• Overdose prevention: recommendations, actions and barrier
• Discussion
• Recommendations
• References
• Appendix 1: Analysis of overdose papers
• Appendix 2. Protocol and creation of the drug deaths database in fife
• Appendix 3. A case vignette of a typical drug death victim in fife 2009
• Introductory note
• Summary
• Introduction
• Overdose prevention: recommendations, actions and barrier
• Discussion
• Recommendations
• References
• Appendix 1: Analysis of overdose papers
• Appendix 2. Protocol and creation of the drug deaths database in fife
• Appendix 3. A case vignette of a typical drug death victim in fife 2009
Résumé :
FRANÇAIS :
L'objectif de ce rapport consistait à effectuer une revue de la littérature sur les risques de surdoses mortelles évitables chez les consommateurs d'héroïne. De façon générale, l'état actuel des connaissances montre que plus il y a de facteurs de risque présents (facteurs individuels, situationnels et organisationnels), plus la probabilité de surdose fatale est élevée. L'objet du rapport est de voir à quel degré il est possible de modifier cet ensemble complexe de facteurs afin de réduire les surdoses mortelles. [Résumé CQDT]
ENGLISH:
This report focuses on individual, situational and organisational risk factors for overdoses and how they can be modified to reduce fatal outcomes. Key risk and protective factors were categorised and their efficacy and the factors that facilitate or impede prevention were critically discussed by an expert panel. The review evidenced that many interventions may reduce overdose, particularly in settings where the drug user is in contact with treatment or emergency services. Specific interventions are proved to be effective (e.g. pharmacological treatment). At the population level, where many drug users are not in contact with services, overdose reduction depends on behavioural change (e.g. avoiding the mixture of opiates and depressant drugs). Overdose prevention involves personal and societal issues calling for multifaceted intervention.
L'objectif de ce rapport consistait à effectuer une revue de la littérature sur les risques de surdoses mortelles évitables chez les consommateurs d'héroïne. De façon générale, l'état actuel des connaissances montre que plus il y a de facteurs de risque présents (facteurs individuels, situationnels et organisationnels), plus la probabilité de surdose fatale est élevée. L'objet du rapport est de voir à quel degré il est possible de modifier cet ensemble complexe de facteurs afin de réduire les surdoses mortelles. [Résumé CQDT]
ENGLISH:
This report focuses on individual, situational and organisational risk factors for overdoses and how they can be modified to reduce fatal outcomes. Key risk and protective factors were categorised and their efficacy and the factors that facilitate or impede prevention were critically discussed by an expert panel. The review evidenced that many interventions may reduce overdose, particularly in settings where the drug user is in contact with treatment or emergency services. Specific interventions are proved to be effective (e.g. pharmacological treatment). At the population level, where many drug users are not in contact with services, overdose reduction depends on behavioural change (e.g. avoiding the mixture of opiates and depressant drugs). Overdose prevention involves personal and societal issues calling for multifaceted intervention.
Affiliation :
School of Pharmacy, Keele University, UK ; Centre for Addiction Research & Education Scotland, University of Dundee, UK ; Academic Psychiatry Unit, Keele University, UK