Influence of war on quantitative and qualitative changes in drug-induced mortality in Split-Dalmatia County, Croatia

Šušnjara, Ivana Marasović; Gojanović, Marija Definis; Vodopija, Davor; Čapkun, Vesna; Smoljanović, Ankica
October 2011
Croatian Medical Journal;Oct2011, Vol. 52 Issue 5, p629
Academic Journal
Aim To study drug-induced mortality and characteristics of overdose deaths in the war (1991-1995), pre-war (1986-1990), and post-war period (1996-2000) in Split-Dalmatia County. Methods We retrospectively searched through Databases of the Department of Forensic Medicine, University Hospital Split, the national register of death records, the archives of the Split-Dalmatia County Police, and the Register of Treated Drug Addicts of the Croatian National Institute of Public Health, covering the period from 1986 to 2000, according to drug poisoning codes IX and X of the International Classification of Diseases. The indicators were statistically analyzed. Results There were 146 registered drug-induced deaths, with 136 (93%) deceased being men. The median age of all cases was 27 years (interquartile range 8). Most of them were single (70.6%), unemployed (44.6%), and secondary school graduates (69.2%). In the war period, there were 4.8 times more deaths than in the pre-war period (P = 0.014), and in the post-war period there were 5.2 times more deaths than in the pre-war period (P = 0.008). The most common site of death was the deceased person's home. The toxicological analyses showed that 59 (61%) deaths were heroin related, alcohol use was found in 62 cases (42.5%), and multi-substance use was found in more than a half of the cases. In 133 (91.1%) cases, deaths were classified as unintentional, whereas 13 (8.9%) were classified as suicides. Conclusion The war, along with other risk factors, contributed to unfavorable developments related to drug abuse in Split-Dalmatia County, including the increase in the drug-induced mortality rate.


Related Articles

  • Drugs & Alcohol.  // Drugs & Alcohol: Points to Keep in Mind As We (All) Grow Older;2002, p1 

    This publication offers information on the misuse of drugs and alcohol by older people. According to the article, the most serious personal problems growing older can bring is the misuse of alcohol and drugs by older people. Older adults account for 30% of hospitalization cases and 51% of all...

  • Orlistat abuse.  // Reactions Weekly;7/4/2009, Issue 1259, p23 

    The article presents the case of a 45-year-old woman who developed intestinal disorders following orlistat abuse. The patient consulted a psychiatrist after experiencing a binge-eating disorder after taking the medication in larger doses and more frequently than recommended. She presented with...

  • Citalopram overdose.  // Reactions Weekly;3/26/2005, Issue 1044/1045, p7 

    Discusses research being done on an elderly patient who developed junctional bradycardia after intentional ingestion of citalopram overdose and treated with sodium bicarbonate. Reference to a study by L. Lande et al published in a January 2005 issue of "Pharmacotherapy"; Effect of the overdose...

  • Some Good Advice. Sispear, Pearlie Bee // Winner;Nov2004, Vol. 48 Issue 3, p13 

    Gives advice on the health effects of drinking alcoholic beverages and drug use.

  • Alcohol and drugs. Farrell, Michael; Strang, John // BMJ: British Medical Journal (International Edition);2/22/92, Vol. 304 Issue 6825, p489 

    Focuses on the challenges in the management of alcohol consumption and drug abuse in Europe. Assessment of the nature and extent of the problem; Patterns of intermittent and explosive drunkenness; Increase in drug movement within and between countries. INSET: Helpful target.

  • Drink spiking.  // Children & Young People Now (Haymarket Business Publications Ltd;6/1/2010, p21 

    The article offers information the attributes of drink spiking, the drugs used in beverage spiking and the symptoms encountered by the victims.

  • You Cannot Delegate Leadership. Fields, Gary M. // Educational Leadership;Mar1988, Vol. 45 Issue 6, p33 

    Examines key elements relevant to alcohol and drug use prevention in Washington. Leadership from the school superintendent; School-community partnership; Development of substance abuse prevention programs.

  • Declaration of zero tolerance ... and then what? NORTON, TIMMY // Eastern Door;10/11/2013, Vol. 22 Issue 40, p9 

    The article focuses on issues concerning drug and alcohol use in Kahnawake, Quebec.

  • New Hope for Addicts? Ehrenfeld, Temma // Newsweek;6/13/2005, Vol. 145 Issue 24, p68 

    Reports on how the epilepsy drug topiramate is being used to treat alcoholism. Review of the case of Donald Elbel, who tried numerous avenues to quit drinking before volunteering for a topiramate clinical trial of Topamax; Scientific advancements regarding the study of addiction over the past...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics