Changing Patterns in the Types and Methods of Abuse of Illegal Drugs in Sri Lanka: A Study Based on Five Recent Case Series

S. Raveendran, S. Hulathduwa
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Abstract

Substance abuse is a global problem. The types of drugs, patterns of abuse and other demographic characters change over time. Five incidences including two case series are discussed here. They involve teenagers and young adults including fist-time users of cocktails of drugs including relatively newer substances of abuse in Sri Lanka such as amphetamines and methamphetamines. Illegal gatherings organized through the internet such as Facebook parties are becoming commoner in Sri Lanka providing a safe platform for experiencing illegal drugs and casual sex for teenagers including school children. Recreational abuse of these drugs in the dance culture by teenagers and young adults poses many medical, social and psychological problems. Young female substance abusers are on the rise. Chemsex or the abuse of psychoactive substances to enhance sexual desire, performance and to achieve a ‘carefree and relaxed mind-set’ during casual sex is a relatively newer entity in Sri Lanka which is reported in these case series.  Rave parties, beach parties and Facebook parties pose many new challenges to the law enforcement, Government Analyst and the Judicial Medical Officer in Sri Lanka. Multi-disciplinary research and infrastructure development are necessary to successfully face these challenges.
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斯里兰卡非法药物滥用类型和方法的变化模式:基于最近五个案例系列的研究
药物滥用是一个全球性问题。药物的种类、滥用模式和其他人口特征随时间而变化。本文讨论了包括两个系列病例在内的五种发病率。他们涉及青少年和年轻人,包括第一次使用鸡尾酒药物的人,包括在斯里兰卡滥用的相对较新的物质,如安非他明和甲基苯丙胺。在斯里兰卡,通过Facebook聚会等网络组织的非法集会越来越普遍,为包括学生在内的青少年提供了一个体验非法毒品和随意性行为的安全平台。青少年和年轻人在舞蹈文化中娱乐性地滥用这些药物会造成许多医疗、社会和心理问题。年轻女性滥用药物的人数正在上升。Chemsex或滥用精神活性物质以增强性欲、性行为和在随意性行为中达到“无忧无虑和放松的心态”是斯里兰卡较新的一种行为,在这些病例系列中有报道。狂欢派对、海滩派对和Facebook派对给斯里兰卡的执法部门、政府分析师和司法医务官员带来了许多新的挑战。多学科研究和基础设施建设是成功应对这些挑战的必要条件。
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