Sociodemographic factors of violent deaths related to licit or ilicit psychoactive substances: a cross-sectional study, Ceará, Brazil, 2015-2019.

IF 2 Q1 Multidisciplinary Epidemiologia e Servicos de Saude Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI:10.1590/S2237-96222024v33e2024152.en

Wanderley Pinheiro de Holanda Júnior, Raimunda Hermelinda Maia Maceno, Maria Augusta Drago Ferreira

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Abstract

Objective: To assess association between sociodemographic factors, presence of licit or illicit psychoactive substances, and types of legal death in Ceará state, Brazil.

Methods: Cross-sectional study based on autopsy data and toxicology tests on victims of cases registered by the Ceará Forensic Expert service, from 2015 to 2019.

Results: Of the 4,198 cases analyzed, 55.6% were positive for licit and/or illicit substances, with greater frequency of benzodiazepines (22.4%) and cocaine (21.7%) among males (45.0%), young adults (58.7%), single people (49.0%), and those with low education levels (52.8%). Association was found between benzodiazepines (29.5%) and tricyclic antidepressants (15.6%) and suicides; cocaine (28.1%) and cannabis (27.1%) and homicides; and cocaine (28.2%) and tricyclic antidepressants (5.9%) and suspicious deaths.

Conclusion: Sociodemographic factors were associated with the use of psychoactive substances and types of legal death. Benzodiazepines and cocaine were the most frequent substances in suicide and homicide cases, respectively.

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与合法或非法精神活性物质相关的暴力死亡的社会人口因素：一项横断面研究，巴西塞雷, 2015-2019。

目的：评估巴西塞埃尔州的社会人口因素、合法或非法精神活性物质的存在与合法死亡类型之间的关系。方法：基于2015 - 2019年中国法医鉴定服务中心登记的案件受害者的尸检数据和毒理学测试进行横断面研究。结果：在分析的4198例病例中，合法和/或非法物质检出率为55.6%，其中苯二氮卓类药物（22.4%）和可卡因（21.7%）在男性（45.0%）、青年（58.7%）、单身（49.0%）和低文化程度人群（52.8%）中检出率较高。苯二氮卓类药物（29.5%）和三环类抗抑郁药物（15.6%）与自杀有关；可卡因（28.1%）和大麻（27.1%）和杀人；可卡因（28.2%）、三环类抗抑郁药（5.9%）和可疑死亡。结论：社会人口因素与精神活性物质的使用和法定死亡类型有关。苯二氮卓类药物和可卡因分别是自杀和杀人案件中最常见的物质。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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