Exploring the contextual risk factors and characteristics of individuals who died from the acute toxic effects of opioids and other illegal substances: listening to the coroner and medical examiner voice
IntroductionSubstance-related acute toxicity deaths continue to be a serious public health concern in Canada. This study explored coroner and medical examiner (C/ME) perspectives of contextual risk factors and characteristics associated with deaths from acute toxic effects of opioi...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Health Agency of Canada
2023-02-01
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| Series: | Health Promotion and Chronic Disease Prevention in Canada |
| Online Access: | https://www.canada.ca/en/public-health/services/reports-publications/health-promotion-chronic-disease-prevention-canada-research-policy-practice/vol-43-no-2-2023/exploring-contextual-risk-factors-characteristics-individuals-died-acute-toxic-effects-opioids-illegal-substances-coroner-medical-examiner.html |
| _version_ | 1797904740480188416 |
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| author | Tamara Thompson Jenny Rotondo Aganeta Enns Jennifer Leason Jessica Halverson Dirk Huyer Margot Kuo Lisa Lapointe Jennifer May-Hadford Heather Orpana |
| author_facet | Tamara Thompson Jenny Rotondo Aganeta Enns Jennifer Leason Jessica Halverson Dirk Huyer Margot Kuo Lisa Lapointe Jennifer May-Hadford Heather Orpana |
| author_sort | Tamara Thompson |
| collection | DOAJ |
| description |
IntroductionSubstance-related acute toxicity deaths continue to be a serious public health concern in Canada. This study explored coroner and medical examiner (C/ME) perspectives of contextual risk factors and characteristics associated with deaths from acute toxic effects of opioids and other illegal substances in Canada.
MethodsIn-depth interviews were conducted with 36 C/MEs in eight provinces and territories between December 2017 and February 2018. Interview audio recordings were transcribed and coded for key themes using thematic analysis.
ResultsFour themes described the perspectives of C/MEs: (1) Who is experiencing a substance-related acute toxicity death?; (2) Who is present at the time of death?;(3) Why are people experiencing an acute toxicity death?; (4) What are the social contextual factors contributing to deaths? Deaths crossed demographic and socioeconomic groups and included people who used substances on occasion, chronically, or for the first time. Using alone presents risk, while using in the presence of others can also contribute to risk if others are unable or unprepared to respond. People who died from a substance-related acute toxicity often had one or more contextual risk factors: contaminated substances, history of substance use, history of chronic pain and decreased tolerance. Social contextual factors contributing to deaths included diagnosed or undiagnosed mental illness, stigma, lack of support and lack of follow-up from health care.
ConclusionFindings revealed contextual factors and characteristics associated with substance-related acute toxicity deaths that contribute to a better understanding of the circumstances surrounding these deaths across Canada and that can inform targeted prevention and intervention efforts. |
| first_indexed | 2024-04-10T09:53:40Z |
| format | Article |
| id | doaj.art-e1d5ca3c347b433b8ccaac92d840b6bc |
| institution | Directory Open Access Journal |
| issn | 2368-738X |
| language | English |
| last_indexed | 2024-04-10T09:53:40Z |
| publishDate | 2023-02-01 |
| publisher | Public Health Agency of Canada |
| record_format | Article |
| series | Health Promotion and Chronic Disease Prevention in Canada |
| spelling | doaj.art-e1d5ca3c347b433b8ccaac92d840b6bc2023-02-16T13:27:34ZengPublic Health Agency of CanadaHealth Promotion and Chronic Disease Prevention in Canada2368-738X2023-02-01432516110.24095/hpcdp.43.2.01Exploring the contextual risk factors and characteristics of individuals who died from the acute toxic effects of opioids and other illegal substances: listening to the coroner and medical examiner voiceTamara Thompson0Jenny Rotondo1Aganeta Enns2Jennifer Leason3Jessica Halverson4Dirk Huyer5Margot Kuo6Lisa Lapointe7Jennifer May-Hadford8Heather Orpana9School of Health Studies, Faculty of Health Sciences, University of Western Ontario, London, Ontario, CanadaPublic Health Agency of Canada, Ottawa, Ontario, CanadaPublic Health Agency of Canada, Ottawa, Ontario, CanadaDepartment of Anthropology and Archaeology, University of Calgary, Calgary, Alberta, CanadaPublic Health Agency of Canada, Ottawa, Ontario, CanadaOffice of the Chief Coroner, Toronto, Ontario, CanadaPublic Health Agency of Canada, Ottawa, Ontario, CanadaOffice of the Chief Coroner, Victoria, British Columbia, CanadaPublic Health Agency of Canada, Ottawa, Ontario, CanadaPublic Health Agency of Canada, Ottawa, Ontario, Canada IntroductionSubstance-related acute toxicity deaths continue to be a serious public health concern in Canada. This study explored coroner and medical examiner (C/ME) perspectives of contextual risk factors and characteristics associated with deaths from acute toxic effects of opioids and other illegal substances in Canada. MethodsIn-depth interviews were conducted with 36 C/MEs in eight provinces and territories between December 2017 and February 2018. Interview audio recordings were transcribed and coded for key themes using thematic analysis. ResultsFour themes described the perspectives of C/MEs: (1) Who is experiencing a substance-related acute toxicity death?; (2) Who is present at the time of death?;(3) Why are people experiencing an acute toxicity death?; (4) What are the social contextual factors contributing to deaths? Deaths crossed demographic and socioeconomic groups and included people who used substances on occasion, chronically, or for the first time. Using alone presents risk, while using in the presence of others can also contribute to risk if others are unable or unprepared to respond. People who died from a substance-related acute toxicity often had one or more contextual risk factors: contaminated substances, history of substance use, history of chronic pain and decreased tolerance. Social contextual factors contributing to deaths included diagnosed or undiagnosed mental illness, stigma, lack of support and lack of follow-up from health care. ConclusionFindings revealed contextual factors and characteristics associated with substance-related acute toxicity deaths that contribute to a better understanding of the circumstances surrounding these deaths across Canada and that can inform targeted prevention and intervention efforts.https://www.canada.ca/en/public-health/services/reports-publications/health-promotion-chronic-disease-prevention-canada-research-policy-practice/vol-43-no-2-2023/exploring-contextual-risk-factors-characteristics-individuals-died-acute-toxic-effects-opioids-illegal-substances-coroner-medical-examiner.html |
| spellingShingle | Tamara Thompson Jenny Rotondo Aganeta Enns Jennifer Leason Jessica Halverson Dirk Huyer Margot Kuo Lisa Lapointe Jennifer May-Hadford Heather Orpana Exploring the contextual risk factors and characteristics of individuals who died from the acute toxic effects of opioids and other illegal substances: listening to the coroner and medical examiner voice Health Promotion and Chronic Disease Prevention in Canada |
| title | Exploring the contextual risk factors and characteristics of individuals who died from the acute toxic effects of opioids and other illegal substances: listening to the coroner and medical examiner voice |
| title_full | Exploring the contextual risk factors and characteristics of individuals who died from the acute toxic effects of opioids and other illegal substances: listening to the coroner and medical examiner voice |
| title_fullStr | Exploring the contextual risk factors and characteristics of individuals who died from the acute toxic effects of opioids and other illegal substances: listening to the coroner and medical examiner voice |
| title_full_unstemmed | Exploring the contextual risk factors and characteristics of individuals who died from the acute toxic effects of opioids and other illegal substances: listening to the coroner and medical examiner voice |
| title_short | Exploring the contextual risk factors and characteristics of individuals who died from the acute toxic effects of opioids and other illegal substances: listening to the coroner and medical examiner voice |
| title_sort | exploring the contextual risk factors and characteristics of individuals who died from the acute toxic effects of opioids and other illegal substances listening to the coroner and medical examiner voice |
| url | https://www.canada.ca/en/public-health/services/reports-publications/health-promotion-chronic-disease-prevention-canada-research-policy-practice/vol-43-no-2-2023/exploring-contextual-risk-factors-characteristics-individuals-died-acute-toxic-effects-opioids-illegal-substances-coroner-medical-examiner.html |
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