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Am J Psychiatry 1992; 149:371-375
Copyright © 1992 by American Psychiatric Association
Prevalence of cocaine use among residents of New York City who committed suicide during a one-year period
PM Marzuk, K Tardiff, AC Leon, M Stajic, EB Morgan and JJ Mann
Laboratory of Psychopharmacology, Cornell University Medical College, New York, NY 10021.
OBJECTIVE: In the mid-1980s the form of cocaine called "crack" became
widely available in New York City. The authors sought to determine the
prevalence of cocaine metabolites detected at autopsy in persons who
committed suicide in New York City during this period. METHOD: Individual
reviews of the autopsy and toxicological records of all persons under the
age of 61 who had committed suicide in the city during a 1-year period were
conducted to determine demographic characteristics, suicide methods, and
cocaine and alcohol use at the time of death. RESULTS: In one of every five
cases studied, the person who committed suicide had used cocaine within
days of his or her death. The prevalence of cocaine use among young
Hispanic males who committed suicide was 45%. Persons who were young,
black, or Hispanic and who had used alcohol immediately before the fatal
injury were most likely to have been recent cocaine users. After
controlling for demographic variables and ethanol use, the investigators
found that individuals who committed suicide with firearms were twice as
likely to have used cocaine as those who used other methods. CONCLUSIONS:
In contrast to the results of regional and household surveys during this
period, which suggested that the current prevalence of cocaine use in New
York City was 3%-5%, these results suggest a high prevalence of cocaine use
in the days immediately preceding death by young persons who commit
suicide. Additional studies are needed to determine how cocaine may act as
a risk factor for suicide.
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