Contribution of Drugs to Drowning in Scotland from 1996 to 2020

John   Martin   Corkery; Giovanni      Martinotti; Fabrizio      Schifano

doi:10.2174/1570159X20666220830110758

Abstract

Objective: Psychoactive substance use (including alcohol) can affect risk perception, leading to accidents and deaths. There is little detailed or up-to-date information on the role of drugs in drownings in the United Kingdom (UK). This Scottish case-study aimed to fill this knowledge gap.

Methods: Anonymised data for individual drug-poisoning-related drowning registered from 1996 to 2020 were provided by the National Records of Scotland. Statistical analyses were performed for socio-demographics, ICD coding, cause of death, and substances implicated.

Results: It has been reported that death registrations increased from 7 in 2017 to over 20 during 2019-20. These deaths (n=160) accounted for <1% of all drug-related poisoning deaths; this proportion rose to record levels (c.1.5%) during 2019-20. Most deaths (69%) involved males. The mean age was 39.8 (range 16-81, SD 15.0) years. The main drug classes implicated were: opiates/opioids (41%), benzodiazepines (31%), stimulants (19%), and antidepressants (14%). Moreover, 57% of benzodiazepines were ‘designer’ drugs.

Conclusion: Scottish drownings associated with drug consumption are increasing rapidly. It has been observed that central nervous system depressant drugs (e.g., opioids, benzodiazepines, alcohol) are often involved in drowning. ‘Designer’ benzodiazepines are a principal factor in increasing Scottish drug-related poisoning deaths; they may be partially responsible for increasing numbers of related drownings. Evidence-based strategies to further reduce the number of preventable drownings should include reference to the dangers of drugs.

Keywords: Drowning, Scotland, Drug-Related, Intoxication, Fatal

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Graphical Abstract

[1]
Oyefeso, A.; Ghodse, H.; Clancy, C.; Corkery, J.; Goldfinch, R. Drug abuse-related mortality: A study of teenage addicts over a 20-year period. Soc. Psychiatry Psychiatr. Epidemiol.,  1999, 34(8), 437-441.
 [http://dx.doi.org/10.1007/s001270050166] [PMID: 10501714]

[2]
Ghodse, H.; Oyefeso, A.; Hunt, M.; Lind, J.; Pollard, M.; Mehta, R.; Corkery, J. Drug-related deaths as reported by coroners in England and Wales. Annual review 1999 and np-SAD surveillance report No 5; Centre for Addiction Studies, St George’s Hospital Medical School: London, 2000.  Available from: https://archive.org/details/NpSADAnnualReport1999SurveillanceReportNo5

[3]
Oyefeso, A.; Schifano, F.; Ghodse, H.; Cobain, K.; Dryden, R.; Corkery, J. Fatal injuries while under the influence of psychoactive drugs: A cross-sectional exploratory study in England. BMC Public Health,  2006, 6(1), 148.
 [http://dx.doi.org/10.1186/1471-2458-6-148] [PMID: 16756659]

[4]
Schifano, F.; Oyefeso, A.; Webb, L.; Pollard, M.; Corkery, J.; Ghodse, A.H. Review of deaths related to taking ecstasy, England and Wales, 1997-2000. BMJ,  2003, 326(7380), 80-81.
 [http://dx.doi.org/10.1136/bmj.326.7380.80] [PMID: 12521971]

[5]
Corkery, J.M.; Loi, B.; Claridge, H.; Goodair, C.; Corazza, O.; Elliott, S.; Schifano, F. Gamma hydroxybutyrate (GHB), gamma butyrolactone (GBL) and 1,4-butanediol (1,4-BD; BDO): A literature review with a focus on UK fatalities related to non-medical use. Neurosci. Biobehav. Rev.,  2015, 53, 52-78.
 [http://dx.doi.org/10.1016/j.neubiorev.2015.03.012] [PMID: 25843781]

[6]
Schifano, F.; Corkery, J.; Oyefeso, A.; Tonia, T.; Ghodse, A.H. Trapped in the "K-hole": overview of deaths associated with ketamine misuse in the UK (1993-2006). J. Clin. Psychopharmacol.,  2008, 28(1), 114-116.
 [http://dx.doi.org/10.1097/JCP.0b013e3181612cdc] [PMID: 18204359]

[7]
Corkery, J.M.; Hung, W.C.; Claridge, H.; Goodair, C.; Copeland, C.S.; Schifano, F. Recreational ketamine-related deaths notified to the National Programme on Substance Abuse Deaths, England, 1997–2019. J. Psychopharmacol.,  2021, 35(11), 1324-1348.
 [http://dx.doi.org/10.1177/02698811211021588] [PMID: 34092131]

[8]
Chiappini, S.; Claridge, H.; Corkery, J.M.; Goodair, C.; Loi, B.; Schifano, F. Methoxetamine-related deaths in the UK: An overview. Hum. Psychopharmacol.,  2015, 30(4), 244-248.
 [http://dx.doi.org/10.1002/hup.2422] [PMID: 26216557]

[9]
Corkery, J.M.; Schifano, F.; Ghodse, A.H. Mephedrone-related fatalities in the United Kingdom: Contextual, clinical and practical issues., 2012. Available from: https://www.intechopen.com/chapters/32134
 [http://dx.doi.org/10.5772/32935]

[10]
Loi, B.; Corkery, J.M.; Claridge, H.; Goodair, C.; Chiappini, S.; Gimeno Clemente, C.; Schifano, F. Deaths of individuals aged 16-24 years in the UK after using mephedrone. Hum. Psychopharmacol.,  2015, 30(4), 225-232.
 [http://dx.doi.org/10.1002/hup.2423] [PMID: 26216555]

[11]
Haagsma, J.A.; Graetz, N.; Bolliger, I.; Naghavi, M.; Higashi, H.; Mullany, E.C.; Abera, S.F.; Abraham, J.P.; Adofo, K.; Alsharif, U.; Ameh, E.A.; Ammar, W.; Antonio, C.A.T.; Barrero, L.H.; Bekele, T.; Bose, D.; Brazinova, A.; Catalá-López, F.; Dandona, L.; Dandona, R.; Dargan, P.I.; De Leo, D.; Degenhardt, L.; Derrett, S.; Dharmaratne, S.D.; Driscoll, T.R.; Duan, L.; Petrovich Ermakov, S.; Farzadfar, F.; Feigin, V.L.; Franklin, R.C.; Gabbe, B.; Gosselin, R.A.; Hafezi-Nejad, N.; Hamadeh, R.R.; Hijar, M.; Hu, G.; Jayaraman, S.P.; Jiang, G.; Khader, Y.S.; Khan, E.A.; Krishnaswami, S.; Kulkarni, C.; Lecky, F.E.; Leung, R.; Lunevicius, R.; Lyons, R.A.; Majdan, M.; Mason-Jones, A.J.; Matzopoulos, R.; Meaney, P.A.; Mekonnen, W.; Miller, T.R.; Mock, C.N.; Norman, R.E.; Orozco, R.; Polinder, S.; Pourmalek, F.; Rahimi-Movaghar, V.; Refaat, A.; Rojas-Rueda, D.; Roy, N.; Schwebel, D.C.; Shaheen, A.; Shahraz, S.; Skirbekk, V.; Søreide, K.; Soshnikov, S.; Stein, D.J.; Sykes, B.L.; Tabb, K.M.; Temesgen, A.M.; Tenkorang, E.Y.; Theadom, A.M.; Tran, B.X.; Vasankari, T.J.; Vavilala, M.S.; Vlassov, V.V.; Woldeyohannes, S.M.; Yip, P.; Yonemoto, N.; Younis, M.Z.; Yu, C.; Murray, C.J.L.; Vos, T.; Balalla, S.; Phillips, M.R. The global burden of injury: Incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013. Inj. Prev.,  2016, 22(1), 3-18.
 [http://dx.doi.org/10.1136/injuryprev-2015-041616] [PMID: 26635210]

[12]
World Health Organization. Preventing drowning: An implementation guide, 2017. Available from: https://www.who.int/publications/i/item/9789241511933

[13]
GBD 2017 Causes of Death Collaborators. Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980-2017: A systematic analysis for the Global Burden of Disease Study 2017. Lancet,  2019, 393(10190), e44.
 [http://dx.doi.org/10.1016/s0140-6736(18)32203-7]

[14]
RLSS UK. About don’t drink and drown. Royal Life Saving Society UK, 2021. Available from: https://www.rlss.org.uk/about-dont-drink-and-drown

[15]
NWSF. 2020 Annual Fatal Incident Report. National Water Safety Forum, 2021. Available from: https://www.nationalwatersafety. org.uk/waid/annual-reports-and-data

[16]
NWSF. 2015 Annual Fatal Incident Report. National Water Safety Forum, 2016. Available from: https://www.nationalwatersafety. org.uk/waid/annual-reports-and-data

[17]
Pajunen, T.; Vuori, E.; Vincenzi, F.F.; Lillsunde, P.; Smith, G.; Lunetta, P. Unintentional drowning: Role of medicinal drugs and alcohol. BMC Public Health,  2017, 17(1), 388.
 [http://dx.doi.org/10.1186/s12889-017-4306-8] [PMID: 28521790]

[18]
Ahlm, K.; Saveman, B.I.; Björnstig, U. Drowning deaths in Sweden with emphasis on the presence of alcohol and drugs – a retrospective study, 1992–2009. BMC Public Health,  2013, 13(1), 216.
 [http://dx.doi.org/10.1186/1471-2458-13-216] [PMID: 23497055]

[19]
Gorniak, J.M.; Jenkins, A.J.; Felo, J.A.; Balraj, E. Drug prevalence in drowning deaths in Cuyahoga County, Ohio: A ten-year retrospective study. Am. J. Forensic Med. Pathol.,  2005, 26(3), 240-243.
 [http://dx.doi.org/10.1097/01.paf.0000176280.74666.ab] [PMID: 16121079]

[20]
Hills, S.P.; Hobbs, M.; Tipton, M.J.; Barwood, M.J. The water incident database (WAID) 2012 to 2019: A systematic evaluation of the documenting of UK drownings. BMC Public Health,  2021, 21(1), 1760.
 [http://dx.doi.org/10.1186/s12889-021-11827-0] [PMID: 34579685]

[21]
Home Office. Drowning Statistics, England and Wales, 1976; Home Office Scientific Advisory Branch: London, 1980. 

[22]
Home Office. Drowning Statistics, England and Wales, 1977; Home Office Scientific Advisory Branch: London, 1980. 

[23]
Home Office. Statistics of drowning: England and Wales 1978. Home Office Statistical Bulletin, 1980. Available from: https://webarchive.nationalarchives.gov.uk/ukgwa/20101208201339/http://rds.homeoffice.gov.uk/rds/hosb1980.html [Accessed on: 5 December 2021].

[24]
Ghodse, H.; Corkery, J.; Ahmed, K.; Schifano, F. Trends in UK deaths associated with the abuse of volatile substances, 1971-2009. London: International Centre for Drug Policy; University of London: St George’s, 2012.  Available from: https://re-solv.org/wp-content/uploads/2015/02/VSA-annual-report-no24.pdf

[25]
Butland, B.K.; Field-Smith, M.E.; Ramsey, J.D.; Anderson, H.R. Twenty-five years of volatile substance abuse mortality: A national mortality surveillance programme. Addiction,  2013, 108(2), 385-393.
 [http://dx.doi.org/10.1111/j.1360-0443.2012.04047.x] [PMID: 22882771]

[26]
ONS. Deaths related to volatile substances, helium and nitrogen in England and Wales: 2001 to 2020 registrations. 2022. Available from: https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/articles/deathsrelatedtovolatile-substancesheliumandnitrogeninenglandandwales/2001to2020 registrations

[27]
WHO. The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. 1992. Available from: https://apps.who.int/iris/handle/10665/37958

[28]
BBC News. Slurry pit deaths 'a tragic accident. BBC News, 2020. Available from: http://news.bbc.co.uk/1/hi/scotland/2126390.stm [Accessed 9 December 2021].

[29]
Harris, G. Farmers ‘died trying to save cow from pit’. The Times, 2003. Available from: https://www.thetimes.co.uk/article/farmers-died-trying-to-save-cow-from-pit-gmnlvfw7mc9 [Accessed 9 December 2021].

[30]
WHO. International classification of diseases: [ 9th] ninth revision, basic tabulation list with alphabetic index. 1978. Available from: https://apps.who.int/iris/handle/10665/39473

[31]
Barnsdale, L.; Gordon, R.; Graham, L.; Walker, D.; Elliott, V.; Graham, B. The National Drug-Related Deaths Database (Scotland) Report: Analysis of Deaths occurring in 2014; Information Services Division, National Health Services Scotland: Edinburgh, 2016.  Available from: https://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/2016-03-22/2016-03-22-NDRDD-Report.pdf

[32]
NWSF. Water Incident Database (WAID) interactive report. 2021. Available from: https://www.nationalwatersafety.org.uk/waid/interactive-report/

[33]
NRS. Drug-related Deaths in Scotland in 2020. 2021. Available from: https://www.nrscotland.gov.uk/statistics-and-data/statistics/statistics-by-theme/vital-events/deaths/drug-related-deaths-in-scotland/2020 [Accessed 12 December 2021].

[34]
Salib, E.; Agnew, N. Suicide and undetermined death by drowning. Int. J. Psychiatry Clin. Pract.,  2005, 9(2), 107-115.
 [http://dx.doi.org/10.1080/13651500510018257] [PMID: 24930791]

[35]
NFCC. Water Incident Dashboard. National Fire Chiefs Council, 2020. Available from: https://www.nationalfirechiefs.org.uk/FRS-Water-Incident-Dashboard [Accessed 10 December 2021].

[36]
WSW. Wales’ Drowning Prevention Study 2020-2026. Water Safety Wales, 2020. Available from: https://www.national-firechiefs.org.uk/write/MediaUploads/Campaign%20images/Be% 20water%20aware/2021%20be%20Water%20Aware/Water_Safety_Strategy_2020-2026.pdf Accessed 12 December 2021

[37]
Corkery, J.M.; Schifano, F.; Martinotti, G. How deaths can help clinicians and policy makers understand the risks of novel psychoactive substances. Br. J. Clin. Pharmacol.,  2020, 86(3), 482-498.
 [http://dx.doi.org/10.1111/bcp.14183] [PMID: 31770457]

[38]
Franklin, R.C.; Peden, A.E.; Hamilton, E.B.; Bisignano, C.; Castle, C.D.; Dingels, Z.V.; Hay, S.I.; Liu, Z.; Mokdad, A.H.; Roberts, N.L.S.; Sylte, D.O.; Vos, T.; Abady, G.G.; Abosetugn, A.E.; Ahmed, R.; Alahdab, F.; Andrei, C.L.; Antonio, C.A.T.; Arabloo, J.; Arba, A.A.K.; Badiye, A.D.; Bakkannavar, S.M.; Banach, M.; Banik, P.C.; Banstola, A.; Barker-Collo, S.L.; Barzegar, A.; Bayati, M.; Bhardwaj, P.; Bhaumik, S.; Bhutta, Z.A.; Bijani, A.; Boloor, A.; Carvalho, F.; Chowdhury, M.A.K.; Chu, D.T.; Colquhoun, S.M.; Dagne, H.; Dagnew, B.; Dandona, L.; Dandona, R.; Daryani, A.; Dharmaratne, S.D.; Dibaji Forooshani, Z.S.; Do, H.T.; Driscoll, T.R.; Eagan, A.W.; El-Khatib, Z.; Fernandes, E.; Filip, I.; Fischer, F.; Gebremichael, B.; Gupta, G.; Haagsma, J.A.; Hassan, S.; Hendrie, D.; Hoang, C.L.; Hole, M.K.; Holla, R.; Hostiuc, S.; Househ, M.; Ilesanmi, O.S.; Inbaraj, L.R.; Irvani, S.S.N.; Islam, M.M.; Ivers, R.Q.; Jayatilleke, A.U.; Joukar, F.; Kalhor, R.; Kanchan, T.; Kapoor, N.; Kasaeian, A.; Khan, M.; Khan, E.A.; Khubchandani, J.; Krishan, K.; Kumar, G.A.; Lauriola, P.; Lopez, A.D.; Madadin, M.; Majdan, M.; Maled, V.; Manafi, N.; Manafi, A.; McKee, M.; Meles, H.G.; Menezes, R.G.; Meretoja, T.J.; Miller, T.R.; Mithra, P.; Mohammadian-Hafshejani, A.; Mohammadpourhodki, R.; Mohebi, F.; Molokhia, M.; Mustafa, G.; Negoi, I.; Nguyen, C.T.; Nguyen, H.L.T.; Olagunju, A.T.; Olagunju, T.O.; Padubidri, J.R.; Pakshir, K.; Pathak, A.; Polinder, S.; Pribadi, D.R.A.; Rabiee, N.; Radfar, A.; Rana, S.M.; Rickard, J.; Safari, S.; Salamati, P.; Samy, A.M.; Sarker, A.R.; Schwebel, D.C.; Senthilkumaran, S.; Shaahmadi, F.; Shaikh, M.A.; Shin, J.I.; Singh, P.K.; Soheili, A.; Stokes, M.A.; Suleria, H.A.R.; Tarigan, I.U.; Temsah, M.H.; Tesfay, B.E.; Valdez, P.R.; Veisani, Y.; Ye, P.; Yonemoto, N.; Yu, C.; Yusefzadeh, H.; Zaman, S.B.; Zhang, Z.J.; James, S.L. The burden of unintentional drowning: Global, regional and national estimates of mortality from the Global Burden of Disease 2017 Study. Inj. Prev.,  2020, 26(Suppl. 1), i83-i95.
 [http://dx.doi.org/10.1136/injuryprev-2019-043484] [PMID: 32079663]

[39]
NSWF. A future without drowning: The UK Drowning Prevention Strategy 2016-2026. National Water Safety Forum, 2015. Available from: https://www.nationalfirechiefs.org.uk/write/MediaUploads/Campaign%20images/Be%20water%20aware/Be%20Water% 20Aware%202020/uk-drowning-prevention-strategy.pdf

[40]
WSS. Scotland’s Drowning Prevention Strategy 2018-2026. Water Safety Scotland, 2018. Available from: https://www.nationalfi-rechiefs.org.uk/write/MediaUploads/Campaign%20images/Be% 20water%20aware/2021%20be%20Water%20Aware/scotlands-drowning-prevention-strategy.pdf Accessed 12 December 2021

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DOI https://dx.doi.org/10.2174/1570159X20666220830110758	Print ISSN 1570-159X
Publisher Name Bentham Science Publisher	Online ISSN 1875-6190

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