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Table 2 Detection of psychoactive substances in all deaths, n (%)

From: Psychoactive substances in natural and unnatural deaths in Norway and Sweden – a study on victims of suicide and accidents compared with natural deaths in psychiatric patients

 

Norway

Sweden

Natural deaths n = 32

Suicides n = 136

Accidents n = 157

P-value (×2)

Natural deaths n = 108

Suicides n = 192

Accidents n = 124

Undetermined deaths n = 59

P-value (× 2)

Alcohols

10 (31)

36 (27)

49 (31)o

0.650

37 (34)

73 (38)

44 (36) o

20 (34)

0.894

 Ethanol

10 (31)

36 (27)

47 (30)

37 (34)

73 (38)

44 (36)

20 (34)

 Toxic alcoholsa

0

1 (1)

2 (1)

0

0

0

0

Opioids

1 (3)

16 (12)

87 (55)***

< 0.001

10 (9)

27 (14)

38 (31)***

20 (34)

< 0.001

 Heroin/morphine

0

7 (5)

65 (41)

2 (2)

4 (2)

13 (11)

6 (10)

 Other opioidsb

1 (3)

11 (8)

30 (19)

9 (8)

25 (13)

29 (23)

18 (31)

Cannabinoids

2 (6)

6 (4)

20 (13)*

0.036

4 (4)

3 (2)

10 (8)**

3 (5)

0.042

Psychostimulantsc

1 (3)

10 (7)

24 (15)*

0.031

3 (3)

6 (3)

15 (12)**

4 (7)

0.004

Benzodiazepines and z-drugsd

3 (9)

46 (34)

64 (41)o

0.003

12 (11)

49 (26)

30 (24)o

22 (37)

0.001

Sedative antihistaminese

1 (3)

9 (7)

8 (5)o

0.698

8 (7)

33 (17)

14 (11)o

14 (24)

0.013

Antidepressants

3 (9)

30 (22)

23 (15)o

0.114

7 (7)

56 (29)

21 (17)*

22 (37)

< 0.001

 SSRI/SNRI

3 (9)

21 (15)

15 (10)

6 (6)

50 (26)

17 (14)

19 (32)

 Other antidepressants

0

12 (9)

12 (8)

1 (1)

16 (8)

8 (7)

5 (9)

Antipsychotics

2 (6)

16 (12)

12 (8)o

0.396

1 (1)

6 (3)

5 (4)o

2 (3)

0.543

Antiepilepticsf

0

7 (5)

10 (6)o

0.336

7 (7)

11 (6)

4 (3)o

2 (3)

0.600

Other/unspecified psychoactive agentsg

3 (9)

12 (9)

19 (12)o

0.644

1 (1)

5 (3)

1 (1)o

3 (5)

0.205

Any psychoactive agent

16 (50)

90 (66)

134 (85)***

< 0.001

57 (53)

142 (74)

82 (66)o

47 (80)

< 0.001

  1. aMethanol, isopropanolol
  2. bMethadone, buphrenorphine, oxycodone, ketobimedone, tramadol, fentanyl, dextropropoxyphene. Includes combination drugs containing codeine, but not codeine assumed to be derived from heroin/morphine
  3. cAmphetamine/methamphetamine, cocaine/benzoylecgonine, MMA, ecstasy and related substances
  4. dZolpidem and zopiclone
  5. eAlimemazine, promethazine, dexchlorfeniramine, hydroxyzine and related substances
  6. fKarbamazepin, lamotrigin, fenobarbital, gabapentin, pregabalin, fenytoin, topiramat (not benzodiazepines)
  7. gGHB, nimbex, tiopental, baclofen, propofol, ketamin, butan, orfenadrin, somadril/karsiprodol, biperiden, kloroxazon
  8. oAccidents not significantly different from suicides (p-value > 0.05)
  9. *Accidents significantly different from suicides (p-value < 0.05)
  10. **Accidents significantly different from suicides (p-value < 0.01)
  11. ***Accidents significantly different from suicides (p-value < 0.001)