Evidence map›Paper›PMID 40591495›Full record

ArticleDrug and alcohol review2025

Drugs and Drowning: The Toxicology of Adult Drownings in Baths and Hot Tubs in Australia, 2015-2024.

Shane Darke, Michael Farrell, Johan Duflou, Caroline Copeland, Emmert Roberts

Abstract read
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Article in Drug and alcohol review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Shane DarkeNational Drug and Alcohol Research Centre, UNSW Sydney, Sydney, Australia.ORCID 0000-0001-8718-7055
Michael FarrellNational Drug and Alcohol Research Centre, UNSW Sydney, Sydney, Australia.
Johan DuflouNational Drug and Alcohol Research Centre, UNSW Sydney, Sydney, Australia.
Caroline CopelandInstitute of Pharmaceutical Science, King's College London, London, UK.ORCID 0000-0002-4462-1402
Emmert RobertsNational Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID 0000-0002-4152-5570

Funding

National Drug and Alcohol Research Centre
6 · The paper itself

Abstract

introductionDrowning is the third leading cause of unintentional injury death. We aimed to determine the toxicology and circumstances of all adult drowning deaths that occurred in bath/hot tubs in Australia over the period 2015-2024.

methodsRetrospective study of all adult (≥ 15 years) drowning deaths in baths or hot tubs in Australia (1 January 2015-1 November 2024) retrieved from the National Coronial Information System (n = 195). In all cases the formal finding was based upon police, toxicology and forensic pathology reports.

resultsThere were 195 adult drownings in baths or hot tubs. The mean age was 54.9 years (range 15-98) and 127 (65.1%) were female. Most fatal (171, 87.7%) incidents occurred in a bath. In 113 (57.9%) cases proximal substance use was noted in the coronial conclusions as contributory. The majority (108, 55.4%) were unintentional, with 73 (37.4%) deemed intentional. A psychotropic drug was detected in the blood of 152/179 (84.9%), most commonly hypnosedatives (77/179, 43.0%) and alcohol (75/179, 41.9%). Amongst alcohol positive cases the mean blood alcohol concentration was 0.176 g/100 mL (range 0.010-0.537). In 33 (16.9%) there appeared to have been a medical episode, such as a seizure or a cardiovascular event, that preceded drowning, and a slip or fall in 17 (8.7%). DISCUSSION AND

conclusionsSubstances were present in the majority of cases. The risk of drowning in such settings in the presence of drugs needs to be widely appreciated. Public campaigns that focus on the potential dangers of substance use in these settings would appear prudent.

Indexed as

BathsDrowningSubstance-Related DisordersAdolescentAdultAgedAged, 80 and overAustraliaFemaleHumansMaleMiddle AgedPsychotropic DrugsRetrospective StudiesYoung AdultPsychotropic Drugsbathscharacteristicsdrowningmortalitytoxicology

Identifiers

PMID40591495
PMCPMC12405803

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.