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Introduction: Heroin overdose is a leading cause of mortality among drug users. This paper aims to identify individual and contextual factors associated with lethal and non-lethal heroin-related overdoses on the basis of case reports and semi-structured proxy interviews. Typical patterns within these cases are determined by means of cluster analysis. Methods: Within the CaRe (Case Reports of heroin-related overdoses) study, case reports (100 proxy reports of overdose events from 36 different facilities) were gathered and evaluated as part of a nationwide survey of experts conducted in Germany in 2019. Following initial descriptive analyses a two-step cluster analysis with the four binary variables of gender, age, time and place was conducted to identify patterns within the reported cases. Results: The case reports grouped into five clusters: 1) Younger male drug users, found in a public space during the daytime; 2) Female drug users; 3) Older male drug users, found in a public space during the daytime; 4) Drug users found at home at night; 5) Drug users found outside at night. Overdoses by female drug users and those which occurred at home and/or at night were significantly more likely to have a fatal outcome. Conclusion: Future prevention
and intervention measures should aim to consider the context, i.e.
Bringing "Simple Steps" - a Multimedia Package for Autism Specific Behaviour Therapy- to Europe
(2011)
Schädlingsbekämpfung im Markt: Diskretion oder offensives Marketing - das Imageproblem der Branche
(2009)
Bringing "Simple Steps" - a Multimedia Package for Autism Specific Behaviour Therapy- to Europe
(2011)
The clinical treatment of children and adolescents with gender dysphoria is still a controversial issue. The aim of this study was to get an overview of the knowledge and experience of international experts and to highlight shared views as well as differences in theoretical convictions and treatment approaches. Half-structured, guide-line based interviews were carried out with international experts in the field. The interviews were analyzed using qualitative content analysis (Mayring, 2010).
Early Intervention in Gaming Disorder: What Can We Learn from Findings in the Substance Abuse Field?
(2018)
Ziel der Studie ist es, die Erfahrungen von Kindern mit Geschlechtsdysphorie/Geschlechtsinkongruenz (GD/GI) und ihrer Eltern mit dem Gesundheitswesen in Deutschland zu beschreiben. Die Erkenntnisse sollen die Versorgung und das Beratungsangebot für Betroffene verbessern und sind in die Erstellung neuer S3-Leitlinien „Geschlechtsinkongruenz und Geschlechtsdysphorie im Kindes- und Jugendalter: Diagnostik und Behandlung“¹ eingeflossen. Insgesamt wurden 78 Betroffene, 35 Kinder, Jugendliche und junge Erwachsene (6-21 Jahre) mit GD/GI sowie 33 Mütter und 10 Väter befragt. Ausgewertet wurden 17 semistrukturierte Einzelinterviews und fünf Gruppeninterviews. Viele der Befragten erlebten fachlich unzureichend ausgebildete Ärzt/innen undTherapeut/innen und monate- oder jahrelangeWartezeiten. Eine trans* Identität, insbesondere bei kleineren Kindern und ihren Eltern, wurde von Behandelnden oft als vorübergehende Idee des Kindes abgetan oder den Eltern unterstellt, sich diese nur einzubilden. Als Expert/innen in eigener Sache fanden trans*idente Kinder, Jugendliche junge Erwachsene und ihre Eltern nur selten Gehör. Empfehlungen für eine affirmative Versorgung von trans* Kindern und Jugendlichen werden formuliert.