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首页> 外文期刊>The International journal of drug policy >“Caught with a body” yet protected by law? Calling 911 for opioid overdose in the context of the Good Samaritan Law
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“Caught with a body” yet protected by law? Calling 911 for opioid overdose in the context of the Good Samaritan Law

机译：“抓住了一个身体”但受法律保护？ 在好的撒玛利亚法律的背景下调用911用于阿片类药物过量

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Abstract Background To address soaring opioid overdose fatality rates, 41U.S. states have passed Good Samaritan Laws (GSLs) extending legal immunity to overdose bystanders who call for emergency assistance. This study, conducted during the period that followed implementation of a GSL, aimed to characterize current factors determining the decision to call for emergency medical help (911) at the scene of an overdose with specific attention to exploring the role of the GSL as one such factor in decision-making. Methods We conducted 22 in-depth interviews with needle exchange program clients in Baltimore, MD. Results Most participants reported calling 911 or witnessing a 911 call after drug overdose, but widely remained fearful of arrest for drug or paraphernalia possession, homicide, outstanding warrants, and/or trespassing. These concerns were underpinned by a history of police maltreatment and threat, and strong distrust of police; concerns which were specifically related to perceptions of police conduct at the scene of an overdose as well as perceptions of police conduct in general. Additional considerations included: fear of losing housing, informal shelter or custody of children; encountering social stigma; and facing violent and fatal repercussions at the hands of local drug dealers. Additionally, some participants did not perceive a significant enough medical risk to call 911. Two thirds of participants were unaware of the GSL. Some believed a GSL would positively impact law enforcement behaviour and increase the likelihood of a bystander call; but due to distrust of police, others believed the GSL would have little influence on bystander decisions. Conclusion Insights from overdose bystanders during the post-implementation period of a Good Samaritan Law demonstrate persistent deterrents to bystanders calling 911 after overdose. Additional measures are needed to align policy aims with lived experiences of overdose bystanders, and to achieve overdose prevention aims.
机译：地址飙升阿片类药物过量率的抽象背景，41u。。各国已通过良好的撒玛利亚法律（GSL）延长合法免疫力，以过量呼吁紧急援助的旁观者。本研究在遵循GSL的情况下进行的，旨在表征目前在过量的现场确定决定呼吁紧急医疗帮助（911）的目的因素，以特别注意探索GSL作为这样的作用决策的因素。方法我们在Baltimore，MD中对针交换计划客户进行了22项深入访谈。结果大多数参与者报告给药911或者在药物过量后见证了911次呼叫，但广泛留下害怕逮捕毒品或用具占有，凶杀案，出色的认股权证和/或侵入。这些问题受到警察虐待和威胁的历史，强烈的警察不信任;令人担忧与过量的现场对警察行为的看法有关的担忧以及警察行为的看法。附加考虑因素包括：害怕失去住房，非正式庇护或儿童监护;遇到社会耻辱;在当地毒贩手中面临着暴力和致命的反应。此外，一些参与者并没有察觉到拨打911的足够明显的医疗风险。三分之二的参与者没有意识到GSL。有些人相信GSL会对执法行为产生积极影响，并增加旁观者呼叫的可能性;但由于警方的不信任，其他人认为GSL对旁观者的决定影响不大。结论过量抑制剂在优秀撒玛利亚法后期的过度旁观者的见解表明过量给予旁观者的旁观者持续威慑物。需要额外的措施来对准政策旨在具有过度旁观者的生活经验，并实现过量预防目标。

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