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Prego-Meleiro P, Recalde-Esnoz I, Sordo L, Del Castillo H, García-Ruiz C, Montalvo G, López-Cuadrado T. Drug-facilitated sexual assault in youth nightlife contexts in Spain. Public Health 2024; 233:157-163. [PMID: 38901300 DOI: 10.1016/j.puhe.2024.05.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Revised: 04/10/2024] [Accepted: 05/17/2024] [Indexed: 06/22/2024]
Abstract
OBJECTIVES This study aimed to provide epidemiological information on drug-facilitated sexual assault in Spanish youth partying, with a focus on prevalence rates and associated sociodemographic factors. STUDY DESIGN Cross-sectional study. METHODS Quota sampling was used to recruit 1601 young people aged 18-35 years in Spain from a digital panel. A validated questionnaire on drug-facilitated sexual assault was used to assess five types of lifetime victimisation experiences while partying. Chi-square and the exact Fisher tests were used to describe the prevalence of victimisation, drug use patterns, and perpetrator profiles. Generalised ordered logistic regression was used to explore factors associated with victimisation, analysed by gender. RESULTS Half of young women and one-quarter of young men had experienced drug-facilitated sexual assault in their lifetime. Female victimisation due to touching and kissing was notably high, whereas men comprised almost half of the victims of more invasive DFSA experiences involving masturbation, penetration, and oral sex. Opportunism prevailed as the assault tactic, consisting of taking advantage of the victims' incapacity derived from voluntary alcohol use. Among women, risk of victimisation was associated with a lower education level, foreign-born status, and being non-heterosexual. Male victimisation risk was highest among non-heterosexual men. CONCLUSIONS Drug-facilitated sexual violence in youth nightlife contexts is a serious public health issue in Spain, which requires urgent action. Most assaults involve taking advantage of victims who are incapacitated by the effects of voluntary alcohol consumption. This sexual violence primarily affects women with lower educational levels or those who are foreign-born and non-heterosexual men and women.
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Affiliation(s)
- P Prego-Meleiro
- Department of Public-Health and Maternal-Child, Faculty of Medicine, Complutense University, Madrid, Spain; Universidad de Alcalá, Observatorio Universitario de Violencia Sexual Facilitada por Drogas, Ctra. Madrid-Barcelona km 33.6, 28871, Alcalá de Henares, Madrid, Spain
| | - I Recalde-Esnoz
- Universidad de Alcalá, Observatorio Universitario de Violencia Sexual Facilitada por Drogas, Ctra. Madrid-Barcelona km 33.6, 28871, Alcalá de Henares, Madrid, Spain; Universidad de Alcalá, Departamento de Ciencias de la Educación, C/ San Cirilio, s/n, 28804, Alcalá de Henares, Madrid, Spain
| | - L Sordo
- Department of Public-Health and Maternal-Child, Faculty of Medicine, Complutense University, Madrid, Spain; Centre for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain; Health Research Institute, San Carlos University Hospital (IdISSC), Madrid, Spain.
| | - H Del Castillo
- Universidad de Alcalá, Observatorio Universitario de Violencia Sexual Facilitada por Drogas, Ctra. Madrid-Barcelona km 33.6, 28871, Alcalá de Henares, Madrid, Spain; Universidad de Alcalá, Departamento de Ciencias de la Educación, C/ San Cirilio, s/n, 28804, Alcalá de Henares, Madrid, Spain
| | - C García-Ruiz
- Universidad de Alcalá, Observatorio Universitario de Violencia Sexual Facilitada por Drogas, Ctra. Madrid-Barcelona km 33.6, 28871, Alcalá de Henares, Madrid, Spain; Universidad de Alcalá, Departamento de Química Analítica, Química Física e Ingeniería Química, Ctra. Madrid-Barcelona km 33.6, 28871, Alcalá de Henares, Madrid, Spain
| | - G Montalvo
- Universidad de Alcalá, Observatorio Universitario de Violencia Sexual Facilitada por Drogas, Ctra. Madrid-Barcelona km 33.6, 28871, Alcalá de Henares, Madrid, Spain; Universidad de Alcalá, Departamento de Química Analítica, Química Física e Ingeniería Química, Ctra. Madrid-Barcelona km 33.6, 28871, Alcalá de Henares, Madrid, Spain
| | - T López-Cuadrado
- National Center for Epidemiology, Carlos III Health Institute, 28029, Madrid, Spain
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Schram J, Parrilla M, Sleegers N, Slosse A, Van Durme F, van Nuijs ALN, De Wael K. Electrochemical classification of benzodiazepines: A comprehensive approach combining insights from voltammetry and liquid chromatography - mass spectrometry. Talanta 2024; 279:126623. [PMID: 39084042 DOI: 10.1016/j.talanta.2024.126623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2024] [Revised: 07/23/2024] [Accepted: 07/26/2024] [Indexed: 08/02/2024]
Abstract
The growing non-medical use of benzodiazepines (BZs) has led to the emergence of counterfeit BZ pills and new psycho-active substances (NPS) in the BZ class on the illicit market. Comprehensive analytical methods for BZ identification are required to allow law enforcement, first aid responders and drug-checking services to analyze a variety of sample types and contents to make timely decisions on the spot. In this work, the electrochemical behavior of diazepam (DZ), clonazepam (CZ) and alprazolam (AP) is studied on graphite screen-printed electrodes, both with and without dissolved oxygen in the solution, to link their redox signals to their chemical structure. After elucidation of their reduction mechanisms using liquid chromatography coupled to high-resolution mass spectrometry, three structural classes (Class 1, Class 2 and Class 3) were defined, each with different redox centers and electrochemical behavior. Subsequently, 22 confiscated pills containing 14 different BZs were correctly assigned to these three structural classes, with the deoxygenated conditions displaying the highest class selectivity. Finally, the three classes were successfully detected after being spiked into five alcoholic beverages in the context of drug-facilitated sexual assault. For analysis in red wine, which complicated the analysis by interfering with Class 1, a dual test strategy in pH 2 and pH 7 was proposed for accurate detection. Its rapid measurements, broad scope and lack of interference from diluents or colors makes this method a promising approach for aiding various services in combating problematic BZ use.
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Affiliation(s)
- Jonas Schram
- A-Sense Lab, Department of Bioscience Engineering, University of Antwerp, Groenenborgerlaan 171, 2020, Antwerp, Belgium; NANOlab Center of Excellence, University of Antwerp, Groenenborgerlaan 171, 2020, Antwerp, Belgium
| | - Marc Parrilla
- A-Sense Lab, Department of Bioscience Engineering, University of Antwerp, Groenenborgerlaan 171, 2020, Antwerp, Belgium; NANOlab Center of Excellence, University of Antwerp, Groenenborgerlaan 171, 2020, Antwerp, Belgium
| | - Nick Sleegers
- A-Sense Lab, Department of Bioscience Engineering, University of Antwerp, Groenenborgerlaan 171, 2020, Antwerp, Belgium; NANOlab Center of Excellence, University of Antwerp, Groenenborgerlaan 171, 2020, Antwerp, Belgium
| | - Amorn Slosse
- Drugs and Toxicology Department, National Institute for Criminalistics and Criminology (NICC), Vilvoordsesteenweg 100, 1120, Brussels, Belgium
| | - Filip Van Durme
- Drugs and Toxicology Department, National Institute for Criminalistics and Criminology (NICC), Vilvoordsesteenweg 100, 1120, Brussels, Belgium
| | | | - Karolien De Wael
- A-Sense Lab, Department of Bioscience Engineering, University of Antwerp, Groenenborgerlaan 171, 2020, Antwerp, Belgium; NANOlab Center of Excellence, University of Antwerp, Groenenborgerlaan 171, 2020, Antwerp, Belgium.
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3
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Recalde-Esnoz I, Prego-Meleiro P, Montalvo G, Del Castillo H. Drug-Facilitated Sexual Assault: A Systematic Review. TRAUMA, VIOLENCE & ABUSE 2024; 25:1814-1825. [PMID: 37650508 DOI: 10.1177/15248380231195877] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
Abstract
Since the last two decades, the scientific community has made an effort to analyze drug-facilitated sexual assault (DFSA). However, a lack of understanding remains about the DFSA problem, particularly concerning the opportunistic variant. Facing this situation, a systematic review of the term DFSA is carried out from its first appearance in the scientific databases consulted (Web of Science, Scopus, and PubMed) to the current day. The search resulted in 773 publications, reduced to a final study sample composed of 19 articles. Eligible studies for this review had to meet certain inclusion criteria, in addition to providing information on DFSA prevalence, DFSA victim profile, DFSA offender profile, involved drugs, or contextual information about the assault. The results demonstrated that the assailants are men, who mostly know victims before the assault. The victims are young women under 30 years old. Alcohol is the drug involved in most DFSA cases, prevailing a voluntary use. Most assaults occur in private spaces, particularly the aggressors' own homes. Furthermore, there is a detected need for a standard definition of DFSA to allow the different actors involved in dealing with sexual violence to work effectively together, and, at the same time, it is detected that the available studies overrepresent proactive DFSA and underestimate opportunism, the most common modus operandi involved in DFSA cases.
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Affiliation(s)
| | - Pablo Prego-Meleiro
- Universidad Complutense de Madrid, Spain
- Universidad de Alcalá, Alcalá de Henares, Spain
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Liautard M, Magny R, Houzé P, Deguette C, Alcaraz E, Douaouria S, Gorgiard C, Labat L, Dufayet L. Pro-active drug-facilitated crimes (DFC): a study in the Department of Forensic Medicine of Paris, France. Int J Legal Med 2024; 138:415-430. [PMID: 37768350 DOI: 10.1007/s00414-023-03090-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2023] [Accepted: 09/07/2023] [Indexed: 09/29/2023]
Abstract
INTRODUCTION Proactive drug facilitated crime (DFC) is the administration of psychoactive substances (PAS) for criminal purposes without the victim's knowledge or by force. In Paris, France, patients who report suspected proactive DFC to the police are examined at the Department of Forensic Medicine (DFM) of the Hôtel-Dieu Hospital. Preventively blood and urine samples are collected but not systematically analyzed by the judicial authority. We aimed to assess the proportion of probable proactive DFC in patients examined at the Hôtel-Dieu DFM following a police report for suspected proactive DFC. METHOD Blood and urine samples were collected from 100 patients. Toxicological analyses were performed by the toxicology laboratory of the Lariboisière Hospital. The results were correlated with the clinical data collected at the initial and follow-up consultations. RESULTS At least one PAS was detected in 86% of the cases (voluntary or involuntary intake). After correlation with clinical data, 32% of the cases were classified as probable proactive DFC. In these cases, 49% of the substances identified were illicit substances (amphetamines, MDMA, etc.); 16% were benzodiazepines and related substances; 16% were antihistamines and sedatives; 14% were opioids; and 5% were antidepressants and anti-epileptics. In 90% of the cases, patients reported a voluntary ethanol consumption in the hours prior to the suspected proactive DFC. CONCLUSION Toxicological analyses revealed a high proportion of both probable proactive DFC and probable opportunistic DFC. Our results indicate the need to perform systematical toxicological analysis in cases of suspected DFC.
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Affiliation(s)
- Marc Liautard
- Department of Forensic Medicine, APHP Hôtel-Dieu, 1 Parvis Notre-Dame - Pl. Jean-Paul II, 75004, Paris, France.
- Forensic Institute of Paris, 2 Voie Mazas, 75012, Paris, France.
| | - Romain Magny
- Biological Toxicology Laboratory, Toxicology Federation Fetox, APHP Lariboisière-Fernand-Widal, 2 Rue Ambroise Paré, 75010, Paris, France
- UMRS 1144, INSERM, Pharmacy Faculty, 4 Av. de L'Observatoire, 75006, Paris, France
- Paris Cité University, 85 Boulevard Saint-Germain, 75006, Paris, France
| | - Pascal Houzé
- Biological Toxicology Laboratory, Toxicology Federation Fetox, APHP Lariboisière-Fernand-Widal, 2 Rue Ambroise Paré, 75010, Paris, France
- UMRS 1144, INSERM, Pharmacy Faculty, 4 Av. de L'Observatoire, 75006, Paris, France
- Paris Cité University, 85 Boulevard Saint-Germain, 75006, Paris, France
| | - Céline Deguette
- Department of Forensic Medicine, APHP Hôtel-Dieu, 1 Parvis Notre-Dame - Pl. Jean-Paul II, 75004, Paris, France
- Forensic Institute of Paris, 2 Voie Mazas, 75012, Paris, France
| | - Elizabeth Alcaraz
- Department of Forensic Medicine, APHP Hôtel-Dieu, 1 Parvis Notre-Dame - Pl. Jean-Paul II, 75004, Paris, France
| | - Sophia Douaouria
- National Office for the Indemnification of Medical Accidents, Iatrogeneous and Nosocomial Infections (ONIAM), Tour Altaïs - 1 Place Aimé Césaire, 93100, Montreuil, France
| | - Charlotte Gorgiard
- Department of Forensic Medicine, APHP Hôtel-Dieu, 1 Parvis Notre-Dame - Pl. Jean-Paul II, 75004, Paris, France
- Forensic Institute of Paris, 2 Voie Mazas, 75012, Paris, France
| | - Laurence Labat
- Biological Toxicology Laboratory, Toxicology Federation Fetox, APHP Lariboisière-Fernand-Widal, 2 Rue Ambroise Paré, 75010, Paris, France
- UMRS 1144, INSERM, Pharmacy Faculty, 4 Av. de L'Observatoire, 75006, Paris, France
- Paris Cité University, 85 Boulevard Saint-Germain, 75006, Paris, France
| | - L Dufayet
- Department of Forensic Medicine, APHP Hôtel-Dieu, 1 Parvis Notre-Dame - Pl. Jean-Paul II, 75004, Paris, France
- UMRS 1144, INSERM, Pharmacy Faculty, 4 Av. de L'Observatoire, 75006, Paris, France
- Paris Cité University, 85 Boulevard Saint-Germain, 75006, Paris, France
- Paris Poison Control Center, Toxicology Federation Fetox, APHP Lariboisière-Fernand Widal, 200 Rue du Faubourg Saint-Denis, 75010, Paris, France
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Skov K, Johansen SS, Linnet K, Nielsen MKK. Automated enzymatic hydrolysis of urine samples for improved systematic toxicological analysis of drug-facilitated sexual assault cases. Drug Test Anal 2024. [PMID: 38263626 DOI: 10.1002/dta.3640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Revised: 12/20/2023] [Accepted: 12/22/2023] [Indexed: 01/25/2024]
Abstract
Drug-facilitated sexual assault (DFSA) is characterized by victim incapacitation due to intoxicating substances. Detection of single drug exposure from DFSA requires a systematic toxicological analysis strategy including sensitive methods covering a broad spectrum of substances. The aim of this study was to develop and validate an UHPLC-MS/MS screening method for analysis of samples from DFSA cases and incorporate an automated enzymatic pre-treatment of urine samples into a robotic sample preparation for an efficient laboratory workflow. The screening method included 144 drugs of abuse, pharmaceuticals, and metabolites relevant to DFSA. The use of a recombinant enzyme showed an efficient glucuronide hydrolysis with an average parent drug recovery of 97%. Investigation of matrix effect showed no pronounced ion enhancement or suppression for most analytes (96%), and extraction recovery was above 80% for 97% of analytes. Process efficiency ranged from 50% to 138% for most analytes. The LODs ranged from 0.0001 mg/L to 2 mg/L depending on analyte, and most analytes met the SOFT recommended minimum performance limits. The validated method was applied to authentic suspected DFSA cases (n = 38). Results showed that drugs of abuse, benzodiazepines, and antidepressants were most commonly found in suspected DFSA cases. Incorporation of an automated enzymatic hydrolysis step during sample preparation enables a fast and simple workflow for simultaneous analysis of blood and urine samples for an improved systematic toxicological analysis strategy for DFSA cases.
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Affiliation(s)
- Kathrine Skov
- Section of Forensic Chemistry, Department of Forensic Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Sys Stybe Johansen
- Section of Forensic Chemistry, Department of Forensic Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Kristian Linnet
- Section of Forensic Chemistry, Department of Forensic Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Marie Katrine Klose Nielsen
- Section of Forensic Chemistry, Department of Forensic Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
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Soliman SS, Mahmoud AM, Elghobashy MR, Zaazaa HE, Sedik GA. Eco-friendly electrochemical sensor for determination of conscious sedating drug "midazolam'' based on Au-NPs@Silica modified carbon paste electrode. Talanta 2024; 267:125238. [PMID: 37774450 DOI: 10.1016/j.talanta.2023.125238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Revised: 08/09/2023] [Accepted: 09/22/2023] [Indexed: 10/01/2023]
Abstract
Benzodiazepines (BZDs) are a group of drugs prescribed for their sedating effect. Their misuse and addictive properties stipulate different authorities for developing simple, fast and accurate analytical methods for instantaneous detection. Differential pulse voltammetric technique (DPV) was utilized for the selective assay of midazolam hydrochloride (MDZ) in the pure, parenteral dosage forms and plasma samples. A chemically modified carbon paste electrode (CPE) was implemented during the study. The method depended on the electroreduction of MDZ on the surface of the electrode over a potential range of 0.0 V to -1.6 V. The electrode was fabricated using silica nanoparticles (Si-NPs) which were incorporated into the composition of the CPE and used to enhance the electrode performance. Then, to enhance the sensitivity of the method, a chronoamperometric modification step was applied for depositing gold nanoparticles (Au-NPs) on the carbon paste electrode surface. Modification with Au-NPs showed a higher reduction current peak for MDZ with well-defined peaks. Various parameters such as pH of the media and measurements scan rate were investigated and optimized to enhance the sensor sensitivity. The sensor showed a dynamic linear response over a concentration range of 4.0 × 10-7 M to 2.9 × 10-4 M of MDZ with a LOD of 2.24 × 10-8 M using 0.1 M acetate buffer (pH 5.6). The sensor was validated in accordance with the ICH guidelines regarding accuracy, precision and specificity for the selective assay of MDZ in the presence of excipients. A greenness evaluation was performed using three different assessment tools, namely, the "Green Analytical Procedure Index" (GAPI), the "Analytical Greenness metric" (AGREE) and the "Whiteness Analytical Chemistry tool" (WAC) using the RGB12 model.
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Affiliation(s)
- Shymaa S Soliman
- Analytical Chemistry Department, Faculty of Pharmacy, October 6 University, October 6 City, Giza, 12858, Egypt
| | - Amr M Mahmoud
- Analytical Chemistry Department, Faculty of Pharmacy, Cairo University, El-Kasr-El Aini Street, Cairo, 11562, Egypt
| | - Mohamed R Elghobashy
- Analytical Chemistry Department, Faculty of Pharmacy, October 6 University, October 6 City, Giza, 12858, Egypt; Analytical Chemistry Department, Faculty of Pharmacy, Cairo University, El-Kasr-El Aini Street, Cairo, 11562, Egypt
| | - Hala E Zaazaa
- Analytical Chemistry Department, Faculty of Pharmacy, Cairo University, El-Kasr-El Aini Street, Cairo, 11562, Egypt
| | - Ghada A Sedik
- Analytical Chemistry Department, Faculty of Pharmacy, Cairo University, El-Kasr-El Aini Street, Cairo, 11562, Egypt.
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7
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Mognetti B, Scipio FD, Abbadessa G, Carnino G, Canavese A, Castagna P, Romano F, Gino S, Berta GN. Sexual Violence and Alcohol Intake: A Population-Based Explorative Study in a Northwestern Italian Area. MEDICINA (KAUNAS, LITHUANIA) 2023; 59:2098. [PMID: 38138201 PMCID: PMC10744939 DOI: 10.3390/medicina59122098] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Revised: 11/24/2023] [Accepted: 11/27/2023] [Indexed: 12/24/2023]
Abstract
Background and Objectives: Sexual violence (SV) is a major global public health concern. While socioeconomic factors and familial relationships have been widely reported to contribute to SV, the role of alcohol consumption should not be ignored. Indeed, alcohol can impair cognition, distort reality, increase aggression, and ease drug-facilitated sexual assault. This retrospective study aims to explore the relationship between alcohol consumption and SV by examining the prevalence, characteristics, and consequences of violence episodes. Materials and Methods: A total of 1481 women accessed the Rape Centre "Centro Soccorso Violenza Sessuale" in Turin, Italy between 2008 and 2019, with 223 reporting alcohol consumption before the assault. Results: The alcohol group had a younger age profile, predominantly within the 18-25-year-old category. SV incidents involving alcohol consumers were more likely to occur in public places or in someone else's home, while the non-alcohol-consuming group experienced more violence in their own homes. Acquaintances and unknown individuals were primarily responsible, whereas partners were the most common perpetrators of violence against non-alcohol-consuming women. Alcohol consumers sought medical attention sooner after the assault and exhibited more symptoms and injuries, particularly of neurological origin. Concurrent use of recreational drugs was higher among alcohol consumers. The logistic regression analysis revealed higher odds of injury for Italian women and those in the 18-35 age groups after consuming alcohol. Conclusions: This study contributes to the understanding of the relationship between alcohol consumption and SV. The prevalence of alcohol-related sexual aggression is lower compared to that shown in previous studies. Nationality, age, and assailant identity influence SV dynamics. These findings can guide well-targeted interventions and prevention strategies to address SV and inform communities facing similar challenges.
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Affiliation(s)
- Barbara Mognetti
- Department of Life Sciences and Systems Biology, University of Turin, Via Accademia Albertina 13, 10123 Turin, Italy;
| | - Federica Di Scipio
- Department of Clinical and Biological Sciences, University of Turin, Regione Gonzole 10, 10043 Orbassano (TO), Italy; (F.D.S.); (G.A.)
| | - Giuliana Abbadessa
- Department of Clinical and Biological Sciences, University of Turin, Regione Gonzole 10, 10043 Orbassano (TO), Italy; (F.D.S.); (G.A.)
| | - Giulia Carnino
- Corso di Laurea in Medicina e Chirurgia at Azienda Ospedaliera Universitaria San Luigi (Orbassano), University of Turin, v. Verdi 8, 10124 Turin, Italy;
| | - Antonella Canavese
- Centro Soccorso Violenza Sessuale, Presidio Ospedaliero Sant’Anna, Città della Salute e della Scienza, Corso Spezia 60, 10126 Turin, Italy; (A.C.); (P.C.)
- Department of Surgical Sciences, University of Turin, Corso Dogliotti 14, 10126 Turin, Italy
| | - Paola Castagna
- Centro Soccorso Violenza Sessuale, Presidio Ospedaliero Sant’Anna, Città della Salute e della Scienza, Corso Spezia 60, 10126 Turin, Italy; (A.C.); (P.C.)
| | - Federica Romano
- Section of Periodontology, C.I.R. Dental School, Department of Surgical Sciences, University of Turin, Via Nizza 230, 10126 Turin, Italy;
| | - Sarah Gino
- Department of Health Sciences, University of Eastern Piedmont, Via Solaroli 17, 28100 Novara, Italy;
| | - Giovanni N. Berta
- Department of Clinical and Biological Sciences, University of Turin, Regione Gonzole 10, 10043 Orbassano (TO), Italy; (F.D.S.); (G.A.)
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Skov K, Johansen SS, Linnet K, Klose Nielsen MK. Uncovering forensic evidence of drug-facilitated sexual assault: Toxicological findings from Eastern Denmark from 2015-2022. Leg Med (Tokyo) 2023; 65:102325. [PMID: 37783000 DOI: 10.1016/j.legalmed.2023.102325] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Revised: 09/07/2023] [Accepted: 09/24/2023] [Indexed: 10/04/2023]
Abstract
In drug-facilitated sexual assault (DFSA), the victim is unable to provide consent or resists sexual activity due to substance intoxication by voluntary or covert consumption. Obtaining forensic evidence of the assault is challenged by rapid drug metabolism and late sample collection. The objective of this study was to present toxicological findings and associated demographics from police reported sexual assault cases in Eastern Denmark from 2015 to 2022. A total of 369 sexual assault cases were submitted for analysis and a subgroup of 268 cases were categorized as suspected DFSA cases. The majority of the total sexual assault victims were women at the age 15-25 and the perpetrators were often unknown or an acquaintance. Time from assault to sample collection was slightly longer for suspected DFSA cases (12-24 h) compared to non-DFSA (<12 h). Positive toxicology was observed in 86 % of cases and the most common drug groups included alcohol (45 %), drugs of abuse (38 %), antidepressants (14 %), antihistamines (12 %), and benzodiazepines (11 %). Hypnotics were detected to a smaller extent (7 %). A total of 77 drugs were detected and the most commonly observed were cocaine, tetrahydrocannabinol (THC), cetirizine, amphetamine, diazepam and sertraline. The high level of observed alcohol and drugs of abuse indicated that most DFSA cases in Eastern Denmark were of an opportunistic approach rather than proactive.
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Affiliation(s)
- Kathrine Skov
- Section of Forensic Chemistry, Department of Forensic Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark.
| | - Sys Stybe Johansen
- Section of Forensic Chemistry, Department of Forensic Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark
| | - Kristian Linnet
- Section of Forensic Chemistry, Department of Forensic Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark
| | - Marie Katrine Klose Nielsen
- Section of Forensic Chemistry, Department of Forensic Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark
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9
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Germain M, Desharnais B, Motard J, Doyon A, Bouchard C, Marcoux T, Audette E, Muehlethaler C, Mireault P. On-site drug detection coasters: An inadequate tool to screen for GHB and ketamine in beverages. Forensic Sci Int 2023; 352:111817. [PMID: 37741179 DOI: 10.1016/j.forsciint.2023.111817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2023] [Revised: 08/15/2023] [Accepted: 08/29/2023] [Indexed: 09/25/2023]
Abstract
With drug facilitated sexual assault (DFSA) being alleged in 15-20 % of sexual assault cases, drink spiking is a serious concern for several people, casting doubts over the expected safety at events in public spaces. On-site drug testing material is often touted as a solution, allowing attendees to test their drinks for the presence of certain so-called "date-rape drugs". In this manuscript, we aim to evaluate the efficiency of such a coaster device, manufactured by Drink Safe Technologies (Tallahassee, Florida, United States) and sold by Alco Prevention Canada (Laval, Québec, Canada), in detecting drink spiking by GHB and ketamine. From the onset, several generic arguments call into question the practicality of the test: limitations set by the manufacturer on drinks that can be tested, cost, waiting time, interpretation in suboptimal lighting and elevated limits of detection (LODs) compared to a standard recreational or impairing dose. More importantly, the test simply isn't effective at detecting the targeted drugs. The GHB test reagent was identified as bromocresol green using surface-enhanced Raman spectroscopy (SERS). Therefore, it does not detect GHB, but any matrix with a pH higher than 5.5. The ketamine test reagent was identified as cobalt thiocyanate, a non-specific chemical commonly used in colorimetric drug testing. Performance tests were carried with more than 22 drug-free and drug-spiked (≥125 % of the LOD) matrices, including solvent solutions (water, methanol), fixed pH solutions, and an array of popular drinks (including wine, beer, cocktails and spirits). While specificity in drug-free drinks was 100 % for both GHB and ketamine, provided that the manufacturer's limitations on drinks were respected, sensitivity in drug spiked drinks (at 150 % of the LOD) was 0 % for ketamine and between 31 % and 69 % for GHB, depending on whether one classifies inconclusive results as negatives or positives. We conclude that these coasters are an inadequate tool to screen for GHB and ketamine in beverages.
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Affiliation(s)
- Mireille Germain
- Laboratoire de sciences judiciaires et de médecine légale, Department of Toxicology, 1701 Parthenais Street, Montréal, Québec H2K 3S7, Canada.
| | - Brigitte Desharnais
- Laboratoire de sciences judiciaires et de médecine légale, Department of Toxicology, 1701 Parthenais Street, Montréal, Québec H2K 3S7, Canada; Department of Environmental and Occupational Health, Université de Montréal School of Public Health, PO Box 6128, Station Centre-ville, Montréal, Québec H3C 3J7, Canada
| | - Julie Motard
- Laboratoire de sciences judiciaires et de médecine légale, Department of Toxicology, 1701 Parthenais Street, Montréal, Québec H2K 3S7, Canada
| | - Alexandra Doyon
- Laboratoire de sciences judiciaires et de médecine légale, Department of Toxicology, 1701 Parthenais Street, Montréal, Québec H2K 3S7, Canada
| | - Corinne Bouchard
- Laboratoire de sciences judiciaires et de médecine légale, Department of Toxicology, 1701 Parthenais Street, Montréal, Québec H2K 3S7, Canada
| | - Thierry Marcoux
- Laboratoire de sciences judiciaires et de médecine légale, Department of Criminalistics, 1701 Parthenais Street, Montréal, Québec H2K 3S7, Canada
| | - Elizabeth Audette
- Université du Québec à Trois-Rivières, Department of Chemistry, Biochemistry and Physics, 3351 Des Forges Blvd., Trois-Rivières, Québec G9A 5H7, Canada
| | - Cyril Muehlethaler
- Université du Québec à Trois-Rivières, Department of Chemistry, Biochemistry and Physics, 3351 Des Forges Blvd., Trois-Rivières, Québec G9A 5H7, Canada; Groupe de Recherche en Science Forensique (GRSF), 3351 Des Forges Blvd., Trois-Rivières, Québec G9A 5H7, Canada; Centre International de Criminologie Comparée (CICC), PO Box 6128, Station Centre-ville, Montréal, Québec H3C 3J7, Canada
| | - Pascal Mireault
- Laboratoire de sciences judiciaires et de médecine légale, Department of Toxicology, 1701 Parthenais Street, Montréal, Québec H2K 3S7, Canada
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10
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Wang X, Xiang P, Zhang S, Wang J, Zhang J, Wu H, Wang X. Retrospective analysis of forensic toxicology data from 2021 to identify patterns of various forensic cases. Forensic Sci Int 2023; 347:111683. [PMID: 37068373 DOI: 10.1016/j.forsciint.2023.111683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2022] [Revised: 04/03/2023] [Accepted: 04/07/2023] [Indexed: 04/19/2023]
Abstract
PURPOSE Knowing and analyzing the characteristics and trends of forensic toxicology cases in a certain area is particularly important for a local government to establish an effective prevention and control system. The purpose of this work was to summarize data from forensic toxicology cases received by the Academy of Forensic Sciences (AFS) in 2021. METHODS As requested by the police or according to the details of cases, samples were systematically screened or analyzed by various methods. Liquid chromatography-tandem mass spectrometry and gas chromatography-mass spectrometry were used to identify medicinal drugs, drugs of abuse, pesticides, poison gases, etc. RESULTS: AFS received a total of 17,758 cases in 2021, of which 314 cases underwent autopsy. The main cause of death was sudden death, and the manner of death was mainly accident. Among 13,744 drug abuse cases, the number of positive cases was 1721, with a positive rate of 12.5%, and synthetic cannabinoids were the most frequently detected substances. In 3640 traffic cases, 85.3% of drivers were suspected of drunk driving. In 103 poisoning cases, hydrogen sulfide poisoning and pesticide suicide account for a large proportion. In drug-facilitated crimes, zolpidem was the most frequently tested component. In 55 case of dog poisonings, the main poisons were cyanides and succinylcholine, and the main poisoning tools were poisonous baits and poisonous syringe darts. CONCLUSIONS This study profiles the toxicological characteristics of forensic toxicological cases conducted at the AFS in 2021 and provides a scientific basis for poisoning cases and drug abuse prevention.
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Affiliation(s)
- Xinying Wang
- Department of Forensic Toxicology, Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Science Platform, Academy of Forensic Science, Shanghai, China; School of Pharmacy, Shenyang Pharmaceutical University, Shenyang, China
| | - Ping Xiang
- Department of Forensic Toxicology, Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Science Platform, Academy of Forensic Science, Shanghai, China
| | - Sujing Zhang
- Department of Forensic Toxicology, Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Science Platform, Academy of Forensic Science, Shanghai, China
| | - Jinming Wang
- Department of Forensic Pathology, Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Science Platform, Academy of Forensic Science, Shanghai, China
| | - Jianhua Zhang
- Department of Forensic Pathology, Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Science Platform, Academy of Forensic Science, Shanghai, China
| | - Hejian Wu
- Department of Forensic Toxicology, Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Science Platform, Academy of Forensic Science, Shanghai, China.
| | - Xin Wang
- Department of Forensic Toxicology, Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Science Platform, Academy of Forensic Science, Shanghai, China.
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11
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Thimm JS, Hofmann V, Bartel M, Sundermann TR. Phospholipid metabolites of GHB as potential biomarkers in whole blood: Synthesis, analytics, and in vitro formation of homolog 16:0/18:1. Drug Test Anal 2023; 15:192-203. [PMID: 36229420 DOI: 10.1002/dta.3386] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2022] [Revised: 09/18/2022] [Accepted: 10/10/2022] [Indexed: 11/06/2022]
Abstract
Gamma-hydroxybutyric acid (GHB) is a common drug of abuse, and the detection of a consumption or administration is a longstanding research objective in clinical and forensic toxicology. However, until now, the short detection window of GHB could not be enlarged by the use of GHB metabolites. Therefore, new biomarkers for the detection of a GHB intake are needed. In analogy to phosphatidylethanols as long-time biomarkers of ethanol, phospholipids with GHB might represent a promising compound class. While the availability of reference compounds often represents a bottleneck in clinical and forensic toxicological research, two phospholipids-phosphatidyl-GHB (16:0/18:1) and its isomer phosphatidyl beta-hydroxybutyric acid (16:0/18:1)-were successfully synthesized by a new highly versatile synthetic route. Structural characterization data, together with 1 H-, 13 C-, and 31 P-NMR and high-resolution mass spectrometry (HRMS) spectra, are reported. Subsequently, a HPLC-MS/MS method was established for the determination of both compounds (limits of detection [LOD] ≤ 2 ng/ml), and the formation of these metabolites was investigated in two in vitro experiments. The formation of phosphatidyl-GHB (16:0/18:1) was observed in an incubation experiment by converting phosphatidylcholine (16:0/18:1) and GHB with phospholipase D and in whole blood samples spiked with 50 mM GHB, respectively. Therefore, phosphatidyl-GHB (16:0/18:1) might represent a valuable new metabolite of GHB with the potential for an extension of the detection window as GHB biomarker.
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Affiliation(s)
- Julian S Thimm
- Institute of Forensic and Traffic Medicine, Heidelberg University Hospital, Heidelberg, Germany
| | - Vanessa Hofmann
- Institute of Forensic Medicine, Department of Biomedical Engineering, University of Basel, Basel, Switzerland
| | - Marc Bartel
- Institute of Forensic and Traffic Medicine, Heidelberg University Hospital, Heidelberg, Germany
| | - Tom R Sundermann
- Institute of Forensic and Traffic Medicine, Heidelberg University Hospital, Heidelberg, Germany.,Institute of Pharmacy and Molecular Biotechnology, Heidelberg University, Heidelberg, Germany
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12
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Dempsey SK, Rodgers CL, Stout P, Lee D. Evaluation of suspected drug-facilitated sexual assault cases in the city of Houston from 2014 to 2020. J Forensic Sci 2022; 67:2394-2400. [PMID: 36219514 DOI: 10.1111/1556-4029.15146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Revised: 09/02/2022] [Accepted: 09/12/2022] [Indexed: 11/29/2022]
Abstract
Drug-facilitated sexual assault is a form of sexual violence against an individual incapacitated by alcohol and/or drugs consumed voluntarily or covertly administered. The purpose of this study was to evaluate toxicological results and the associated demographics of sexual assault-related cases submitted to Houston Forensic Science Center from 2014 to 2020. In total, 1240 samples (1230 cases) were tested during the six-year period that consisted of blood, urine, or both specimens. Blood was analyzed for ethanol by dual-column headspace gas chromatography with flame ionization detection. Drug screen analysis was performed preferably on urine specimens using enzyme-linked immunosorbent assay. Positive screening results were confirmed upon request only due to laboratory policy. A total of 22% (n = 176) of requested samples were confirmed positive. Ethanol was the most prevalent substance detected, present in 17% of the samples (n = 212), followed by 11-nor-9-carboxy-delta-9-tetrahydrocannabinol (THC-COOH) (n = 118). The combination of ethanol and THC-COOH was the most frequent one found (n = 17) in cases positive for two or more drugs (n = 101). Demographic data showed the majority of DFSA victims were white (25%) females (72%) with an average age of 27 years old (n = 348). Almost 90% of cases where the presence of drugs was confirmed resulted in no charges being made, either due to lack of suspect information or unknown reasons by the laboratory.
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Affiliation(s)
- Sara K Dempsey
- Dallas County Southwestern Institute of Forensic Sciences, Dallas, Texas, USA
| | | | - Peter Stout
- Houston Forensic Science Center, Inc., Houston, Texas, USA
| | - Dayong Lee
- Houston Forensic Science Center, Inc., Houston, Texas, USA
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13
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Cabarcos-Fernández P, Tabernero-Duque MJ, Álvarez-Freire I, Bermejo-Barrera AM. Sexual Assault: Approach to Reality in the Area of Santiago de Compostela (Galicia, Spain) through a 12-Year Retrospective Study. J Anal Toxicol 2022; 46:e218-e222. [PMID: 36208150 PMCID: PMC9872222 DOI: 10.1093/jat/bkac080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Revised: 08/31/2022] [Accepted: 12/20/2022] [Indexed: 02/02/2023] Open
Abstract
Sexual assault constitutes a severely traumatic experience that impacts the lives of far too many victims each year. The underlying behaviors of the offenders are often associated with psychological, physical and social distress, and the use of psychotropic substances was found in a good number of cases. A descriptive and retrospective review of sexual assault cases has been undertaken to identify trends in the toxicology findings in Drug-Facilitated Sexual Assault in Santiago de Compostela over the past 12 years. During this period, a total of 69 cases were referred to the Forensic Toxicology Service as sexual assault cases. The sex and age distribution of the cases showed that females between the ages of 14 and 65 years constituted the group most frequently submitted to sexual assault, with a peak of 55.1% in the 18- to 30-year age group. Alcohol consumption was positive in 77.1% of positive cases determined, followed by drugs (34.4%) and illicit drugs (26.2%). Our results showed a high percentage of alcohol consumption in sexual assault cases.
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Affiliation(s)
| | - M J Tabernero-Duque
- Forensic Toxicology Service, Institute of Forensic Sciences, Faculty of Medicine, University of Santiago de Compostela, C/San Francisco s/n, Santiago de Compostela 15782, Spain
| | - I Álvarez-Freire
- Forensic Toxicology Service, Institute of Forensic Sciences, Faculty of Medicine, University of Santiago de Compostela, C/San Francisco s/n, Santiago de Compostela 15782, Spain
| | - A M Bermejo-Barrera
- Forensic Toxicology Service, Institute of Forensic Sciences, Faculty of Medicine, University of Santiago de Compostela, C/San Francisco s/n, Santiago de Compostela 15782, Spain
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14
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Prego-Meleiro P, García-Ruiz C, Sanz-Pareja M, Recalde Esnoz I, Quintanilla MG, Montalvo G. Forensic intelligence-led prevention of drug-facilitated sexual assaults. Forensic Sci Int 2022; 337:111373. [DOI: 10.1016/j.forsciint.2022.111373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Revised: 02/06/2022] [Accepted: 06/26/2022] [Indexed: 11/24/2022]
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15
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An approximation to the identification of contexts, experiences, and profiles of victims of drug-facilitated sexual assaults. J Forensic Leg Med 2022; 90:102376. [DOI: 10.1016/j.jflm.2022.102376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2022] [Revised: 05/19/2022] [Accepted: 05/30/2022] [Indexed: 11/22/2022]
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16
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Taylor L, Saskőy L, Brodie T, Remeškevičius V, Moir HJ, Barker J, Fletcher J, Kaur Thatti B, Trotter G, Rooney B. Development of a Gas-Tight Syringe Headspace GC-FID Method for the Detection of Ethanol, and a Description of the Legal and Practical Framework for Its Analysis, in Samples of English and Welsh Motorists' Blood and Urine. Molecules 2022; 27:molecules27154771. [PMID: 35897946 PMCID: PMC9331811 DOI: 10.3390/molecules27154771] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2022] [Revised: 07/14/2022] [Accepted: 07/17/2022] [Indexed: 11/30/2022] Open
Abstract
Ethanol is the most commonly used recreational drug worldwide. This study describes the development and validation of a headspace gas chromatography flame ionisation detection (HS-GC-FID) method using dual columns and detectors for simultaneous separation and quantitation. The use of a dual-column, dual-detector HS-GC-FID to quantitate ethanol is a common analytical technique in forensic toxicology; however, most analytical systems utilise pressure-balance injection rather than a simplified gas-tight syringe, as per this technique. This study is the first to develop and validate a technique that meets the specifications of the United Kingdom’s requirements for road traffic toxicology testing using a Shimadzu GC-2014 gas-tight syringe. The calibration ranged from 10 to 400 mg/100 mL, with a target minimum linearity of r2 > 0.999, using tertiary butanol as the internal standard marker. The method has an expanded uncertainty at 99.73% confidence of 3.64% at 80 mg/100 mL, which is the blood alcohol limit for drink driving in England and Wales. In addition, at 200 mg%—the limit at which a custodial sentence may be imposed on the defendant—the expanded uncertainty was 1.95%. For both the 80 mg% and 200 mg% concentrations, no bias was present in the analytical method. This method displays sufficient separation for other alcohols, such as methanol, isopropanol, acetaldehyde, and acetone. The validation of this technique complies with the recommended laboratory guidelines set out by United Kingdom and Ireland Association of Forensic Toxicologists (UKIAFT), the recently issued Laboratory 51 guidelines by the United Kingdom Accreditation Service (UKAS), and the criteria set out by the California Code of Regulations (CCR), 17 CCR § 1220.1.
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17
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Balint N, David M, Fegert JM, Fryszer LA, Helling-Bakki A, Herrmann B, Hirchenhain C, Schmidt U, Winter SM. Statement of the DGGG - Recommendations on the Care and Support of Female Minors Suspected of Having Been Subjected to Acute Sexual Violence or Rape. Geburtshilfe Frauenheilkd 2022; 82:694-705. [PMID: 35815100 PMCID: PMC9262634 DOI: 10.1055/a-1860-0562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Accepted: 05/22/2022] [Indexed: 11/07/2022] Open
Abstract
Ziele
Die vorgelegten Empfehlungen sollen zur weiteren Verbesserung und Standardisierung der ärztlichen Versorgung von Betroffenen sexualisierter Gewalt, insbes. von einer
Vergewaltigung betroffenen weiblichen Minderjährigen in Deutschland beitragen. Sie wendet sich vor allem an Frauenärztinnen und Frauenärzte in der Klinik und in der Niederlassung und ergänzt
die umfangreiche Kinderschutzleitlinie der Bundesrepublik Deutschland.
Methoden
Unter Einbeziehung der Ergebnisse einer umfassenden selektiven Literaturrecherche wurden von einer interdisziplinär besetzten Gruppe von Expertinnen und Experten in einem
3-stufigen Verfahren im Auftrag des Vorstands der DGGG diese Empfehlungen erarbeitet und im Konsens verabschiedet.
Zusammenfassung
Diese DGGG-Stellungnahme ist entsprechend dem Alter der Betroffenen (ca. 14 bis 17 Jahre/pubertär; 0 bis ca. 13 Jahre/präpubertär) zweigeteilt. Dies hat medizinische,
strukturelle und forensische Gründe. Es werden zahlreiche Empfehlungen zum Umgang mit den mutmaßlich von akuter sexualisierter Gewalt bzw. einer Vergewaltigung betroffenen Minderjährigen,
zur Erstversorgung, zu Versorgungsformen (z. B. Vertrauliche Spurensicherung), zur Anamneseerhebung, zur medizinisch-forensischen Untersuchung, zur medizinischen, psychischen und
psychosozialen Versorgung sowie zur Nachbetreuung gegeben.
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Affiliation(s)
- Nicole Balint
- Klinik für Gynäkologie, Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Matthias David
- Klinik für Gynäkologie, Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Jörg M Fegert
- Klinik für Kinder- und Jugendpsychiatrie/Psychotherapie, Universitätsklinikum Ulm, Ulm, Germany
| | - Lina Ana Fryszer
- Klinik für Gynäkologie mit Brustzentrum, Campus Charité Mitte, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Astrid Helling-Bakki
- World Childhood Foundation (Deutschland), Stiftung für hilfsbedürftige Kinder, Geschäftsführung, Stuttgart, Germany
| | - Bernd Herrmann
- Ärztliche Kinderschutzambulanz, Klinik für Neonatologie und allgemeine Pädiatrie, Klinikum Kassel, Kassel, Germany
| | - Christine Hirchenhain
- Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Dresden, Germany
| | - Ulrike Schmidt
- Institut für Rechtsmedizin, Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Freiburg, Germany
| | - Sibylle Maria Winter
- Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Childhood-Haus Berlin, Berlin, Germany
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18
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Almofti N, Ballesteros-Gómez A, Rubio S, Girela-López E. Analysis of conventional and nonconventional forensic specimens in drug-facilitated sexual assault by liquid chromatography and tandem mass spectrometry. Talanta 2022; 250:123713. [PMID: 35779361 DOI: 10.1016/j.talanta.2022.123713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Revised: 05/22/2022] [Accepted: 06/22/2022] [Indexed: 10/17/2022]
Abstract
The incidence of drug-facilitated sexual assault (DFSA) has dramatically increased in the last decades. Forensic analytical scientists continuously seek new methods and specimens to prove the incidence of intoxication for the judiciary system. Factors influencing sample selection include the ease of obtaining the samples and the window of detection of the drugs, among others. Both conventional (blood, urine) and non-conventional specimens (hair, nails, fluids) have been proposed as suitable in DFSA cases. Reported sample treatments include a variety of liquid-liquid and solid-phase extraction as well as dilute-and-shoot procedures and microextraction techniques. Regarding analysis, liquid chromatography coupled to tandem mass spectrometry (LC-MS/MS) has emerged as the preferred confirmatory technique, due to its sensitivity, selectivity, and wide-scope applicability. In this review, we critically discuss the most common specimens and sample treatments/analysis procedures (related to LC-MS/MS) that have been reported during the last ten years. As a final goal, we intend to provide a critical overview and suggest analytical recommendations for the establishment of suitable analytical strategies in DFSA cases.
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Affiliation(s)
- N Almofti
- Department of Analytical Chemistry, Institute of Fine Chemistry and Nanochemistry, Marie Curie Annex Building, Campus of Rabanales, University of Córdoba, 14071, Córdoba, Spain; Section of Forensic and Legal Medicine, Department of Morphological and Sociosanitary Sciences, Faculty of Medicine and Nursing, University of Córdoba, 14071, Córdoba, Spain
| | - A Ballesteros-Gómez
- Department of Analytical Chemistry, Institute of Fine Chemistry and Nanochemistry, Marie Curie Annex Building, Campus of Rabanales, University of Córdoba, 14071, Córdoba, Spain.
| | - S Rubio
- Department of Analytical Chemistry, Institute of Fine Chemistry and Nanochemistry, Marie Curie Annex Building, Campus of Rabanales, University of Córdoba, 14071, Córdoba, Spain
| | - E Girela-López
- Section of Forensic and Legal Medicine, Department of Morphological and Sociosanitary Sciences, Faculty of Medicine and Nursing, University of Córdoba, 14071, Córdoba, Spain
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19
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Aknouche F, Ameline A, Barguil Y, Maruejouls C, Kintz P. Hidden administration of 5-APB in a dancing club of New Caledonia documented by urine analysis: about 3 cases. Int J Legal Med 2022; 136:1315-1319. [DOI: 10.1007/s00414-022-02850-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Accepted: 06/01/2022] [Indexed: 10/18/2022]
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20
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Pélissier-Alicot AL, Kintz P, Ameline A, Sastre C, Baillif-Couniou V, Leonetti G. Soumission chimique impliquant la MDMA : à propos d’un cas inhabituel. TOXICOLOGIE ANALYTIQUE ET CLINIQUE 2022. [DOI: 10.1016/j.toxac.2022.03.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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21
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Fryszer LA, Büttner M, Etzold S, Muetzel E, Rall K, Schellong J, David M. Recommendations for Care and Support of Female Rape Victims. Geburtshilfe Frauenheilkd 2022; 82:384-391. [PMID: 35392070 PMCID: PMC8983109 DOI: 10.1055/a-1687-9584] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Accepted: 11/04/2021] [Indexed: 10/25/2022] Open
Abstract
Introduction According to prevalence studies, at least 5% of all women in the Federal Republic of Germany experience rape during their lifetime. While the effects vary according to the individual, rape has serious consequences for the somatic, psychological, and psychosocial health of the victim. The medical care that is provided to presumed rape victims is of special importance, as this care can have a positive influence on the patient's ability to process their experience and engage in healing following such a traumatic event. Furthermore, doctors are the professionals whose help is most often sought in this context. Primary care following rape consists of three aspects: the forensic medical examination, medical care, and psychological care. In this position paper, each of these aspects are discussed in detail. Recommendations for follow-up care are also provided. Methods In a multi-tiered process, a selective literature review was performed and a consensus among representative experts from different areas of specialization was formulated. Goals The goal of this paper is to contribute to the further improvement and standardization of the medical care provided to women who are presumed rape victims.
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Affiliation(s)
| | | | - Saskia Etzold
- Gewaltschutzambulanz, Charité, Campus Virchow-Klinikum, Berlin
| | - Elisabeth Muetzel
- Institut für Rechtsmedizin, Ludwig-Maximilians-Universität München, München
| | - Katharina Rall
- Department of Obstetrics and Gynaecology, Tübingen University Hospital, Tübingen
| | - Julia Schellong
- Klinik und Poliklinik für Psychotherapie und Psychosomatik, Universitätsklinikum Carl Gustav Carus, Dresden
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22
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Pérez Orts M, van Asten A, Kohler I. The Evolution Toward Designer Benzodiazepines in Drug-Facilitated Sexual Assault Cases. J Anal Toxicol 2022; 47:1-25. [PMID: 35294022 PMCID: PMC9942444 DOI: 10.1093/jat/bkac017] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Revised: 02/01/2022] [Accepted: 03/15/2022] [Indexed: 11/14/2022] Open
Abstract
Drug-facilitated sexual assault (DFSA) is a crime where the victim is unable to provide sexual consent due to incapacitation resulting from alcohol or drug consumption. Due to the large number of substances possibly used in DFSA, including illicit, prescription and over-the-counter drugs, DFSA faces many toxicological challenges. Benzodiazepines (BZDs) are ideal candidates for DFSA, as they are active at low doses, have a fast onset of action and can be easily administered orally. The last decade has seen the emergence of designer benzodiazepines (DBZDs), which show slight modifications compared with BZDs and similar pharmacological effects but are not controlled under the international drug control system. DBZDs represent an additional challenge due to the number of new entities regularly appearing in the market, their possibly higher potency and the limited knowledge available on their pharmacokinetic and pharmacodynamics properties. Many BZDs and DBZDs have a short half-life, leading to rapid metabolism and excretion. The low concentrations and short time windows for the detection of BZD in body fluids require the use of highly sensitive analysis methods to enable the detection of drugs and their respective metabolites. This review discusses the current state of the toxicological analysis of BZDs and DBZDs in forensic casework and their pharmacokinetic properties (i.e., absorption, distribution, metabolism, and elimination), as well as their analysis in biosamples typically encountered in DFSA (i.e., blood, urine and hair).
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Affiliation(s)
- Mireia Pérez Orts
- Van’t Hoff Institute for Molecular Sciences, University of Amsterdam, P.O. Box 94157, Amsterdam 1090 GD, The Netherlands
| | - Arian van Asten
- Van’t Hoff Institute for Molecular Sciences, University of Amsterdam, P.O. Box 94157, Amsterdam 1090 GD, The Netherlands,Co van Ledden Hulsebosch Center (CLHC), Amsterdam Center for Forensic Science and Medicine, 1098 XH Amsterdam, The Netherlands,Centre for Analytical Sciences Amsterdam (CASA), Science Park, 904, 1098 XH Amsterdam, The Netherlands
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Jaffe AE, Blayney JA, Graupensperger S, Cooper R, Larimer ME. Prepartying and incapacitated rape: Is drinking a risk factor or an outcome? Alcohol Clin Exp Res 2022; 46:447-457. [PMID: 35076100 PMCID: PMC8966982 DOI: 10.1111/acer.14779] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Revised: 12/30/2021] [Accepted: 01/09/2022] [Indexed: 12/01/2022]
Abstract
BACKGROUND Incapacitated rape (IR) is common in college and has been linked to heavier post-assault drinking and consequences, including blackouts. Following IR, college students may adjust their drinking in ways meant to increase perceived safety, such as enhancing situational control over one's drinks through prepartying, which is drinking before going out to a main social event. Although it is possible that prepartying could influence risk related to IR, it is unclear whether or how prepartying and IR are associated. METHODS To address these gaps, we examined prepartying as both a risk factor and a consequence of IR, including the reasons for prepartying. Across two studies (Study 1 N = 1074; Study 2 N = 1753) of college women and men, we examined associations between IR and prepartying motives, alcohol consumption, and alcohol-related blackouts. RESULTS Within the cross-sectional Study 1, negative binomial regressions revealed that having a history of IR was associated with more alcohol consumption and blackouts when prepartying. In a multivariate model, past-year IR was associated with preparty motives related to interpersonal enhancement, intimate pursuit, and barriers to consumption, but not situational control. Within the prospective Study 2, a path model revealed that preparty drinking was a prospective predictor of IR in the following year, but past-year IR did not predict subsequent prepartying. CONCLUSIONS Findings revealed a robust link between recent history of IR and prepartying regardless of gender. Prepartying was a prospective risk factor for subsequent IR. Although more research in this area is needed, addressing prepartying in alcohol interventions may contribute to the prevention of negative outcomes, including sexual assault.
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Affiliation(s)
- Anna E Jaffe
- Department of Psychology, University of Nebraska-Lincoln, Lincoln, Nebraska, USA
| | - Jessica A Blayney
- Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA
| | - Scott Graupensperger
- Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA
| | - Rachel Cooper
- Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA
| | - Mary E Larimer
- Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA
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Rossi B, Freni F, Vignali C, Stramesi C, Collo G, Carelli C, Moretti M, Galatone D, Morini L. Comparison of Two Immunoassay Screening Methods and a LC-MS/MS in Detecting Traditional and Designer Benzodiazepines in Urine. Molecules 2021; 27:molecules27010112. [PMID: 35011344 PMCID: PMC8746686 DOI: 10.3390/molecules27010112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2021] [Revised: 12/17/2021] [Accepted: 12/21/2021] [Indexed: 12/02/2022] Open
Abstract
Sensitive and specific immunoassay screening methods for the detection of benzodiazepines in urine represent an important prerequisite for routine analysis in clinical and forensic toxicology. Moreover, emerging designer benzodiazepines force labs to keep their methodologies updated, in order to evaluate the reliability of the immunochemical techniques. This study aimed at evaluating the sensitivity and specificity of two different immunoassay methods for the detection of benzodiazepines in urine, through a comparison with the results obtained by a newly developed liquid chromatographic tandem mass spectrometric (LC-MS/MS) procedure. A cohort of authentic urine samples (N = 501) were processed, before and after a hydrolysis procedure, through two immunoassays and an LC-MS/MS method. The LC-MS/MS target procedure was optimized for monitoring 25 different molecules, among traditional and designer benzodiazepines, including some metabolites. At least one of the monitored substances was detected in 100 out of the 501 samples. A good specificity was observed for the two immunoassays (>0.99), independently of the cut-offs and the sample hydrolysis. The new kit demonstrated a fairly higher sensitivity, always higher than 0.90; in particular, a high cross-reactivity of the new immunoassay was observed for samples that tested positive for lorazepam and 7-aminoclonazepam. The two immunoassays appeared adequate to monitor not only traditional benzodiazepines but also new designer ones.
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Wurita A, Suzuki M, Miyoshi N, Minakata K, Yamagishi I, Nozawa H, Hasegawa K. Investigation on toxicological usefulness of synovial fluids, as an alternative matrix: postmortem distribution/redistribution of triazolam and its predominant metabolite α-hydroxytriazolam in human body fluids. Forensic Toxicol 2021; 40:208-214. [DOI: 10.1007/s11419-021-00604-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Accepted: 10/24/2021] [Indexed: 11/29/2022]
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Corkery JM, Hung WC, Claridge H, Goodair C, Copeland CS, Schifano F. Recreational ketamine-related deaths notified to the National Programme on Substance Abuse Deaths, England, 1997-2019. J Psychopharmacol 2021; 35:1324-1348. [PMID: 34092131 PMCID: PMC8600594 DOI: 10.1177/02698811211021588] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
BACKGROUND Ketamine is a phencyclidine derivative with dissociative anaesthetic properties. Increasing numbers of individuals in England take ketamine recreationally. Information on deaths arising from such use in England is presented. METHODS Cases were extracted on 31 January 2020 from the National Programme on Substance Abuse Deaths database, based on text searches of the cause of death, coroner's verdict and positive toxicology results for the terms 'ketamine' or 'norketamine'. FINDINGS During 1997-2005, there were <5 deaths p.a. in which ketamine was implicated. Numbers increased until 2009 (21), plateauing until 2016; thereafter, deaths have risen to about 30 p.a. Decedents' characteristics (N = 283): male 84.1%, mean age 31.2 (SD 10.0) years, employed 56.5%, drug use history 79.6% and living with others 60.3%. Ketamine was detected with other substances in most cases. Main (74.6%) underlying cause of death was accidental poisoning. Ketamine may have impaired judgement in other cases. CONCLUSIONS Although controlled, recreational ketamine use and related fatalities continue to increase. Consumers need to be more aware of the potentially fatal risks they face.
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Affiliation(s)
- John Martin Corkery
- Psychopharmacology, Drug Misuse and
Novel Psychoactive Substances Research Unit, Department of Clinical, Pharmaceutical
and Biological Sciences, University of Hertfordshire, Hatfield, Hertfordshire,
UK
- John Martin Corkery, Psychopharmacology,
Drug Misuse and Novel Psychoactive Substances Research Unit, Department of
Clinical, Pharmaceutical and Biological Sciences, University of Hertfordshire,
Room 2F419, Health Research Building, College Lane Campus, Hatfield, Herts AL10
9AB, UK.
| | - Wan-Chu Hung
- Institute of Pharmaceutical Sciences,
King’s College London, London, UK
| | - Hugh Claridge
- National Programme on Substance Abuse
Deaths, St George’s, University of London, London, UK
- Population Health Research Institute,
St George’s, University of London, London, UK
| | - Christine Goodair
- National Programme on Substance Abuse
Deaths, St George’s, University of London, London, UK
- Population Health Research Institute,
St George’s, University of London, London, UK
| | - Caroline S Copeland
- Institute of Pharmaceutical Sciences,
King’s College London, London, UK
- National Programme on Substance Abuse
Deaths, St George’s, University of London, London, UK
- Population Health Research Institute,
St George’s, University of London, London, UK
| | - Fabrizio Schifano
- Psychopharmacology, Drug Misuse and
Novel Psychoactive Substances Research Unit, Department of Clinical, Pharmaceutical
and Biological Sciences, University of Hertfordshire, Hatfield, Hertfordshire,
UK
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27
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Arfè R, Bilel S, Tirri M, Frisoni P, Serpelloni G, Neri M, Boccuto F, Bernardi T, Foti F, De-Giorgio F, Marti M. Comparison of N-methyl-2-pyrrolidone (NMP) and the "date rape" drug GHB: behavioral toxicology in the mouse model. Psychopharmacology (Berl) 2021; 238:2275-2295. [PMID: 33881584 DOI: 10.1007/s00213-021-05852-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Accepted: 04/12/2021] [Indexed: 01/07/2023]
Abstract
N-methyl-2-pyrrolidone (NMP) and γ-hydroxybutyrate acid (GHB) are synthetic solvents detected in the recreational drug market. GHB has sedative/hypnotic properties and is used for criminal purposes to compromise reaction ability and commit drug-facilitated sexual assaults and other crimes. NMP is a strong solubilizing solvent that has been used alone or mixed with GHB in case of abuse and robberies. The aim of this experimental study is to compare the acute pharmaco-toxicological effects of NMP and GHB on neurological signs (myoclonia, convulsions), sensorimotor (visual, acoustic, and overall tactile) responses, righting reflex, thermoregulation, and motor activity (bar, drag, and accelerod test) in CD-1 male mice. Moreover, since cardiorespiratory depression is one of the main adverse effects related to GHB intake, we investigated the effect of NMP and GHB on cardiorespiratory changes (heart rate, breath rate, oxygen saturation, and pulse distension) in mice. The present study demonstrates that NMP inhibited sensorimotor and motor responses and induced cardiorespiratory depression, with a lower potency and efficacy compared to GHB. These results suggest that NMP can hardly be used alone as a substance to perpetrate sexual assault or robberies.
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Affiliation(s)
- Raffaella Arfè
- Department of Translational Medicine, Section of Legal Medicine and LTTA Centre, University of Ferrara, Ferrara, Italy.,Department of Health Care Surveillance and Bioethics, Section of Legal Medicine, Università Cattolica del Sacro Cuore, Roma, Italia
| | - Sabrine Bilel
- Department of Translational Medicine, Section of Legal Medicine and LTTA Centre, University of Ferrara, Ferrara, Italy
| | - Micaela Tirri
- Department of Translational Medicine, Section of Legal Medicine and LTTA Centre, University of Ferrara, Ferrara, Italy
| | - Paolo Frisoni
- Department of Translational Medicine, Section of Legal Medicine and LTTA Centre, University of Ferrara, Ferrara, Italy
| | - Giovanni Serpelloni
- Department of Psychiatry in the College of Medicine, Drug Policy Institute, University of Florida, Gainesville, FL, USA
| | - Margherita Neri
- Department of Translational Medicine, Section of Legal Medicine and LTTA Centre, University of Ferrara, Ferrara, Italy
| | - Federica Boccuto
- Department of Translational Medicine, Section of Legal Medicine and LTTA Centre, University of Ferrara, Ferrara, Italy
| | - Tatiana Bernardi
- Department of Chemistry and Pharmaceutical Sciences, University of Ferrara, Ferrara, Italy
| | - Federica Foti
- Department of Health Care Surveillance and Bioethics, Section of Legal Medicine, Università Cattolica del Sacro Cuore, Roma, Italia.,Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo F. Vito 1, 00168, Roma, Italia
| | - Fabio De-Giorgio
- Department of Health Care Surveillance and Bioethics, Section of Legal Medicine, Università Cattolica del Sacro Cuore, Roma, Italia. .,Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo F. Vito 1, 00168, Roma, Italia.
| | - Matteo Marti
- Department of Translational Medicine, Section of Legal Medicine and LTTA Centre, University of Ferrara, Ferrara, Italy. .,Collaborative Center for the Italian National Early Warning System, Department of Anti-Drug Policies, Presidency of the Council of Ministers, Rome, Italy.
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Wille SMR, Van Dijck K, Van Assche A, Di Fazio V, Ramiréz-Fernandéz MDM, Vanvooren V, Samyn N. The Interest of a Systematic Toxicological Analysis Combined with Forensic Advice to Improve the Judicial Investigation and Final Judgment in Drug Facilitated Sexual Assault Cases. Pharmaceuticals (Basel) 2021; 14:ph14050432. [PMID: 34064432 PMCID: PMC8147760 DOI: 10.3390/ph14050432] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2021] [Revised: 04/20/2021] [Accepted: 05/01/2021] [Indexed: 11/25/2022] Open
Abstract
The conviction rate in drug facilitated sexual assault (DFSA) cases is known to be very low. In addition, the potential impact of toxicological results on the case is often not well understood by the judicial authorities. The aims of this study were (1) to obtain more knowledge concerning the prevalence of incapacitating substances in DFSA cases, (2) to create a more efficient DFSA analysis strategy taking background information into account, and (3) to evaluate the potential impact of systematic toxicological analysis (STA) on the final judicial outcome. This small-scale epidemiological study (n = 79) demonstrates that ‘commonly-used’ illicit drugs, psychoactive medicines and ethanol are more prevalent in DFSA cases in contrast to the highly mediatized date rape drugs. Additionally, via case examples, the interest of performing STA—to prove incapacitation of the victim—in judicial procedures with mutual-consent discussions has been demonstrated as it led to increased convictions. However, more attention has to be paid to ensure a short sampling delay and to get more accurate information from the medical treatment of the alleged victim. This will improve the interpretation of the toxicological analysis and thus its applicability in a DFSA case. The future is multi-disciplinary and will certainly lead to an efficient and more cost-effective DFSA approach in which STA can impact the final judgment.
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Affiliation(s)
- Sarah M. R. Wille
- Unit Toxicology, National Institute of Criminalistics and Criminology (NICC), 1120 Brussels, Belgium; (V.D.F.); (M.d.M.R.-F.); (N.S.)
- Correspondence:
| | - Karolien Van Dijck
- Unit Forensic Advice, National Institute of Criminalistics and Criminology (NICC), 1120 Brussels, Belgium; (K.V.D.); (A.V.A.)
| | - Antje Van Assche
- Unit Forensic Advice, National Institute of Criminalistics and Criminology (NICC), 1120 Brussels, Belgium; (K.V.D.); (A.V.A.)
| | - Vincent Di Fazio
- Unit Toxicology, National Institute of Criminalistics and Criminology (NICC), 1120 Brussels, Belgium; (V.D.F.); (M.d.M.R.-F.); (N.S.)
| | - Maria del Mar Ramiréz-Fernandéz
- Unit Toxicology, National Institute of Criminalistics and Criminology (NICC), 1120 Brussels, Belgium; (V.D.F.); (M.d.M.R.-F.); (N.S.)
| | - Vanessa Vanvooren
- Unit DNA Analysis, National Institute of Criminalistics and Criminology (NICC), 1120 Brussels, Belgium;
| | - Nele Samyn
- Unit Toxicology, National Institute of Criminalistics and Criminology (NICC), 1120 Brussels, Belgium; (V.D.F.); (M.d.M.R.-F.); (N.S.)
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Fung EC, Santos MGR, Sanchez ZM, Surkan PJ. Personal and Venue Characteristics Associated With the Practice of Physical and Sexual Aggression in Brazilian Nightclubs. JOURNAL OF INTERPERSONAL VIOLENCE 2021; 36:NP3765-NP3785. [PMID: 29911460 DOI: 10.1177/0886260518780783] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Violence among young adults is an increasing public health concern, especially in the context of nightlife, such as around nightclubs and bars. Nightlife is associated with alcohol, drugs, and increased violence, but little is known about personal and environmental factors related to physical aggression and sexual violence in nightclubs. This study aimed to determine personal and environmental risk factors for physical and sexual aggression in nightclubs in São Paulo, Brazil. Data were collected among nightclub patrons through use of a portal survey at the entrances and exits of 31 nightclubs. Men and women over 18 years old were systematically sampled while waiting in entrance lines. At the entrance, participants provided information about sociodemographic characteristics, drug use, alcohol use, and other risky behaviors during the prior 12 months. Upon exiting the nightclub, participants were asked about drug use, alcohol use, aggressive behaviors, and other risky behaviors that occurred while in the nightclub. Each participant was offered a breathalyzer test when entering and exiting the nightclub. Participants who used drugs in the nightclub, planned to have sex after leaving the club, or were younger in age were more likely to commit an act of physical aggression. Participants who attended nightclubs playing eclectic music, drank before arriving at the nightclub, and had elevated breath alcohol concentration at the entrance or exit were more likely to commit an act of sexual aggression. Study findings point to specific risk factors and can inform the development of social environmental prevention strategies to prevent physical and sexual aggression within nightclubs.
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García MG, Pérez-Cárceles MD, Osuna E, Legaz I. Drug-facilitated sexual assault and other crimes: A systematic review by countries. J Forensic Leg Med 2021; 79:102151. [PMID: 33773270 DOI: 10.1016/j.jflm.2021.102151] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Revised: 12/16/2020] [Accepted: 03/07/2021] [Indexed: 11/17/2022]
Abstract
Drug-facilitated sexual assault (DFSA) and drug-facilitated crime (DFC) constitute a mode of violence that is generally unknown to the population and may go unnoticed by health professionals. The aim of this systematic review was to analyze the victims of DFC, compiling their sociodemographic characteristics, the toxic substances used and their biological matrices and modes of action, in order to identify the substances that are commonly put to criminal use. The aim would be to establish political and health strategies that inform and warn people about possible criminal social behaviors consequent danger to health. This systematic review was conducted following the PRISMA guidelines. Alcohol, benzodiazepines and cocaine were among the most commonly detected substances. In most of the hospitals, immunoassays, liquid chromatography (LC-MS), or gas chromatography-mass spectrometry (GC-MS) analyses were used to identify the substances, while the most frequently used biological matrices were blood and urine. From a judicial point of view, the instrumental protocols and techniques followed for the detection of toxics in different biological matrices must guarantee the reliability and validity of the results for use in a court of law. The recommendations of international organizations should be followed and must be called upon to strengthen their respective national laws against this chemical submission (CS) phenomenon.
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Affiliation(s)
- M G García
- Department of Legal and Forensic Medicine, Biomedical Research Institute (IMIB), Regional Campus of International Excellence "Campus Mare Nostrum", Faculty of Medicine, University of Murcia, Murcia, Spain
| | - M D Pérez-Cárceles
- Department of Legal and Forensic Medicine, Biomedical Research Institute (IMIB), Regional Campus of International Excellence "Campus Mare Nostrum", Faculty of Medicine, University of Murcia, Murcia, Spain
| | - E Osuna
- Department of Legal and Forensic Medicine, Biomedical Research Institute (IMIB), Regional Campus of International Excellence "Campus Mare Nostrum", Faculty of Medicine, University of Murcia, Murcia, Spain
| | - I Legaz
- Department of Legal and Forensic Medicine, Biomedical Research Institute (IMIB), Regional Campus of International Excellence "Campus Mare Nostrum", Faculty of Medicine, University of Murcia, Murcia, Spain.
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Prego-Meleiro P, Montalvo G, Quintela-Jorge Ó, García-Ruiz C. An ecological working framework as a new model for understanding and preventing the victimization of women by drug-facilitated sexual assault. Forensic Sci Int 2020; 315:110438. [DOI: 10.1016/j.forsciint.2020.110438] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Revised: 07/10/2020] [Accepted: 07/29/2020] [Indexed: 11/24/2022]
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Dumbili EW, Williams C. "If She Refuses to Have Sex With You, Just Make Her Tipsy": A Qualitative Study Exploring Alcohol-Facilitated Sexual Violence Against Nigerian Female Students. JOURNAL OF INTERPERSONAL VIOLENCE 2020; 35:3355-3378. [PMID: 29294756 DOI: 10.1177/0886260517708761] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Most research on alcohol consumption and related sexual violence focuses on Western societies. Drawing on traditional masculinity scripts, this article contributes to the culturally specific understanding of how Nigerian sociocultural constructions of alcohol consumption facilitate sexual violence against women. In-depth interviews were conducted with 31 male and female undergraduate students (aged 19-23 years), exploring how the gendering of alcoholic beverages facilitates men's perpetration of sexual violence against women in a Nigerian university. Thematic analysis was conducted using NVivo 10 software. Men were found to exclude women from consuming beer, which they described as "inappropriate" feminine behavior, confining them to drinking sweetened/flavored alcoholic beverages. To maintain a notion of "respectable" femininity, women consumed these drinks, but this created gender-specific risks. In comparison with beer, sweetened alcoholic beverages have a higher alcohol content, which many of the men were aware of, unlike the women interviewed. Some men admitted buying such drinks for women, pressuring them to drink above their limits and raping them when they were inebriated. Public health interventions that focus on the deep-seated gendered consumption rituals anchored in patriarchal beliefs, the commodification of women's bodies, and the stigmatization of rape victims should be pursued more vigorously in Nigeria and other non-Western societies.
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Increasing awareness of the severity of female victimization by opportunistic drug-facilitated sexual assault: A new viewpoint. Forensic Sci Int 2020; 315:110460. [PMID: 32858463 DOI: 10.1016/j.forsciint.2020.110460] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Revised: 08/09/2020] [Accepted: 08/11/2020] [Indexed: 11/20/2022]
Abstract
The victimization of women by opportunistic drug-facilitated sexual assault in leisure contexts was studied in this work by applying a novel approximation. A multifocal analytical strategy based on an intersectional gender-sensitive approach was used to analyse the evidence coming from both forensic case studies and contextual studies about sexual interrelation and drug use. The process of victimization comprises social changes affecting consumption patterns and sexual interaction, intersecting in the hegemonic recreational nightlife model. However, victims experience a range of situations that make it difficult for them to self-acknowledge themselves as such. Widespread myths about the victimization process add to the social questioning faced by victims, stemming from gender-based double standards which condition the expected female behaviors regarding the use of drugs and sexual interaction. The victims usually experience amnesia, lack of injuries and emotional harm, which make difficult the self-acknowledgement as a victim of sexual assault and the reporting of the episode suffered. Consequently, it is an urgent public health need to implement a new viewpoint about the victimization of women by opportunistic drug-facilitated sexual assault in leisure contexts, able to increase awareness of the severity of this form of sexual violence. Society must recognize the existence of this problem within itself to help victims to acknowledge themselves as such, lodge a complaint and seek adequate help. The lack of this social support feeds the perpetuation of the victimization process, which exacerbates the risk of locking victims into spirals of cyclical re-victimization and favors both the underreporting as well as inadequate coping strategies. In addition to focusing on the need to increase awareness of the severity of female victimization by opportunistic drug-facilitated sexual assault in leisure contexts, other recommendations include the use of the term "take advantage", the development of specific criminal approaches, and the in-depth knowledge of the phenomenon via victimization surveys. These steps are necessary for developing well-targeted and evidence-based preventive measures consistent-with-reality.
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Violence against women and drug-facilitated sexual assault (DFSA): A review of the main drugs. J Forensic Leg Med 2020; 74:102020. [DOI: 10.1016/j.jflm.2020.102020] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Revised: 06/18/2020] [Accepted: 07/03/2020] [Indexed: 12/16/2022]
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35
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Russo MJ, Quigley AF, Kapsa RMI, Moulton SE, Guijt R, Silva SM, Greene GW. A Simple Electrochemical Swab Assay for the Rapid Quantification of Clonazepam in Unprocessed Saliva Enabled by Lubricin Antifouling Coatings. ChemElectroChem 2020. [DOI: 10.1002/celc.202000393] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Affiliation(s)
- Matthew J. Russo
- Institute for Frontier Materials and ARC Centre of Excellence for Electromaterials Science Deakin University Melbourne Victoria 3216 Australia
- BioFab3D@ACMD St Vincent's Hospital Melbourne Melbourne Victoria 3065 Australia
| | - Anita F. Quigley
- School of Electrical and Biomedical Engineering RMIT University Melbourne Victoria 3000 Australia
- BioFab3D@ACMD St Vincent's Hospital Melbourne Melbourne Victoria 3065 Australia
| | - Robert M. I. Kapsa
- School of Electrical and Biomedical Engineering RMIT University Melbourne Victoria 3000 Australia
- BioFab3D@ACMD St Vincent's Hospital Melbourne Melbourne Victoria 3065 Australia
| | - Simon E. Moulton
- ARC Centre of Excellence for Electromaterials Science Faculty of Science Engineering and Technology Swinburne University of Technology Melbourne Victoria 3122 Australia
- Iverson Health Innovation Research Institute Swinburne University of Technology Victoria 3122 Australia
| | - Rosanne Guijt
- Centre for Regional and Rural Futures Deakin University Geelong VIC 3220 Australia
| | - Saimon M. Silva
- ARC Centre of Excellence for Electromaterials Science Faculty of Science Engineering and Technology Swinburne University of Technology Melbourne Victoria 3122 Australia
- BioFab3D@ACMD St Vincent's Hospital Melbourne Melbourne Victoria 3065 Australia
| | - George W. Greene
- Institute for Frontier Materials and ARC Centre of Excellence for Electromaterials Science Deakin University Melbourne Victoria 3216 Australia
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Honeychurch KC. Review of Electroanalytical-Based Approaches for the Determination of Benzodiazepines. BIOSENSORS-BASEL 2019; 9:bios9040130. [PMID: 31684040 PMCID: PMC6955736 DOI: 10.3390/bios9040130] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/27/2019] [Revised: 10/22/2019] [Accepted: 10/30/2019] [Indexed: 12/23/2022]
Abstract
The benzodiazepine class of drugs are characterised by a readily electrochemically reducible azomethine group. A number are also substituted by other electrochemically active nitro, N-oxide, and carbonyl groups, making them readily accessible to electrochemical determination. Techniques such as polarography, voltammetry, and potentiometry have been employed for pharmaceutical and biomedical samples, requiring little sample preparation. This review describes current developments in the design and applications of electrochemical-based approaches for the determination of the benzodiazepine class of drugs form their introduction in the early 1960s to 2019. Throughout this period, state-of-the-art electroanalytical techniques have been reported for their determination. Polarography was first employed focused on mechanistic investigations. Subsequent studies showed the adsorption of many the benzodiazepines at Hg electrodes allowed for the highly sensitive technique of adsorptive stripping voltammetry to be employed. The development and introduction of other working electrode materials such as carbon led to techniques such as voltammetry to become commonly reported, and the modification of these electrodes has now become the most commonly employed approach using molecularly imprinting and nanotechnology.
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Affiliation(s)
- Kevin C Honeychurch
- Centre for Research in Biosciences, Department of Applied Sciences, University of the West of England, Frenchay Campus, Bristol BS16 1QY, UK.
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Prego-Meleiro P, Quintela-Jorge Ó, Montalvo G, García-Ruiz C. Multi-target methodology for the screening of blood specimens in drug-facilitated sexual assault cases. Microchem J 2019. [DOI: 10.1016/j.microc.2019.104204] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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The role of voluntary and involuntary drug and alcohol consumption and premorbid mental health factors in drug-facilitated sexual assault. Forensic Sci Med Pathol 2019; 15:382-391. [DOI: 10.1007/s12024-019-00124-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/08/2019] [Indexed: 10/26/2022]
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Strano Rossi S, Vecchio S, Odoardi S, Anzillotti L, Chiarotti M, Serpelloni G, Locatelli C. Analytical protocol for the screening of psychotropic/incapacitating drugs in alleged drug-facilitated crimes. Forensic Chem 2019. [DOI: 10.1016/j.forc.2019.100168] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Pan M, Wang X, Zhao Y, Liu W, Xiang P. A retrospective analysis of data from forensic toxicology at the Academy of Forensic Science in 2017. Forensic Sci Int 2019; 298:39-47. [DOI: 10.1016/j.forsciint.2019.02.039] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2018] [Revised: 02/18/2019] [Accepted: 02/23/2019] [Indexed: 12/28/2022]
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41
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Toxicological findings in 1000 cases of suspected drug facilitated sexual assault in the United States. J Forensic Leg Med 2019; 61:56-64. [DOI: 10.1016/j.jflm.2018.11.006] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2018] [Revised: 10/31/2018] [Accepted: 11/07/2018] [Indexed: 11/23/2022]
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42
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Chan KW, Ramli SH. Development of an in-house HPLC method for the analysis of ecstasy-laced beverages. EGYPTIAN JOURNAL OF FORENSIC SCIENCES 2018. [DOI: 10.1186/s41935-018-0048-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Bertol E, Di Milia MG, Fioravanti A, Mari F, Palumbo D, Pascali JP, Vaiano F. Proactive drugs in DFSA cases: Toxicological findings in an eight-years study. Forensic Sci Int 2018; 291:207-215. [DOI: 10.1016/j.forsciint.2018.08.032] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2018] [Revised: 08/02/2018] [Accepted: 08/25/2018] [Indexed: 11/25/2022]
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A multifactorial critical appraisal of substances found in drug facilitated sexual assault cases. Forensic Sci Int 2018; 292:50-60. [PMID: 30292936 DOI: 10.1016/j.forsciint.2018.08.034] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2018] [Revised: 07/26/2018] [Accepted: 08/25/2018] [Indexed: 11/23/2022]
Abstract
Drug-facilitated sexual assault (DFSA) is a sexual act in which the victim is unable to give or rescind consent due to intoxication with alcohol and/or drugs that have been self-administered (opportunistic DFSA) or covertly administered by the perpetrator (predatory DFSA). The drugs that are most commonly associated with DFSA are flunitrazepam and gamma-hydroxybutyric acid (GHB). They cause sedation and amnesia, are readily dissolved in beverages and are rapidly eliminated from the system. However, drugs such as amphetamine and cocaine, which are central nervous system (CNS) stimulants, have also been encountered in DFSA cases. This paper critically evaluates trend data from cohort studies, identifying drugs that have been detected in DFSA cases and reports on the differences in drugs used between opportunistic and predatory DFSA. This is the first time that a critical multifactorial review of drugs used in DFSA has been conducted. The pharmacology of each identified group of drugs is presented, showing why these compounds are of interest and used in the perpetration of DFSA. Furthermore, the pharmacology and mechanisms of action are described to explain how the drugs cause their effects. It is also apparent from this study that if meaningful data is to be exchanged between law enforcement agencies then it is necessary to agree on protocols for the collection of evidence and the drugs for which analysis should be performed and indeed on the analytical methods used.
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A Study on Photostability of Amphetamines and Ketamine in Hair Irradiated under Artificial Sunlight. Brain Sci 2018; 8:brainsci8060096. [PMID: 29843429 PMCID: PMC6025081 DOI: 10.3390/brainsci8060096] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2018] [Revised: 05/23/2018] [Accepted: 05/24/2018] [Indexed: 11/17/2022] Open
Abstract
Drugs incorporated into hair are exposed to the environment, and cosmetic and chemical treatments, with possible decreases in their content. Knowledge concerning the effect of sunlight on drug content in hair can be helpful to forensic toxicologists, in particular, when investigating drug concentrations above or below pre-determined cut-offs. Twenty authentic positive hair samples were selected which had previously tested positive for amphetamines and/or ketamine. Washed hair were divided into two identical strands, with the former exposed at 765 W/m2 (300–800 nm spectrum of irradiance) for 48 h in a solar simulator, and the latter kept in the dark. Hair samples were extracted and analyzed by liquid chromatography high-resolution mass spectrometry detection. The percentage of photodegradation was calculated for each analyte (i.e., amphetamine, methamphetamine, methylendioxyamphetamine, ketamine, and norketamine). In parallel, photodegradation processes of standard molecules dissolved in aqueous and organic solutions were studied. In 20 hair samples positive for the targeted analytes, exposure to artificial sunlight induced an appreciable decrease in drug concentrations. The concentration ranges in the non-irradiated hair samples were 0.01–24 ng/mg, and 65% of samples exhibited a decrease in post-irradiation samples, with reduction from 3% to 100%. When more drugs were present in the same hair sample (i.e., MDMA and ketamine) the degradation yields were compound dependent. A degradation product induced by irradiation of ketamine in aqueous and methanol solutions was identified; it was also found to be present in a true positive hair sample after irradiation. Ketamine, amphetamines, and their metabolites incorporated in the hair of drug users undergo degradation when irradiated by artificial sunlight. Only for ketamine was a photoproduct identified in irradiated standard solutions and in true positive irradiated hair. When decisional cut-offs are applied to hair analysis, photodegradation must be taken into account since sunlight may produce false negative results. Moreover, new markers could be investigated as evidence of illicit drug use.
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Richer LA, Fields L, Bell S, Heppner J, Dodge J, Boccellari A, Shumway M. Characterizing Drug-Facilitated Sexual Assault Subtypes and Treatment Engagement of Victims at a Hospital-Based Rape Treatment Center. JOURNAL OF INTERPERSONAL VIOLENCE 2017; 32:1524-1542. [PMID: 26063789 DOI: 10.1177/0886260515589567] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Variation among existing studies in labeling, defining, identifying, and subtyping cases of suspected drug-facilitated sexual assault (DFSA) poses challenges to integrating research findings for public health purposes. This descriptive study addressed methodological issues of nomenclature and DFSA operational definitions to improve case identification and was designed to distinguish assault subtypes. We studied a 2-year ethnically diverse cohort of 390 patients who presented acutely to an urban rape treatment center (RTC). We abstracted data from RTC medical and mental health records via chart review. Assault incidence rates; engagement into medical, forensic, and mental health services; injury sustained; and weapon use were calculated separately for assault subtypes and compared. DFSA accounted for over half of the total sexual assault (SA) cases. Involuntary DFSA (in which an incapacitating substance was administered to victims without their knowledge or against their will) increased from 25% to 33% of cases over the 2-year period. DFSA victims presented sooner, and more often attended medical follow-up and psychotherapy than non-DFSA victims. Incidence rates indicated increasing risk for young males. These findings indicate that DFSA continues to be a growing and complex phenomenon and suggest that DFSA victims have greater service needs. The field would benefit from innovations to address symptomatology arising from this novel type of trauma and the unique risks and needs of male victims, as well as underscoring the ongoing need for DFSA-specific prevention efforts for both victims and perpetrators.
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A global epidemiological perspective on the toxicology of drug-facilitated sexual assault: A systematic review. J Forensic Leg Med 2017; 47:46-54. [DOI: 10.1016/j.jflm.2017.02.005] [Citation(s) in RCA: 70] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2016] [Revised: 11/28/2016] [Accepted: 02/16/2017] [Indexed: 11/18/2022]
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Crawford-Jakubiak JE, Alderman EM, Leventhal JM, Flaherty EG, Idzerda S, Legano L, Leventhal JM, Lukefahr JL, Sege RD, Braverman PK, Adelman WP, Alderman EM, Breuner CC, Levine DA, Marcell AV, O’Brien RF. Care of the Adolescent After an Acute Sexual Assault. Pediatrics 2017; 139:peds.2016-4243. [PMID: 28242861 DOI: 10.1542/peds.2016-4243] [Citation(s) in RCA: 44] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Sexual violence is a broad term that encompasses a wide range of sexual victimizations. Since the American Academy of Pediatrics published its last policy statement on sexual assault in 2008, additional information and data have emerged about sexual violence affecting adolescents and the treatment and management of the adolescent who has been a victim of sexual assault. This report provides new information to update physicians and focuses on the acute assessment and care of adolescent victims who have experienced a recent sexual assault. Follow-up of the acute assault, as well as prevention of sexual assault, are also discussed.
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Affiliation(s)
- James E. Crawford-Jakubiak
- Pediatrics, University of California San Francisco School of Medicine, and Center for Child Protection, University of San Francisco Benioff Children’s Hospital, Oakland, California
| | - Elizabeth M. Alderman
- Department of Pediatrics, Division of Adolescent Medicine, Director, Pediatrics Residency Program, The Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York; and
| | - John M. Leventhal
- Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut
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Wang X, Johansen SS, Nielsen MKK, Linnet K. Targeted analysis of 116 drugs in hair by UHPLC-MS/MS and its application to forensic cases. Drug Test Anal 2016; 9:1137-1151. [DOI: 10.1002/dta.2130] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2016] [Revised: 10/26/2016] [Accepted: 10/26/2016] [Indexed: 12/20/2022]
Affiliation(s)
- Xin Wang
- Section of Forensic Chemistry, Department of Forensic Medicine, Faculty of Health and Medical Sciences; University of Copenhagen; Denmark
| | - Sys Stybe Johansen
- Section of Forensic Chemistry, Department of Forensic Medicine, Faculty of Health and Medical Sciences; University of Copenhagen; Denmark
| | - Marie Katrine Klose Nielsen
- Section of Forensic Chemistry, Department of Forensic Medicine, Faculty of Health and Medical Sciences; University of Copenhagen; Denmark
| | - Kristian Linnet
- Section of Forensic Chemistry, Department of Forensic Medicine, Faculty of Health and Medical Sciences; University of Copenhagen; Denmark
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Wang X, Johansen SS, Zhang Y, Jia J, Rao Y, Jiang F, Linnet K. Deposition of diazepam and its metabolites in hair following a single dose of diazepam. Int J Legal Med 2016; 131:131-141. [DOI: 10.1007/s00414-016-1429-x] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2016] [Accepted: 07/26/2016] [Indexed: 12/11/2022]
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