Drug related deaths in the community: a preventive role for accident and emergency departments?

Reducing drug related deaths has been identified as a priority by the British government. This study examined the link between drug related deaths in the community and prior contact with local accident and emergency (A&E) services. Most drug related deaths were found among male opioid users in their early 30s who had previously attended the local A&E department. It is suggested that A&E departments have a vital part to play, not only in the acute management but also in the prevention of drug related deaths in the community. Models for primary prevention, liaison and ongoing referral are discussed.