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Emergência relacionada com o uso de substâncias psicoativas em ambiente recriativo : emergências psicológicas e emergências médicas
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Abstract(s)
O presente estudo tem como objetivo descrever as emergências médicas associadas ao uso de substâncias psicoativas em ambiente recreativo com ênfase nos riscos médicos e psicológicos, situações e fatores que levam ao seu agravamento. Esta investigação qualitativa parte de um estudo de caso coletivo onde foram analisados documentos preenchidos pelos profissionais que realizaram a intervenção dos participantes atendidos num serviço de emergência psicadélica de um festival de música e cultura psicadélica em Portugal, no ano de 2023. Num total de 409 casos atendidos no serviço de emergência psicadélica, 36 encontravam-se em emergência médica, sendo que houve a necessidade de reencaminhamento para serviços médicos mais especializados em 10 casos. Nesta amostra (n=36), os resultados evidenciam uma marcada tendência pelo policonsumo e sobredosagens, práticas que se apresentam como fatores de risco para consequências adversas pelo impacto que tem, simultaneamente, nos diversos sistemas do organismo. Concluiu-se que as principais alterações a nível do estado mental e físico são uma agitação psicomotora, delírios, humor ansioso, conteúdo do pensamento desorganizado, inquietação grave e consciência deprimida. Assim, ansiolíticos e antipsicóticos foram as principais medicações administradas e as principais estratégias de intervenção foram de suporte psicológico e fornecer um espaço com baixa estimulação para descansar.
The present study seeks to highlight medical emergencies associated with the use of psychoactive substances in recreational environments, with an emphasis on medical and psychological risks and the factors that lead to their aggravation. This qualitative investigation is based on a collective case study, in which documents completed by professionals, who dealt with individuals aided by a psychedelic emergency service at a psychedelic music and cultural festival in Portugal in 2023, were analysed. Out of a total of 409 cases attended by the psychedelic emergency service, 36 were classified as medical emergencies, with 10 cases requiring referral to more specialised medical services. The results of this sample (n=36) show a strong tendency of polydrug use and overdoses, practices which present significant dangers since they affect numerous physiological systems simultaneously. It was determined that the main changes in mental and physical condition are psychomotor agitation, delusions, anxious mood, disorganised thoughts, severe restlessness and depressed consciousness. Therefore, anxiolytics and antipsychotics were the most used medications, and the main intervention measures were psychological support and providing a low-stimulation environment for rest.
The present study seeks to highlight medical emergencies associated with the use of psychoactive substances in recreational environments, with an emphasis on medical and psychological risks and the factors that lead to their aggravation. This qualitative investigation is based on a collective case study, in which documents completed by professionals, who dealt with individuals aided by a psychedelic emergency service at a psychedelic music and cultural festival in Portugal in 2023, were analysed. Out of a total of 409 cases attended by the psychedelic emergency service, 36 were classified as medical emergencies, with 10 cases requiring referral to more specialised medical services. The results of this sample (n=36) show a strong tendency of polydrug use and overdoses, practices which present significant dangers since they affect numerous physiological systems simultaneously. It was determined that the main changes in mental and physical condition are psychomotor agitation, delusions, anxious mood, disorganised thoughts, severe restlessness and depressed consciousness. Therefore, anxiolytics and antipsychotics were the most used medications, and the main intervention measures were psychological support and providing a low-stimulation environment for rest.
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Keywords
Ambientes recreativos Estados alterados de consciência Intervenção em crise Risco médico Substâncias psicoativas Recreational environments Altered states of consciousness Crisis intervention Medical risk Psychoactive substances
Pedagogical Context
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