Sospecha de sumisión química en sujetos mayores atendidos en un servicio de urgencias hospitalario / Suspicion of chemical submission in older subjects attending a hospital emergency department

RESUMEN

La sumisión química (SQ) es considerada un problema de salud y una forma de violencia. Se distinguen formas de SQ proactiva (consumo involuntario de sustancias psicoactivas) y SQ oportunista (consumo voluntario), con finalidad delictiva o criminal, habitualmente robo, sometimiento o agresiones sexuales. El objetivo de este trabajo es describir las características de los casos de sospecha de SQ en mayores de 65 años atendidos en el Servicio de Urgencias del Hospital Clínico San Carlos y el resultado del análisis toxicológico realizado en el INTCF de Madrid (1 abril 2015-2019). Se registraron 12 (8%) casos de sospecha de SQ de 75 (DE 8) años, 8 (66,7%) hombres, con dos perfiles diferentes, todos asociados a robo y en 3 (25%) posible agresión sexual. En 9 (75%) casos se identificaron benzodiacepinas y/o fármacos habituales. La SQ es un problema a tener en cuenta en urgencias y no es exclusiva de población joven

ABSTRACT

Chemical Submission (CS) is considered a danger to health and a form of violence. There are different forms of proactive CS (involuntary consumption of psychoactive substances) and opportunistic CS (voluntary consumption), with criminal intent, usually theft, submission, or sexual assault. The objective of this work is to describe the characteristics of cases of suspected CS in adults older than 65 years treated in the Emergency Department of the San Carlos Clinical Hospital and the results of the toxicological analysis performed by the INTCF in Madrid (April 1, 2015-2019). There were 12 (8%) cases of suspected CS, with a mean age of 75 (SD 8) years, of which 8 (66.7%) men, with two different profiles, all associated with theft, and in 3 (25%) possible sexual assault. In 9 (75%) cases, benzodiazepines and / or usual drugs were identified. CS is a problem to consider in Emergency Departments and is not exclusive to the young population