Accidental substance-related acute toxicity deaths in older adults in 2016 and 2017: a national chart review study. / Décès accidentels liés à une intoxication aiguë due à une substance chez les aînés en 2016 et en 2017 : une étude nationale d'examen des dossiers.

INTRODUCTION: Limited research exists on substance-related acute toxicity deaths (ATDs) in older adults (≥60 years) in Canada. This study aims to examine and describe the sociodemographic characteristics, health histories and circumstances of death for accidental ATDs among older adults. METHODS: Following a retrospective descriptive analysis of all coroner and medical examiner files on accidental substance-related ATDs in older adults in Canada from 2016 to 2017, proportions and mortality rates for coroner and medical examiner data were compared with general population data on older adults from the 2016 Census. Chisquare tests were conducted for categorical variables where possible. RESULTS: From 2016 to 2017, there were 705 documented accidental ATDs in older adults. Multiple substances contributed to 61% of these deaths. Fentanyl, cocaine and ethanol (alcohol) were the most common substances contributing to death. Heart disease (33%), chronic pain (27%) and depression (26%) were commonly documented. Approximately 84% of older adults had contact with health care services in the year preceding their death. Only 14% were confirmed as having their deaths witnessed. CONCLUSIONS: Findings provide insight into the demographic, contextual and medical history factors that may influence substance-related ATDs in older adults and suggest key areas for prevention.

Are you paying attention to me? The effect of social presence on spatial attention to gaze and arrows.

Prior research has shown that the presence of another individual and type of attention cue (social gaze vs. nonsocial arrow) can modulate attention, with little done to integrate the two. We thus investigate the role of two social presence factors when completing a joint cueing task with either social (gaze) or nonsocial (arrow) cues. Familiarity was operationalized as participants engaged in a prompted conversation either before (n = 60 dyads) or after (n = 59 dyads) the task. To determine the effect of previous responder identity on attention, we contrasted trials where participants responded twice in a row (same responder) with switch trials (different responder), along with whether the previous target was in the same or a different location. Although familiarity only affected global speed and not magnitudes of cueing, we did find that attention to gaze and arrows was differentially affected by previous responder and previous target location. Specifically, for gaze cues muted cueing effects occurred for trials where the previous responder was different, while for arrow cues there was less muting of the cueing effect regardless of previous responder. Taken together, previous responder and previous target location both modulated attention, with the effect on attention dependent on the type of cue, gaze, or arrow.