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Accordingly, a popular theory for the UK\u2019s increase in drug\u2010related deaths, made by the government, and propelled in the media, is that there is an ageing cohort of heroin users with age\u2010related health complications predisposing them to an overdose. However, drawing on in\u2010depth interviews with those people deemed to be most at risk, this article works to complicate this theory, with participants citing a shift in (a) experience and responsibility, (b) route of administration, (c) desired effects, (d) acceptance of their drug use and \u2018user\u2019 status and (e) valuing health. Disrupting age as a given risk factor, this article turns attention away from the individual and these \u2018natural\u2019 processes to what participants describe as a singular, punitive, and inflexible treatment system and its intersecting structures. Approaching life and death as a matter of sociomaterial \u2018mattering\u2019, this article rethinks a reductionist, causal link between age and drug\u2010related death with a treatment despondency and fatalism that could prove fatal.<\/jats:p>","DOI":"10.1111\/1467-9566.13278","type":"journal-article","created":{"date-parts":[[2021,5,7]],"date-time":"2021-05-07T03:03:03Z","timestamp":1620356583000},"page":"1175-1190","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Drug fatalities and treatment fatalism: Complicating the ageing cohort theory"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2441-6313","authenticated-orcid":false,"given":"Fay","family":"Dennis","sequence":"first","affiliation":[{"name":"Goldsmiths, University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,5,6]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"FOIL consideration of the use of foil, as an intervention, to reduce the harms of injecting heroin","author":"ACMD (Advisory Council on the Misuse of Drugs)","year":"2010"},{"key":"e_1_2_10_3_1","volume-title":"Reducing opioid\u2010related deaths in the UK","author":"ACMD (Advisory Council on the Misuse of Drugs)","year":"2016"},{"key":"e_1_2_10_4_1","volume-title":"Commissioning impact on drug treatment","author":"ACMD (Advisory Council on the Misuse of Drugs)","year":"2017"},{"key":"e_1_2_10_5_1","volume-title":"Custody\u2010community transitions","author":"ACMD (Advisory Council on the Misuse of Drugs)","year":"2019"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2019.102616"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.2307\/j.ctv12101zq"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1215\/10407391-1892943"},{"key":"e_1_2_10_9_1","first-page":"4","article-title":"Overdosing on opiates","volume":"4","author":"Best D.","year":"2000","journal-title":"Drug and Alcohol Findings"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2010.01.012"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1005574918294"},{"key":"e_1_2_10_12_1","unstructured":"Boyt A.(2014 Nov)Staying alive. 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