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At least one PBS\u2010subsidised medicine had been dispensed around the time of death to 7998 people (59.1%). For three medicine classes, the proportions of people in whom the medicines were detected post mortem and their death was deemed medicine\u2010related were larger for those without records of recent dispensing than for people for whom they had been dispensed around the time of death: antidepressants (17.7% <jats:italic>v<\/jats:italic> 12.0%), anxiolytics (16.3% <jats:italic>v<\/jats:italic> 14.8%), and sedatives\/hypnotics (24.3% <jats:italic>v<\/jats:italic> 16.5%). At least one recently dispensed medicine not detected post mortem was identified for 6208 people (45.8%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A considerable proportion of people who died by suicide were not taking psychotropic medicines recently dispensed to them, suggesting non\u2010adherence to pharmacotherapy, and a smaller than expected proportion were using antidepressants. Conversely, medicines that had not recently been dispensed were detected post mortem in many people for whom poisoning with medicines was a contributing factor, suggesting medicine stockpiling.<\/jats:p><\/jats:sec>","DOI":"10.5694\/mja2.51985","type":"journal-article","created":{"date-parts":[[2023,5,25]],"date-time":"2023-05-25T23:44:45Z","timestamp":1685058285000},"page":"63-69","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Psychotropic and other medicine use at time of death by suicide: a population\u2010level analysis of linked dispensing and forensic toxicology data"],"prefix":"10.5694","volume":"219","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7119-8953","authenticated-orcid":false,"given":"Kate M","family":"Chitty","sequence":"first","affiliation":[{"name":"The University of Sydney  Sydney NSW"},{"name":"The University of Western Australia  Perth WA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas A","family":"Buckley","sequence":"additional","affiliation":[{"name":"The University of Sydney  Sydney NSW"},{"name":"Poisons Information Centre Children's Hospital at Westmead  Sydney NSW"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessy","family":"Lim","sequence":"additional","affiliation":[{"name":"The University of Sydney  Sydney NSW"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zein","family":"Ali","sequence":"additional","affiliation":[{"name":"The University of Sydney  Sydney NSW"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L","family":"Schumann","sequence":"additional","affiliation":[{"name":"Victorian Institute of Forensic Medicine Monash University  Melbourne VIC"},{"name":"Monash Addiction Research Centre Monash University  Melbourne VIC"},{"name":"Monash University  Melbourne VIC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rose","family":"Cairns","sequence":"additional","affiliation":[{"name":"The University of Sydney  Sydney NSW"},{"name":"Poisons Information Centre Children's Hospital at Westmead  Sydney NSW"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8617-6055","authenticated-orcid":false,"given":"Benjamin","family":"Daniels","sequence":"additional","affiliation":[{"name":"The University of New South Wales  Sydney NSW"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sallie A","family":"Pearson","sequence":"additional","affiliation":[{"name":"The University of New South Wales  Sydney NSW"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David B","family":"Preen","sequence":"additional","affiliation":[{"name":"The University of Western Australia  Perth WA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3701-4997","authenticated-orcid":false,"given":"Andrea L","family":"Schaffer","sequence":"additional","affiliation":[{"name":"The Bennett Institute of Applied Data Science University of Oxford  Oxford United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,5,25]]},"reference":[{"key":"e_1_2_8_1_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2019.08.054"},{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0091936"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2017.04.001"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.0607"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-026001"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638237.2017.1294736"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20460"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l2147"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1203475417719052"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00213-016-4300-3"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2018.12.018"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-019-4009-1"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/070674371205700308"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12024-018-0041-4"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-038181"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-015-1616-8"},{"key":"e_1_2_8_17_1","unstructured":"Australian Bureau of Statistics.1270.0.55.005. 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