You are being redirected because this document is part of your ASTM Compass® subscription.
    This document is part of your ASTM Compass® subscription.

    Volume 45, Issue 1 (January 2000)

    Cause and Manner of Death Among Users of Anabolic Androgenic Steroids

    (Received 24 March 1999; accepted 30 April 1999)


      Format Pages Price  
    PDF (264K) 8 $25   ADD TO CART

    Cite this document

    X Add email address send
      .RIS For RefWorks, EndNote, ProCite, Reference Manager, Zoteo, and many others.   .DOCX For Microsoft Word

    ASTM License Agreement


    Medicolegally investigated deaths among 34 male users of anabolic androgenic steroids (AAS) are described. Nine persons were victims of homicide, 11 had committed suicide, 12 deaths were judged as accidental and 2 as indeterminate.

    In two cases of accidental poisoning, the levels of pharmaceuticals and illicit drugs were considered too low to be the sole cause of death and AAS was considered part of the lethal polypharmacia.

    Chronic cardiac changes were observed in 12 cases. In two cases of accidental poisonous deaths, these changes were regarded as contributory cause of death.

    Homicides, suicides, and poisonings determined accidental or indeterminate in manner were related to impulsive, disinhibited behavior characterized by violent rages, mood swings, and/or uncontrolled drug intake.

    The observations in the present study indicate an increased risk of violent death from impulsive, aggressive behavior, or depressive symptoms associated with use of AAS. There are also data to support earlier reports of possible lethal cardiovascular complications from use of AAS. Furthermore, a contributing role of AAS in lethal polypharmacia is suggested. Finally, the observations indicate that use of AAS may be the gateway of approach to abuse of other psychotropic drugs.

    Author Information:

    Thiblin, I
    Karolinska Institute, Stockholm,

    Rajs, J
    Karolinska Institute, Stockholm,

    Lindquist, O
    Uppsala University, Stockholm,

    Stock #: JFS14635J


    DOI: 10.1520/JFS14635J

    Title Cause and Manner of Death Among Users of Anabolic Androgenic Steroids
    Symposium ,
    Committee E30