|This article is about suicide. For those at risk, there is a wide network of offers of help in which ways out are shown. In acute emergencies, the telephone counseling and the European emergency number 112 can be reached continuously and free of charge. After an initial crisis intervention , qualified referrals can be made to suitable counseling centers on request.|
This is either a direct means of suicide or it happens unintentionally ( overdose ). The latter can be caused by dangerous additives, an unexpectedly high degree of purity of the drug, by mixed consumption with other sedating psychotropic substances such as alcohol, benzodiazepines or barbiturates in the sense of a polytoxicomania or by a misjudgment of the consumer due to a lowering of the tolerance threshold after previous withdrawal . Since many opioids are illegally produced and traded due to the legal situation, an independent quality and purity control is hardly possible. In the most common cases, a “golden shot” leads to cardiac arrest due to respiratory depression with associated respiratory arrest .