PMID- 34050658 OWN - NLM STAT- MEDLINE DCOM- 20220524 LR - 20220524 IS - 1945-2403 (Electronic) IS - 0146-4760 (Linking) VI - 46 IP - 5 DP - 2022 May 20 TI - Determination of Drugs of Abuse in Hair by LC-MS-MS: Application to Suicide Attempts Investigation. PG - 577-581 LID - 10.1093/jat/bkab058 [doi] AB - Considering that the use of psychoactive substances (PSs) is a risk factor to either higher intensity or frequency of suicidal behavior, hair analysis was conducted to investigate the most consumed PSs (opiates, amphetamine stimulants, marijuana, cocaine and heroin) in patients who attempted suicide and received urgent care at emergency service. Hair samples were extracted using methanol and sonicated under heating and then analyzed using liquid chromatography-tandem mass spectrometry. During validation, the method complied with international recommended criteria, with limits of detection between 0.0025 and 0.05 ng/mg and linearity between 0.1 and 4 ng/mg for methamphetamine, 3,4-methylenedioxymethamphetamine (MDMA), morphine, amphetamine, 6-acetylmorphine, 3,4-methylenedioxyamphetamine (MDA), fenproporex, diethylpropion and codeine; between 0.025 and 1 ng/mg for tetrahydrocannabinol (THC), benzoylecgonine and cocaethylene and between 0.25 and 10 ng/mg for cocaine and mazindol. A total of 109 hair samples were analyzed and segmented in 404 parts. Among all analyzed samples, 30.3% were positive for at least one PS (n = 33), such as cocaine (90.9%), codeine (12.1%), morphine (3.0%), MDMA (3.0%) and THC (3.0%). In segmental analysis of cocaine positive samples (n = 30), 76.7% of the samples indicated recent exposure to cocaine (<1 month). This same behavior was observed when analyzing codeine (n = 4) and morphine (n = 1). THC positive samples indicated exposure dated approximately 4 months prior. In conclusion, the method was validated following international recommendations for the 12 most consumed PSs in Brazil, as well as two of the most common found metabolites. CI - (c) The Author(s) 2021. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Cardoso, Marilia S AU - Cardoso MS AD - Faculty of Medical Sciences, Universidade Estadual de Campinas, Tessalia Vieira de Camargo, 126 Cidade Universitaria, Campinas, Sao Paulo 13083-887, Brazil. AD - Campinas Poison, Control Center, University of Campinas, R. Vital Brasil, 251 Barao Geraldo, Campinas, Sao Paulo 13083-881, Brazil. FAU - Lanaro, Rafael AU - Lanaro R AD - Faculty of Medical Sciences, Universidade Estadual de Campinas, Tessalia Vieira de Camargo, 126 Cidade Universitaria, Campinas, Sao Paulo 13083-887, Brazil. AD - Campinas Poison, Control Center, University of Campinas, R. Vital Brasil, 251 Barao Geraldo, Campinas, Sao Paulo 13083-881, Brazil. FAU - Dolores, Raul C AU - Dolores RC AD - Faculty of Medical Sciences, Universidade Estadual de Campinas, Tessalia Vieira de Camargo, 126 Cidade Universitaria, Campinas, Sao Paulo 13083-887, Brazil. AD - R. Mario Giordano, 146 Antiga 33, Jardim America, Paulinia, Sao Paulo 13140-614, Brazil. FAU - Morais, Damila R AU - Morais DR AD - Shimadzu Brazil, Av. Tambore, 576 Tambore, Barueri, Sao Paulo 06460-000, Brazil. FAU - Arantes, Ana Carolina Furiozo AU - Arantes ACF AD - Faculty of Medical Sciences, Universidade Estadual de Campinas, Tessalia Vieira de Camargo, 126 Cidade Universitaria, Campinas, Sao Paulo 13083-887, Brazil. AD - Campinas Poison, Control Center, University of Campinas, R. Vital Brasil, 251 Barao Geraldo, Campinas, Sao Paulo 13083-881, Brazil. FAU - Oliveira, Karina Diniz AU - Oliveira KD AD - Faculty of Medical Sciences, Universidade Estadual de Campinas, Tessalia Vieira de Camargo, 126 Cidade Universitaria, Campinas, Sao Paulo 13083-887, Brazil. FAU - Costa, Jose Luiz AU - Costa JL AUID- ORCID: 0000-0001-9607-3391 AD - Campinas Poison, Control Center, University of Campinas, R. Vital Brasil, 251 Barao Geraldo, Campinas, Sao Paulo 13083-881, Brazil. AD - Faculty of Pharmaceutical Sciences, University of Campinas, R. Candido Portinari, 200 Cidade Universitaria, Campinas, Sao Paulo 13083-871, Brazil. LA - eng GR - 2017/00274-4/Fundacao de Amparo a Pesquisa do Estado de Sao Paulo/ GR - 2018/00432-1/Fundacao de Amparo a Pesquisa do Estado de Sao Paulo/ GR - Finance Code 001/Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior/ PT - Journal Article PL - England TA - J Anal Toxicol JT - Journal of analytical toxicology JID - 7705085 RN - 0 (Amphetamines) RN - 0 (Morphine Derivatives) RN - 76I7G6D29C (Morphine) RN - 7J8897W37S (Dronabinol) RN - I5Y540LHVR (Cocaine) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) RN - UX6OWY2V7J (Codeine) SB - IM MH - Amphetamines/analysis MH - Chromatography, Liquid/methods MH - *Cocaine/analysis MH - Codeine/analysis MH - Dronabinol/analysis MH - Hair/chemistry MH - Humans MH - Morphine/analysis MH - Morphine Derivatives/analysis MH - *N-Methyl-3,4-methylenedioxyamphetamine/analysis MH - Substance Abuse Detection/methods MH - Suicide, Attempted MH - Tandem Mass Spectrometry/methods EDAT- 2021/05/30 06:00 MHDA- 2022/05/25 06:00 CRDT- 2021/05/29 08:33 PHST- 2020/12/15 00:00 [received] PHST- 2021/04/12 00:00 [revised] PHST- 2021/05/28 00:00 [accepted] PHST- 2021/05/30 06:00 [pubmed] PHST- 2022/05/25 06:00 [medline] PHST- 2021/05/29 08:33 [entrez] AID - 6288373 [pii] AID - 10.1093/jat/bkab058 [doi] PST - ppublish SO - J Anal Toxicol. 2022 May 20;46(5):577-581. doi: 10.1093/jat/bkab058.