By R. Santamarina  D. Caldicott , J. Fitzgerald , J.L. Schumann 

Background : Illicit drug use is overrepresented in music festival attendees compared with the general population. Drug use often involves a wide range of substances with the potential to cause drug toxicity. Law enforcement-centred strategies intended to deter drug use and supply at these mass gatherings have been implemented throughout Australia. However, many have been criticised for their lack of effectiveness, with evidence suggesting that they can inadvertently increase the risk of drug harm. Drug deaths are often multifactorial, providing added challenges in the development of prevention strategies. This study aimed to determine the frequency of deaths involving alcohol and other drugs at music festivals in Australia and to identify potential risk factors that may inform future harm reduction strategies.

Methods : A descriptive case series study was conducted using the National Coronial Information System (NCIS) to investigate drug-related deaths at music festivals throughout Australia between 1 July 2000 (Queensland from 1 January 2001) and 31 December 2019, using a list of keywords comprising music festival names and terms.

Results : There were 64 deaths, of which most involved males (73.4%) aged in their mid-20s (range 15-50 years). Drug toxicity was the most common primary cause of death (46.9%) followed by external injuries (37.5%). The drug most commonly detected or reported as being used was MDMA (65.6%), followed by alcohol (46.9%) and cannabis (17.2%), with most cases reporting the use of two or more drugs (including alcohol) and 36% reporting a history of drug misuse in the coroner's findings. Most deaths were unintentional, with less than a fifth of cases (17.2%) involving intentional self-harm. Clinical intervention was involved in 64.1% of cases and most festivals occurred in inner city locations (59.4%).

Conclusions : The findings suggest that drug-related deaths at music festivals in Australia typically involve young people using multiple illicit substances in combination with alcohol. Most are unintentional and could potentially be prevented through the implementation of a range of harm reduction strategies, including mobile medical care, drug checking services, and increased consumer education and awareness.

International Journal of Drug Policy Volume 123, January 2024, 104274

Aaron Chalfin, Benjamin Hansen and Rachel Ryley

For nearly every crime there is a victim. However, the vast majority of studies in the economics of crime have focused the causal determinants of criminality. We present novel evidence on the causal determinants of victimization, focusing on legal access to alcohol. The social costs of alcohol use and abuse are sizable and well-documented. We find criminal victimization — for both violent and property crimes — increases noticeably at age 21. Effects are not present at other birthdays and do not appear to be driven by a “birthday celebration effect.” The effects are particularly large for sexual assaults, especially those that occur in non-residential locations. Our results suggest prior research which has focused on criminality has understated the true social costs associated with increased access to alcohol.

Journal of Human Resources. Vol. 58, Issue 6. 1 Nov 2023

By Richard Bade, Bradley S. Simpson, Maulik Ghetia, Lynn Nguyen, Jason M. White, Cobus Gerber

Aim: To assess the effects of social distancing and social isolation policies triggered by COVID-19 on alcohol consumption using wastewater analysis in Adelaide, South Australia.

Design: Longitudinal quantitative analysis of influent wastewater data for alcohol concentration.

Setting: Adelaide, South Australia.

Participants: Wastewater catchment area representative of 1.1 million inhabitants.

Measurements: Twenty-four hour composite influent wastewater samples were collected from four wastewater treatment plants in Adelaide, South Australia for 7 consecutive days (Wednesday–Tuesday) every 2 months from April 2016–April 2020. The alcohol metabolite ethyl sulfate was measured in samples using chromatography–tandem mass spectrometry. Data were population-weighted adjusted with consumption expressed as standard drinks/day/1000 people. Weekly consumption and weekend to mid-week consumption ratios were analysed to identify changes in weekday alcohol use pattern.

Findings: Estimated weekend alcohol consumption was significantly lower (698 standard drinks/day/1000 people) after self-isolation measures were enforced in April 2020 compared with the preceding sampling period in February 2020 (1047 standard drinks/day/1000 people), P < 0.05. Weekend to midweek consumption ratio was 12% lower than the average ratio compared with all previous sampling periods. April 2020 recorded the lowest alcohol consumption relative to April in previous years, dating back to 2016.

Conclusions: Wastewater analysis suggests that introduction of social distancing and isolation policies triggered by COVID-19 in Adelaide, South Australia, was associated with a decrease in population-level weekend alcohol consumption.

Addiction, Volume116, Issue6. June 2021. Pages 1600-1605

by Sheena Webb, Carolyn Lipp, and Hannah Jeffery

Domestic abuse is one of the key drivers of child protection involvement in the UK. But there is a real lack of evidence around effective ways to with domestic abuse perpetrators. Recent research has highlighted the importance of substance misuse and the experience of trauma amongst perpetrators, and suggests that interventions which take these three issues together may be more effective than many of the current strategies. This project aims to contribute to our understanding of how to effectively work with perpetrators of domestic abuse by focussing on Family Drug and Alcohol Courts (FDACs), a non-adversarial, trauma-informed alternative to standard care proceedings which works with many domestic abuse perpetrators. Parents within FDAC proceedings receive therapeutic support from a multidisciplinary team and have regular review hearings with a dedicated judge. This report compares the lessons learned from a systematic review of the evidence around the links between abuse, trauma and perpetration of abuse with the way that these three issues are understood and responded to by FDAC teams and judges. 

London: Centre for Justice Innovation, 2023. 101p.

By Andrés Ham, Darío Maldonado, Michael Weintraub, Andrés Felipe Camacho, Daniela Gualtero

This paper studies whether bartenders that adopt standardized practices can promote responsible alcohol consumption and subsequently reduce alcohol-attributable violence. We conducted a randomized experiment in four localities of Bogotá in cooperation with Colombia's largest brewery and Bogotá's Secretariat of Security, Coexistence, and Justice. Ourdesign allows estimating direct and spillover effects on reported incidents within and around bars. Results show that bartenders in treatment locations sell more water and food, thus contributing to more responsible alcohol consumption by patrons. We find no direct or spillover effects of these changes in consumption on brawls, but some improvement on other alcohol-related incidents.

Bogotá, Colombia: Universidad de los Andes, 2019. 61p.

By Louise Manning and Aleksandra Kowalska

Illicit (unrecorded) alcohol is a critical global public health issue because it is produced without regulatory and market oversight with increased risk of safety, quality and adulteration issues. Undertaking iterative research to draw together academic, contemporary and historic evidence, this paper reviews one specific toxicological issue, methanol, in order to identify the policy mitigation strategies of interest. A typology of illicit alcohol products, including legal products, illegal products and surrogate products, is created. A policy landscape matrix is produced that synthesizes the drivers of illicit alcohol production, distribution, sale and consumption, policy measures and activity related signals in order to inform policy development. The matrix illustrates the interaction between capabilities, motivations and opportunities and factors such as access, culture, community norms and behavior, economic drivers and knowledge and information and gives insight into mitigation strategies against illicit alcohol sale and consumption, which may prove of value for policymakers in various parts of the world.

Foods 10(7), 2021. 17p.

By The Asia Pacific International Spirits & Wines Alliance. et al.

Illicit trade in alcohol is widespread, representing significant percentages of alcohol consumption worldwide and stripping governments of billions of dollars in tax revenues. According to Euromonitor’s 2018 Global Study on Illicit Alcohol, 1 in 4 alcohol bottles are illicit, representing 25.8% of all global consumption.

In addition to the serious health risk for consumers, the illicit trade in alcohol results in substantial losses in tax and duty revenue for governments. According to the Euromonitor report, the fiscal loss to governments in these countries is as much US$ 3.6 billion every year. These findings correspond to a 2016 report by the EU Intellectual Property Office that estimated counterfeit spirits and wine drain €1.2 billion (US$1.4 billion) in government revenues in Europe, of which €739 million (US$843 million) are excise duties. For industry, the main impact relates to lost market shares, costs related to intellectual property theft, reputational damage and lost consumer trust.

New York: Transnational Alliance to Combat Illicit Trade, 27p

By Louise Manning and Aleksandra Kowalska

Illicit (unrecorded) alcohol is a critical global public health issue because it is produced without regulatory and market oversight with increased risk of safety, quality and adulteration issues. Undertaking iterative research to draw together academic, contemporary and historic evidence, this paper reviews one specific toxicological issue, methanol, in order to identify the policy mitigation strategies of interest. A typology of illicit alcohol products, including legal products, illegal products and surrogate products, is created. A policy landscape matrix is produced that synthesizes the drivers of illicit alcohol production, distribution, sale and consumption, policy measures and activity related signals in order to inform policy development. The matrix illustrates the interaction between capabilities, motivations and opportunities and factors such as access, culture, community norms and behavior, economic drivers and knowledge and information and gives insight into mitigation strategies against illicit alcohol sale and consumption, which may prove of value for policymakers in various parts of the world.

Foods 10(7), 2021. 17p.

By The International Alliance for Responsible Drinking (IARD)  

Alcohol production and trade exist both within and outside of government regulation; the relative size of each depends on the region of the world and social, cultural, and economic factors. Both segments are well established and people often – knowingly and unknowingly – interact fluidly with both of them. The regulated alcohol market is recorded in government statistics; unregulated alcohol, which is largely illegal, is more difficult to assess and falls into the “unrecorded” sphere (see Taxonomy of Unregulated and Unrecorded Alcohol). This segment is complex and diverse and includes everything from high-quality artisanal homebrew to illicit drinks that may contain methanol or other toxic ingredients. In 2014, the World Health Organization (WHO) issued its Global Status Report on Alcohol and Health and estimated, based on 2010 figures, that unrecorded alcohol made up an average 25% of all alcohol consumed worldwide [2]. Alcohol produced and sold illegally outside of government regulation is the most problematic part of unrecorded alcohol; it is untaxed, circumvents restrictions around availability, is of inconsistent quality, and, depending on the ingredients used to make it, is even potentially toxic. This report considers these wide-reaching implications and brings together recent data on the illicit market, compiled by the global market research firm Euromonitor International. While illicit alcohol is also widespread across Asia and parts of Europe, this report focuses on data from Africa and Latin America. Unregulated alcohol is more widespread in lower-income countries than in more affluent ones. Yet, whether in mature or emerging economies, it is largely consumed in some of the world’s poorest communities and, because it lacks quality and production standards, may contribute to an already significant problem of ill health. While home-produced artisanal alcohol may be part of cultural heritage and largely unproblematic, the illicit sector is not only large but also comes at a significant cost. HUMAN COST: The deaths in early 2018 of almost 150 people in Indonesia from poisoning by adulterated alcohol serve as a reminder that unregulated alcohol can cost lives   

Washington, DC: The International Alliance for Responsible Drinking (IARD),  2018. 16p.  

By Ria Ivandić, Tom Kirchmaier and Neus Torres-Blas 

 We study the role of alcohol and emotions in explaining the dynamics in domestic abuse following major football games. We match confidential and uniquely detailed individual call data from Greater Manchester with the timing of football matches over a period of eight years to estimate the effect on domestic abuse. We first observe a 5% decrease in incidents during the 2-hour duration of the game suggesting a substitution effect of football and domestic abuse. However, following the initial decrease, after the game, domestic abuse starts increasing and peaks about ten hours after the game, leading to a positive cumulative effect. We find that all increases are driven by perpetrators that had consumed alcohol, and when games were played before 7pm. Unexpected game results are not found to have a significant effect.  

London: Centre for Economic Performance, London School of Economics, 2021. 66p.

By Tomáš Diviák, Jan Kornelis Dijkstra and Tom A.B. Snijders

Using data on 32 actors and ties among them drawn from available court files, we combine analytical sociology with statistical models for networks in order to analyse a case of a counterfeit alcohol distribution network from the Czech Republic. We formulate a theory of action and identify relational mechanisms which could explain how the structure of the network emerged and describe. We use the exponential random graph model to test these mechanisms. The analysis reveals that the two actors capable of manufacturing the poisonous mixture were considerably though not optimally proximate to others enabling fast distribution of the mixture. Our model results that the structure was formed by mechanisms of triadic closure, negative tendency to concentrate ties, and tie translation of pre-existing ties into operational ties. We conclude with the discussion of the implications of our approach for the study of criminal networks.

GLOBAL CRIME, 2020, VOL. 21, NO. 1, 51–73

By Thomas Joiner

Of the approximately 38,500 deaths by suicide in the U.S. annually, about two percent--between 750 and 800--are murder-suicides. The horror of murder-suicides looms large in the public consciousness--they are reported in the media with more frequency and far more sensationalism than most suicides, and yet we have little understanding of this grave form of violence.

In The Perversion of Virtue, leading suicide researcher Thomas Joiner explores the nature of murder-suicide and offers a unique new theory to explain this nearly unexplainable act: that murder-suicides always involve the wrongheaded invocation of one of four interpersonal virtues: mercy, justice, duty, and glory. The parent who murders his child and then himself seeks to save his child from a fatherless life of hardship; the wife who murders her husband and then herself seeks to right the wrongs he committed against her, and so on. Murder-suicides involve the gross misperception of when and how these four virtues should be applied.

Drawing from extensive research as well as real examples from the media, Joiner meticulously examines, deconstructs, and finally rebuilds our understanding of murder-suicide in such a way that brings tragic reason to what may seem an unfathomable act of violence. Along the way, he dispels some of the most enduring myths of suicide--for instance, that suicide is usually an impulsive act (it is almost always pre-meditated), or that alcohol or drugs are involved in most suicides (usually they are not).

Oxford, UK: Oxford University Press, 2014. 264p.

By Marie Claire Van Hout and Tim Bingham

This research aimed to assemble an evidence base around perceived anti-social behaviour associated with the provision of drug treatment in Dublin’s city centre, upon which to build a strategic response incorporating short/medium/long term goals and actions within the area. It will be used to guide discussions on how to reduce visibility of drug related public nuisance, improve public perceptions of safety in the area and provide comprehensive, safe, effective and appropriate treatment services within a series of short, medium and long-term strategies.

Dublin:Strategic Response Group, 2012. 187p.