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Among these, fear of being reported to the police was the most frequently reported reason (n = 280, 71%), while 216 (55%) reported that they had considered an ambulance to be unnecessary. Many users of illegal substances do not reveal this to healthcare personnel. Some also avoid calling an ambulance in acute substance-related situations. Fear of police sanctions appears to be a plausible contributory factor. Many users of illegal substances do not reveal this to healthcare personnel. Some also avoid calling an ambulance in acute substa
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