危險遊戲－－使用MDMA青年之風險知覺的質性研究

Dangerous Game: A Qualitative Study on the Risk Perceptions among MDMA-Using Youths

本研究主旨在了解MDMA使用者對於使用MDMA之風險知覺，企圖解讀MDMA使用者的用藥行為。本研究採質性研究方式進行，研究參與者為五位年齡介於21～28歲間曾使用MDMA的青年。本研究發現，研究參與者對於MDMA的認知程度偏低，認為「純的MDMA」具有娛樂功能且是安全的，研究參與者通常不自覺個人用藥行為是危險的，除非在用藥的過程裡，自身發生用藥所導致的傷害，才會開始瞭解用藥行為是危險的。另一方面，難以明辨的藥源、參差不齊的品質與劑量，更增添了 MDMA本身的危險性。在體驗看似美好實則充滿荊棘的用藥歷程後，MDMA正向藥效強化了使用MDMA青年之用藥行為，但負面作用使用藥者逐漸體認使用MDMA對個人健康、觸法、事故傷害、人身安危等層面有所危害的事實；不過，用藥者低估了MDMA本身的危險性，仍然持續用藥，一場危險遊戲就此展開。最後，本研究根據結果提出具體建議，以做為擬定藥物教育介入方案以及後續研究之參考。

The main purpose of the study was to explore the risk perceptions among the MDMA-using youths. The study was qualitative in nature and the data were collected via in-depth interview and observation. Five youths who had used MDMA with age between twenty-one and twenty-eight years old participated in the study. Based on the interpretation, analysis, and induction of the data, the main findings of the study were summarized as follows: 1. The positive effects of MDMA facilitated the using behavior among the youths. On the other hand, the negative effects of MDMA made them aware the risks of the drug. 2. The youths would not have realized the hazards of MDMA until they suffered from them. 3. Health, illegality, accident, economics, and personal safety were the main risks related to MDMA-using behavior. Based on the findings of the study, the suggestions for preventive education and future study were presented.