Sometime on December 2,
SMU sophomore Jacob (Jake) Stiles died from a drug overdose – a lethal cocktail
consisting of fentanyl, cocaine and alcohol. His body was found in his room at the SAE fraternity house. The fraternity had celebrated its holiday party the night before.
Fentanyl is a synthetic
opiate that is 100 times more potent than morphine. It's used to treat the excruciating pain
associated with terminal cancer. One of its delivery systems is a
berry-flavored lollipop. A street form of fentanyl is sometimes used to cut cocaine and heroine.
Jake was a student of mine
last spring. I can’t say I knew him. He attended class less than a month before
dropping the class. The photos of Jake that I saw on Facebook don’t really
square with the young man I remember. The Facebook Jake was animated and
convivial. The Jake I (barely) knew was quiet and withdrawn.
Most of Jake’s friends would
probably say that the Facebook Jake was closer to the real guy. I wonder if the
mirthful party animal who wore palm-tree sunglasses was just one side of a very
complex person.
Just hours after Jake’s
tragic death, officials scurried to conduct damage control. A representative
from his fraternity’s national headquarters labeled the death an “individual
isolated incident.”
Few people know, with
absolute certainty, what the circumstances were surrounding Jake’s
overdose. But one thing is certain: there
was nothing isolated or incidental about it.
It was not incidental that
Jake was able to obtain an expensive, highly-controlled schedule 2 narcotic.
It was not incidental that
Jake was also using cocaine.
It was not incidental that
Jake, a minor, was consuming alcohol – whether at Ozona or in his fraternity
house.
Nothing about Jake’s life
or death at SMU was incidental. If anything, Jake’s life and death were
emblematic of the lives of (too) many students at this school.
It would be naïve to say
that Jake took drugs and drank alcohol simply because he liked to have a good
time. No matter how convenient or tempting it is to dismiss Jake’s death as an
“individual isolated incident,” no one mixes lethal doses of drugs and alcohol
just to have a good time.
There are a lot of
(uncomfortable) questions that need to be asked. Not to do so is to relegate Jake’s death to a
mere footnote to the fall semester. He deserves better.
Where did Jake get the
drugs? Surely he didn’t come to school with drugs packed between his toothpaste
and iPod. Did he find a dealer after he got here? Did Jake buy a dime bag at
Ozona? Or did he share a teener or an 8-ball with a friend or a fraternity
brother?
Was Jake the only SMU
student doing drugs that Friday night? Was he the only SAE? I’d venture
to say there were more than a few SMU students – Greeks and Independents –
doing bumps and lines the night before finals – if not cocaine, Adderall.
Jake belonged to a
Facebook group called Adderall Enthusiasts. Was that a red flag that friends
overlooked? Or is Adderall abuse no big
deal?
Adderall is the
reincarnation of an appetite suppressant (amphetamine) that was developed in
the 1920’s. It was re-approved in 1997 by the FDA to treat ADHD,
attention-deficit- hyperactivity-disorder. It’s also one of the most abused
drugs on college campuses today. According to a University of Wisconsin
study, one in five college students have abused Adderall. That translates to
slightly more than 2200 SMU students.
During the decade from 1987
to 1997, the diagnoses of ADHD in children increased almost 400 percent.
There's little wonder why the manufacturers of Adderall were eager to have it
re-approved for ADHD. That’s a chunk of change.
Adderall is also used to
treat narcolepsy, ergo its appeal to college students: it allows them to stay
awake for prolonged periods of time while studying.
Unfortunately, ADHD is too
often (mis)diagnosed by family physicians who have little or no training in
diagnosing spectrum disorders, much less prescribing psychotropic drugs like
Adderall for their treatment.
That’s not to say that
some people do not benefit from drugs like Adderall. The question is how many
children have been misdiagnosed by overzealous, prescription-happy doctors. A
better question might be, for how many students has Adderall been a gateway
drug?
The most common method of
Adderall delivery among students is snorting. I’d be lying if I said that I
hadn’t suspected some students had
snorted something – Adderall? – after getting up during class to “go to the
bathroom”
Who knows if Jake abused
Adderall. Perhaps one of his fellow Adderall enthusiasts knows.
It’s possible that many of
Jake’s friends didn’t know he abused drugs. That’s not to say they didn’t know
he used them. It would be interesting to know how many make a distinction. It’s
also possible that some didn't feel empowered to do anything.
Perhaps the administration
will publish a protocol for students and faculty on how to handle suspected
drug use.
Earlier I mentioned a red
flag on Jake’s Facebook page. Hindsight, of course, is 20/20. It can also be
paranoid. Take for example this excerpt, listed under his favorite quotes,
taken from the 1996 heroine-chic film Trainspotting:
“Choose life... But why
would I want to do a thing like that? I chose not to choose life. I chose
somethin' else. the [sic] reasons? There are no reasons."
Perhaps I’m being paranoid.
Perhaps someone wasn’t being paranoid enough. One thing’s for sure: the
circumstances surrounding Jake’s death raise questions that need to be
answered.
Granted, we may never know
all the whys surrounding Jake’s death. But it would be unfortunate if we
ignored the opportunity to learn something from it. Then again, we could just
sit around and wait for the next “individual isolated incident.”
Rest in peace, Jake.

Oh, George. The reactions I have to stories like this, as a parent of little ones, most especially. Very sad.
Hope you're well.
Posted by: Eddie | January 12, 2007 at 02:57 PM