Substance Abuse, Comorbid Psychiatric Disorder, and Repeated Traumatic Injuries

1993 ◽  
Vol 44 (8) ◽  
pp. 715-716 ◽  
Author(s):  
Cheryl Cottrol ◽  
Richard Frances
2010 ◽  
Vol 15 (3) ◽  
pp. 142-149 ◽  
Author(s):  
Charles Wells ◽  
Jai Adhyaru ◽  
Jacqueline Cannon ◽  
Moira Lamond ◽  
Geoffrey Baruch

1996 ◽  
Vol 41 (9) ◽  
pp. 564-571 ◽  
Author(s):  
Paula Goering ◽  
Elizabeth Lin ◽  
Dugal Campbell ◽  
Michael H Boyle ◽  
David R Offord

Objective To describe the disability associated with psychiatric disorder in a community sample in order to refine estimates of service need and identify subgroups with greater priority for intervention. Method Disability is conceptualized broadly as performance difficulties, troubled relationships, and dissatisfaction in various life domains. Data from the Mental Health Supplement are used to compare disability between those with and without disorder and among various subtypes of disorder. Results Although the majority of those with disorder do not report disability, their difficulties with functioning are far greater than for the rest of the population. Those with comorbid or affective disorders typically have more disability than those with anxiety or substance abuse disorders. Conclusions Society needs to recognize the high human and economic costs associated with the prevalence of psychiatric disorder. Assessments of service need and decisions about priorities should take both disorder and disability into consideration.


1994 ◽  
Vol 13 (1) ◽  
pp. 67-89 ◽  
Author(s):  
Joe Westermeyer ◽  
Sheila Specker ◽  
John Neider ◽  
Mary Ayn Lingenfelter

2014 ◽  
Vol 5 (1) ◽  
pp. 117
Author(s):  
Amit Bhattacharya ◽  
Somsubhra Chatterjee ◽  
Subir Bhattacharya ◽  
Rajarshi Chakraborty ◽  
Amitava Dan ◽  
...  

2014 ◽  
Vol 204 (6) ◽  
pp. 430-435 ◽  
Author(s):  
Ping Qin ◽  
Keith Hawton ◽  
Preben Bo Mortensen ◽  
Roger Webb

BackgroundPeople with physical illness often have psychiatric disorder and this comorbidity may have a specific influence on their risk of suicide.AimsTo examine how physical illness and psychiatric comorbidity interact to influence risk of suicide, with particular focus on relative timing of onset of the two types of illness.MethodBased on the national population of Denmark, individual-level data were retrieved from five national registers on 27 262 suicide cases and 468 007 gender- and birth-date matched living controls. Data were analysed using conditional logistic regression.ResultsBoth suicides and controls with physical illness more often had comorbid psychiatric disorder than their physically healthy counterparts. Although both physical and psychiatric illnesses constituted significant risk factors for suicide, their relative timing of onset in individuals with comorbidity significantly differentiated the associated risk of suicide. While suicide risk was highly elevated when onsets of both physical and psychiatric illness occurred close in time to each other, regardless which came first, psychiatric comorbidity developed some time after onset of physical illness exacerbated the risk of suicide substantially.ConclusionsSuicide risk in physically ill people varies substantially by presence of psychiatric comorbidity, particularly the relative timing of onset of the two types of illness. Closer collaboration between general and mental health services should be an essential component of suicide prevention strategies.


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