scholarly journals Substance use among patients with a psychotic disorder in a psychiatric emergency room

1997 ◽  
Vol 48 (3) ◽  
pp. 353-358 ◽  
2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Ashely Collins ◽  
Oluwadamilare Ajayi ◽  
Savannah Diamond ◽  
William Diamond ◽  
Suzanne Holroyd

Background. Rates of cigarette smoking among the public and individuals with mental illness have been well documented. Studies have demonstrated that prevalence of smoking among individuals with mental illness remains elevated compared to the general population and as a distinct subgroup, individuals with mental illness consume more than a third of cigarettes sold in the U.S. However, information on rates of smoking among patients presenting to a psychiatric emergency room (ER) is lacking. This study assesses this understudied population for smoking prevalence and associated factors. Methods. A retrospective chart review of 203 distinct psychiatric ER patients was conducted. Demographics, tobacco use, substance use, psychiatric diagnoses, and family history were noted and analyzed with SPSS. Result. Tobacco use rates were noted to be nearly fifty percent and significant associations were found with active suicidal ideation, alcohol use disorders, illicit drug use disorders, and history of prior psychiatric hospitalization. Conclusion. Tobacco use among psychiatric ER patients is much higher than that of the general population and associated with active suicidal ideations, alcohol use disorders, and illicit substance use disorders. These findings should be considered in the evaluation and expectant management of these patients by their clinicians and healthcare providers.


2016 ◽  
Vol 67 (5) ◽  
pp. 479-481 ◽  
Author(s):  
Ilana R. Nossel ◽  
Rufina J. Lee ◽  
Abby Isaacs ◽  
Daniel B. Herman ◽  
Sue M. Marcus ◽  
...  

2021 ◽  
Author(s):  
Leonardo Baldaçara ◽  
Alexandre Paim Diaz ◽  
João Quevedo ◽  
João Mauricio Castaldelli-Maia ◽  
Antonio Ventriglio ◽  
...  

2015 ◽  
Vol 28 (4) ◽  
pp. 469
Author(s):  
João Gama Marques ◽  
Diogo Frasquilho Guerreiro ◽  
Daniel Sampaio

<p><strong>Introduction:</strong> Some studies alerted for the burden of suicidal attempters at emergency rooms. In this study we characterized the suicidal patients admitted to a Portuguese emergency room.<br /><strong>Material and Methods:</strong> For three years, all patients assessed by the first author after suicidal behaviour were included. Suicidal intentionality was evaluated with the Pierce Suicide Intent Scale. Clinical records were searched for follow-up status and satisfaction level was assessed through telephone call.<br /><strong>Results:</strong> From 120 included patients 70.8% were female, with mean age of 42.35 years. Pierce Suicide Intent Scale suicidal intentionality was low in 30.1%, medium in 59.3%, and high in 10.6% of the sample. The most important predictors of Pierce Suicide Intent Scale intentionality were male gender (p &lt; 0.001), family history of suicide (p &lt; 0.01), divorced or widowed marital status (p &lt; 0.013), and severe mental illness (p &lt; 0.015). In 41.6% of the patients the follow-up status was unknown. Regarding satisfaction, only 19.5% gave a valid answer: 2.7% ‘mildly satisfied’, 4.4% ‘moderately satisfied’, and 12.5% ‘very satisfied’.<br /><strong>Discussion:</strong> The Pierce Suicide Intent Scale is useful on suicidal behavior assessment at emergency rooms. Highly intentional suicidal behaviour is related to male sex, social problems and personal and familial psychiatric history.<br /><strong>Conclusion: </strong>The quality of administrative records on this psychiatric emergency room setting are still unacceptable. The most important variables correlated with higher suicidal intentionality are the same described in other countries. Of the reachable patients, one fifth was satisfied with provided follow-up. We still need studies for better understanding of suicidal behaviour observed on this Portuguese emergency room.</p>


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