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Substance Misuse in the Psychiatric Emergency Service; A Descriptive Study

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Substance Misuse in the Psychiatric Emergency Service; A Descriptive Study

Content Provider	PubMed Central
Author	Chaput, Yves Lebel, Marie-josée Beaulieu, Lucie Paradis, Michel Labonté, Edith
Copyright Year	2014
Abstract	Substance misuse is frequently encountered in the psychiatric emergency service (PES) and may take many forms, ranging from formal DSM-IV diagnoses to less obvious entities such as hazardous consumption. Detecting such patients using traditional screening instruments has proved problematic. We therefore undertook this study to more fully characterize substance misuse in the PES and to determine whether certain variables might help better screen these patients. We used a prospectively acquired database of over 18,000 visits made to four PESs during a 2-year period in the province of Quebec, Canada. One of the variables acquired was a subjective rating by the nursing staff as to whether substance misuse was a contributing factor to the visit (graded as direct, indirect, or not at all). Substance misuse accounted for 21% of all diagnoses and alcohol was the most frequent substance used. Patients were divided into those with primary (PSM), comorbid (CSM) or no substance misuse (NSM). Depressive disorders were the most frequent primary diagnoses in CSM, whereas personality and substance misuse disorders were frequent secondary diagnoses in PSM. Although many variables significantly differentiated the three groups, few were sufficiently detailed to be used as potential screening tools. Those situations that did have sufficient details included those with a previous history of substance misuse, substance misuse within 48 hours of the visit, and visits graded by the nursing staff as being directly and/or indirectly related to substance misuse. Variables related to substance misuse itself were the primary predictors of PSM and, less significantly, CSM. The nursing staff rating, although promising, was obtained in less than 30% of all visits, rendering its practical use difficult to assess.
Related Links	http://dx.doi.org/10.4137/sart.s13375
Ending Page	15
Starting Page	7
File Format	PDF
ISSN	11782218
e-ISSN	11782218
Journal	Substance Abuse: Research and Treatment
Volume Number	8
Language	English
Publisher	Libertas Academica
Publisher Date	2014-02-01
Access Restriction	Open
Rights Holder	Libertas Academica
Subject Keyword	Psychiatry and Mental health Research in Higher Education
Content Type	Text
Resource Type	Article
Subject	Psychiatry and Mental Health

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