Substance Use in Patients Admitted to the Psychiatric Emergency Department in Northern Iran

IF 0.5 Q4 PSYCHIATRY

Iranian Journal of Psychiatry and Behavioral Sciences Pub Date : 2024-01-03 DOI:10.5812/ijpbs-139157

M. Zarghami, Ali Khosboresh Astaneh

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引用次数: 0

Abstract

Background: Acute psychiatric problems are increasingly observed following substance abuse in emergency departments. To address this significant societal issue, it is essential to understand its various dimensions in order to develop comprehensive control policies. Objectives: This study aimed to evaluate substance use and its related factors in patients admitted to a psychiatric emergency ward in Sari, Mazandaran, Iran. Methods: This cross-sectional study was conducted on all patients admitted to the Emergency Department of Zare Referral Psychiatry hospital during 2011 - 2012. A checklist of demographic and psychiatric factors was completed for each patient based on their medical records. Urine rapid tests were routinely conducted in this department to screen for drug consumption. Descriptive statistics, central and dispersion indices, and the chi-square test were used to analyze the data. Results: A total of 578 cases, comprising 406 males (70.2%) and 172 females (29.8%), were examined. The mean age of patients was 34.7 ± 11.2 years. The most common symptoms reported were aggression (50.5%), insomnia (11.2%), paranoia (10.7%), and self-talk (8.1%), respectively. The most frequent final clinical diagnosis was bipolar disorder in 145 cases (25.1%), followed by schizophrenia in 131 cases (22.7%), and substance-induced psychotic disorder in 63 cases (10.9%). In the substance use screening among patients, the urine test was positive for morphine in 17.6% of the patients. Methamphetamine, methadone, and cannabis tests were positive in 16.1%, 9.5%, and 3.5% of cases, respectively. Among patients with positive urine tests (for methamphetamine, methadone, or morphine), the most common clinical diagnosis was substance-induced psychotic disorder, followed by schizophrenia. Schizophrenia and substance-induced psychotic disorder were the two most common diagnoses in patients with positive cannabis urine tests, respectively. Conclusions: The high rate of substance abuse among psychiatric emergency patients, often co-occurring with other psychiatric disorders, the significant prevalence of psychosis, and the behavioral risks associated with these patients emphasize the need for special attention to this biopsychosocial problem.

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伊朗北部精神科急诊室住院病人的药物使用情况

背景：急诊科发现，越来越多的人在滥用药物后出现急性精神问题。要解决这一重大社会问题，就必须了解其各个方面，以便制定全面的控制政策。研究目的本研究旨在评估伊朗马赞达兰省萨里市一家精神科急诊病房收治的患者的药物使用情况及其相关因素。研究方法这项横断面研究针对 2011 - 2012 年期间扎尔精神病转诊医院急诊科收治的所有患者。根据病历填写了每位患者的人口和精神因素核对表。该科常规进行尿液快速检测，以筛查吸毒情况。数据分析采用了描述性统计、中心指数和离散指数以及卡方检验。结果：共检查了 578 例患者，其中男性 406 例（70.2%），女性 172 例（29.8%）。患者的平均年龄为（34.7 ± 11.2）岁。最常见的症状分别是攻击性（50.5%）、失眠（11.2%）、妄想症（10.7%）和自言自语（8.1%）。最常见的最终临床诊断是双相情感障碍（145 例，占 25.1%），其次是精神分裂症（131 例，占 22.7%）和药物所致精神障碍（63 例，占 10.9%）。在对患者进行药物使用筛查时，17.6%的患者尿检呈吗啡阳性。甲基苯丙胺、美沙酮和大麻呈阳性的比例分别为 16.1%、9.5% 和 3.5%。在尿检呈阳性（甲基苯丙胺、美沙酮或吗啡）的患者中，最常见的临床诊断是药物所致精神障碍，其次是精神分裂症。在大麻尿检呈阳性的患者中，精神分裂症和药物所致精神障碍分别是两种最常见的诊断。结论：精神科急诊病人滥用药物的比例很高，而且往往与其他精神疾病并发，精神病的发病率很高，与这些病人相关的行为风险也很大，因此有必要特别关注这一生物-心理-社会问题。

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来源期刊

Iranian Journal of Psychiatry and Behavioral Sciences PSYCHIATRY-

CiteScore

1.20

自引率

10.00%

发文量

期刊介绍： The Iranian Journal of Psychiatry and Behavioral Sciences (IJPBS) is an international quarterly peer-reviewed journal which is aimed at promoting communication among researchers worldwide and welcomes contributions from authors in all areas of psychiatry, psychology, and behavioral sciences. The journal publishes original contributions that have not previously been submitted for publication elsewhere. Manuscripts are received with the understanding that they are submitted solely to the IJPBS. Upon submission, they become the property of the Publisher and that the data in the manuscript have been reviewed by all authors, who agree to the analysis of the data and the conclusions reached in the manuscript. The Publisher reserves copyright and renewal on all published material and such material may not be reproduced without the written permission of the Publisher. Statements in articles are the responsibility of the authors.