Cargando…
Substance Misuse in the Psychiatric Emergency Service; A Descriptive Study
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 there...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Libertas Academica
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3928057/ https://www.ncbi.nlm.nih.gov/pubmed/24558300 http://dx.doi.org/10.4137/SART.S13375 |
_version_ | 1782304209941561344 |
---|---|
author | Chaput, Yves Lebel, Marie-Josée Beaulieu, Lucie Paradis, Michel Labonté, Edith |
author_facet | Chaput, Yves Lebel, Marie-Josée Beaulieu, Lucie Paradis, Michel Labonté, Edith |
author_sort | Chaput, Yves |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-3928057 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Libertas Academica |
record_format | MEDLINE/PubMed |
spelling | pubmed-39280572014-02-20 Substance Misuse in the Psychiatric Emergency Service; A Descriptive Study Chaput, Yves Lebel, Marie-Josée Beaulieu, Lucie Paradis, Michel Labonté, Edith Subst Abuse Original Research 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. Libertas Academica 2014-02-10 /pmc/articles/PMC3928057/ /pubmed/24558300 http://dx.doi.org/10.4137/SART.S13375 Text en © 2014 the author(s), publisher and licensee Libertas Academica Ltd. This is an open-access article distributed under the terms of the Creative Commons CC-BY-NC 3.0 License. |
spellingShingle | Original Research Chaput, Yves Lebel, Marie-Josée Beaulieu, Lucie Paradis, Michel Labonté, Edith Substance Misuse in the Psychiatric Emergency Service; A Descriptive Study |
title | Substance Misuse in the Psychiatric Emergency Service; A Descriptive Study |
title_full | Substance Misuse in the Psychiatric Emergency Service; A Descriptive Study |
title_fullStr | Substance Misuse in the Psychiatric Emergency Service; A Descriptive Study |
title_full_unstemmed | Substance Misuse in the Psychiatric Emergency Service; A Descriptive Study |
title_short | Substance Misuse in the Psychiatric Emergency Service; A Descriptive Study |
title_sort | substance misuse in the psychiatric emergency service; a descriptive study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3928057/ https://www.ncbi.nlm.nih.gov/pubmed/24558300 http://dx.doi.org/10.4137/SART.S13375 |
work_keys_str_mv | AT chaputyves substancemisuseinthepsychiatricemergencyserviceadescriptivestudy AT lebelmariejosee substancemisuseinthepsychiatricemergencyserviceadescriptivestudy AT beaulieulucie substancemisuseinthepsychiatricemergencyserviceadescriptivestudy AT paradismichel substancemisuseinthepsychiatricemergencyserviceadescriptivestudy AT labonteedith substancemisuseinthepsychiatricemergencyserviceadescriptivestudy |