Objectives: To determine the prevalence, association of socio-demographic factors, medical comorbidities with delirium in alcohol dependence syndrome individuals hospitalized during the lockdown period. Design: 667 alcohol-dependent patients attending the institute of mental health, Hyderabad during the 1st phase of lockdown were studied retrospectively with the help of hospital records. Results: Out of 667 samples 266 individuals presented with delirium. There is no significance of sociodemographic factors on delirium except sex. There is a positive correlation between severity of dependence (r=0.26, p=0.000), number of drinks (r=0.271, p=0.000) per day, duration of intake of substance (r=0.137, p=0.000) with delirium. Individuals with medical comorbidity hypertension, both hypertension and diabetes have presented a greater number of delirium cases. Conclusion: Current lockdown scenario is the first time we had faced. We found a greater prevalence of delirium in alcohol dependence cases which is a threat to the health care system. Hence further research in risk factors involving delirium presentation is needed. Stringent rules to control alcohol dependence to avoid a similar situation in the future and effective management of health care facilities are needed.

Background: Prevalence of tobacco use is variable among psychiatric illness across the world. Tobacco consumption may predispose or worsen the psychiatric illnesses. Aims: To study the prevalence of tobacco use among psychiatric in-patients and to study the association between various sociodemographic variables and clinical variables with tobacco use. Materials and Methods: A cross sectional study was conducted among psychiatric in-patients (n=200) at a tertiary care psychiatric hospital. Consecutive sampling technique was applied. A semi-structured proforma was applied to capture the socio-demographic and clinical details of the participants. The Fagerstrom Test for Nicotine Dependence (FTND) was applied to assess for the tobacco dependence. Results: Prevalence of current tobacco use among the study population was 39.5%. Among the psychiatric illness, prevalence of tobacco use is significantly higher in substance use disorders when compared with mood disorders (χ2=7.757, p=0.005) and schizophrenia and other psychotic disorders (χ2=24.093, p<0.01). Tobacco use is significantly associated with male gender (χ2=20.820, p<0.01), employment (χ2=7.860, p= 0.005) and marital status (χ2=7.930, p= 0.019) among psychiatric patients. Conclusion: Prevalence of tobacco use was found to be high among psychiatric population. There is a need to focus on the adequate management of tobacco use along with primary psychiatric conditions.

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