The prevelance of comorbid substance misuse and its influence on suicidal ideation among inpatients with schizophrenia

Kamali, M.; Kelly, Leah H.; Gervin, M.; Browne, Stephen; Larkin, Conall; O’Callaghan, Eadbhard

doi:10.1016/s0920-9964(00)90475-4

Cited by 7 publications

(8 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…3,4,1 Additionally, people with schizophrenia often start misusing drugs or alcohol during this period of untreated psychosis multiplying their already heightened (20 fold) risk for suicide. 5 Furthermore, the economic cost of schizophrenia is considerable. A UK study has shown that the annual indirect cost incurred through loss of productivity by people with schizophrenia was more than £1.7 billion, with direct costs adding a further 25%.…”

Section: Introductionmentioning

confidence: 99%

First episode schizophrenia in general practice: a national survey

Gavin¹,

Cullen

O’Donoghue

et al. 2006

Ir. j. psychol. med.

View full text Add to dashboard Cite

Objective: We sought to establish the views of general practitioners about detecting and managing patients with a first episode of schizophrenia in Ireland.Method: Twenty per cent of GPs were invited to participate in a cross-sectional postal survey.Results: Sixty-two per cent (n = 261) participated. Almost all (99.2%) see at least one case of suspected first episode schizophrenia annually. The most commonly (80.7%) encountered symptom is ‘bizarre behaviour’. Many (47.7%) rarely or never prescribe antipsychotics to patients whom they suspect have a first episode of schizophrenia. However, 80.6% of GPs reported that they ‘always’ refer this group of patients to psychiatric services. Over half (57.8%) advised patients with schizophrenia to continue medication for less than a year. A large number of respondents reported that it is difficult to obtain a rapid psychiatric assessment.Conclusions: GPs want more information about identifying early psychosis, a closer liaison with psychiatric services and a rapid intervention service.

show abstract

Section: Introductionmentioning

confidence: 99%

First episode schizophrenia in general practice: a national survey

Gavin¹,

Cullen

O’Donoghue

et al. 2006

Ir. j. psychol. med.

View full text Add to dashboard Cite

show abstract

“…Comorbidity of F1-and F2-diagnoses according to ICD-10 are associated with a poorer outcome of psychotic disorders in a variety of areas including increased psychotic symptoms (6), higher rates of relapse and suicide (5)(6)(7)(8)(9)(10), lower treatment compliance (11) and higher costs of care (12). Furthermore, patients with schizophrenia and abuse of illegal substances in an US sample differ from those without addiction on a number of sociodemographic variables: they are younger, predominantly male and have a lower educational attainment (13).…”

Section: Introductionmentioning

confidence: 99%

Differences in substance abuse patterns: multiple drug abuse alone versus schizophrenia with multiple drug abuse

Lammertink¹,

Löhrer²,

Kaiser³

et al. 2001

Acta Psychiatr Scand

View full text Add to dashboard Cite

show abstract

“…There is contradictory evidence about the role of rule adherence as a factor for substance abuse (Alterman et al, 1980(Alterman et al, -1982. There is also some evidence that substance abuse in inpatients is related to START outcomes including aggression (Alterman et al, 1980(Alterman et al, , 1981(Alterman et al, , 1982, self-harm (Kamali et al, 2000), and unauthorised leave (Bowers et al, 2003); as a result, further advances on development of items for these outcomes holds the potential to improve the predictive ability of the items for substance abuse. Both outcomes considered in the current study represent failures of security, particularly of procedural and relational elements.…”

Section: Discussionmentioning

confidence: 99%

Predictive validity of the START for unauthorised leave and substance abuse in a secure mental health setting: A pseudo-prospective cohort study

O’Shea

Dickens

2015

International Journal of Nursing Studies

View full text Add to dashboard Cite

The study provides limited support for the START by demonstrating the predictive validity of its specific risk estimates for substance abuse and unauthorised leave. High negative predictive values suggest the tool may be of most utility in screening out low risk individuals from unnecessary restrictive interventions; very low positive predictive values suggest caution before implementing restrictive interventions in those rated at elevated risk. Researchers should investigate how multidisciplinary teams formulate risk assessments for these outcomes since they outperform the quantitative element of this tool.

show abstract

The prevelance of comorbid substance misuse and its influence on suicidal ideation among inpatients with schizophrenia

Cited by 7 publications

References 0 publications

First episode schizophrenia in general practice: a national survey

First episode schizophrenia in general practice: a national survey

Differences in substance abuse patterns: multiple drug abuse alone versus schizophrenia with multiple drug abuse

Predictive validity of the START for unauthorised leave and substance abuse in a secure mental health setting: A pseudo-prospective cohort study

Contact Info

Product

Resources

About