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EV0007

Substance abuse among acute psychiatric admissions

SUBSTANCE MISUSE IN ACUTE PSYCHIATRIC ADMISSIONS

Hazardous alcohol use was identified in 45.4% of patients admitted to an acute psychiatric ward, and substance abuse in 24.7%.

The aim of the study was to determine the prevalence of alcohol and substance abuse among psychiatric inpatients and to compare the characteristics of patients with and without substance use. Patients admitted to a psychiatric ward in Solihull Metropolitan Borough during a specified three-month period were included in the study; demographic data and ICD-10 diagnoses were recorded, and the Brief Symptom Inventory (BSI), CAGE, AUDIT, and CIDI-SF were administered to each patient. A total of 97 patients (aged 16 to 65 years) were interviewed; the most common diagnoses were depressive episode and paranoid schizophrenia, with bipolar affective disorder forming the second-largest group. AUDIT identified hazardous alcohol use in 44 patients (45.4%). Substance abuse was found in 24 participants (24.70%), and 74% of those using substances reported cannabis use. Young male patients were identified as the group at highest risk of substance abuse. According to the author, alcohol and substance abuse are common among psychiatric inpatients; symptom severity and frequent service use place an additional financial burden on the mental health system, highlighting the need to develop specialized services for this group of patients with dual diagnoses.

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