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Related Experiment Videos

Methamphetamine users in the psychiatric emergency services: a case-control study.

Jagoda Pasic1, Joan E Russo, Richard K Ries

  • 1Department of Psychiatry and Behavioral Sciences, Harborview Medical Center, University of Washington School of Medicine, Seattle, Washington 98104, USA. jpasic@u.washington.edu

The American Journal of Drug and Alcohol Abuse
|September 25, 2007
PubMed
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Methamphetamine (MA) users in psychiatric emergency services are younger, more likely to be male, and present with psychosis and dysphoria. MA patients also showed higher acceptance of chemical dependency treatment referrals.

Area of Science:

  • Psychiatry
  • Emergency Medicine
  • Toxicology

Background:

  • Psychiatric Emergency Services (PES) encounter diverse patient populations.
  • Understanding the characteristics of substance use, particularly methamphetamine (MA), is crucial for effective intervention.

Purpose of the Study:

  • To compare sociodemographic, clinical, and service use characteristics of patients with positive MA toxicology versus non-MA users in an urban PES.
  • To identify factors associated with MA use in this setting.

Main Methods:

  • Retrospective chart review of 120 patients in a Psychiatric Emergency Services.
  • Data extraction included demographics, arrival mode, clinical information, MA intoxication treatment, and disposition.
  • Statistical comparison between MA positive and non-MA user groups.

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Main Results:

  • MA patients were younger, predominantly male, and often police-referred.
  • MA users presented with more cardiac symptoms, psychosis, dysphoria, and prior substance use.
  • MA patients were less likely to have a schizophrenia diagnosis, prior psychiatric history, or suicide attempt history.
  • Hospitalization rates did not differ between groups.
  • MA patients showed greater acceptance of chemical dependency treatment referrals.

Conclusions:

  • Hypertension, tachycardia, dysphoria, psychosis, and past substance use are associated with MA use in PES.
  • MA use is linked to specific demographic and clinical profiles, distinct from other psychiatric presentations.
  • Targeted interventions and treatment acceptance for chemical dependency are important considerations for MA-positive patients.