An Adolescent’s Use of Veterinary Medicines: A Case Report Exploring Addiction

Kaggwa, Mark Mohan; Nuwamanya, Sympson; Ashaba, Scholastic; Rukundo, Godfrey Zari; Harms, Sheila

doi:10.1080/02791072.2021.1873466

Cited by 13 publications

(18 citation statements)

References 8 publications

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“…10,11 Substance use Studies report use of addictive substances among university students as an etiological factor for suicide completion, 12 attributing it to the psychotic symptoms experienced during intoxication or withdrawal. 2,12 However, substance use was not identified in this study, and we attribute this mainly to the study design of using press/media houses, which rarely report such information in Uganda. For this same reason, mental illness, especially depression, a common cause of suicide, was not reported in most cases.…”

Section: Challenges/disappointmentsmentioning

confidence: 88%

“…1 However, suicide remains illegal in many African countries, including Uganda, and no suicide attempter would dare not to complete it for fear of the repercussions attached. 2 Although suicide rates in Uganda decreased from 15.91 per 100 000 population in 2000 to 9.9 per 100 000 in 2017, 3 the rates remained highest among the youth (approximately 700 000 are university students). University students are transitioning from adolescence to adulthood, a stage associated with many stressors (physical, psychological, social and spiritual) that overpower many, leading to suicide.…”

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confidence: 99%

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Suicide among Ugandan university students: evidence from media reports for 2010–2020

et al. 2021

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University students are in transition to adulthood and face multiple challenges that may lead to suicide. They are reported to have a higher risk of suicide by the World Health Organization. As there is no national suicide database in Uganda, we analysed student suicide using the press/media reports of suicides published between 2010 and 2020. A total of deaths by 23 suicide were identified: 19 were males, relationship problems were the main suicide reason (n = 6) and hanging was the most frequently used suicide method (n = 7). A strategic intervention to tackle suicide risk among university students is warranted.

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Section: Challenges/disappointmentsmentioning

confidence: 88%

mentioning

confidence: 99%

Suicide among Ugandan university students: evidence from media reports for 2010–2020

et al. 2021

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“…24,27 One study in Israel reported a high mortality rate among admitted young (18 to 44 years) people with mental disorders linked mainly to suicide. 23 Despite only two individuals having previous suicide attempts, suicide is common among patients with mood disorders and psychosis 24,28 -the majority of the studied population. Previous studies also shown that most suicide-related deaths among patients with mental illness occur at night.…”

Section: Discussionmentioning

confidence: 99%

Mortality Among Patients Admitted in a Psychiatric Facility: A Single-Centre Review

Kaggwa¹,

Najjuka²,

Harms³

et al. 2021

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Background: There is higher global mortality among persons living with mental illness than the general population, attributed to the risky behaviours associated with mental illness, medical comorbidities, or side effects of psychiatric medications that result in premature death among psychiatric in patients. Objective: This audit aimed to describe the characteristics of patients with mental illness who died during admission at a tertiary psychiatric ward in Uganda. Methods: This was a retrospective chart review of patients who died while admitted to a psychiatry ward between January 1995 to July 2020. Results: We reviewed 30 charts, of which 18 (60%) patients were women. The majority of patients died during 2002 (13.3%). Many were diagnosed with a brief psychotic disorder, 7 (23.3%), followed by bipolar disorder 6 (20.0%). HIV and epilepsy were the most common comorbidities. The majority of the death causes of death were unknown, 20 (66.7), but heart attack (n=2) was the most identified cause. Conclusion:The majority of the causes of mortality were unknown. The most common cause of mortality was heart attack, a common effect of metabolic disease and chronic antipsychotic use. Mortality audits are warranted to identify possible causes and to develop strategic interventions for mortality prevention.

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“…This also applies to individuals who are addicted to substances, and is called a compulsive want/craving/urge for the substance. 7 , 8 Also, if an individual had sex or a romantic encounter with a song in the background, when they listen to that song later, they may think back to and desire this encounter. This is very similar to “triggers” or reward craving experienced by individuals who use substances.…”

Section: Similarities Between Sex and Addiction To Substancesmentioning

confidence: 99%

“…Individuals experiencing addiction will likely continue to use substances despite numerous serious effects, such as withdrawal phenomena, blackouts, suicidality, sexual dysfunction, seizures, traumatic motor accidents, mental health symptoms like mania or psychosis, and other challenges. 7 , 8 , 15 , 16 Similarly, individuals who engage in sexual encounters are doing so despite being aware of dangers, such as encountering sexually transmitted diseases for those with multiple partners or unwanted pregnancy. 17 , 18 Among teenagers who, despite their parents and society being against their involvement in sexual exploration, go on to continue having sex.…”

Section: Similarities Between Sex and Addiction To Substancesmentioning

confidence: 99%

Simplifying Addiction

Kaggwa¹

2021

SAR

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Addiction disorders/substance use disorders (SUD) are on the rise. However, many mental health care providers have never experienced SUD themselves, leading to higher chances of poor patient care through stigma, judgement, and the misunderstanding of patients. An alternative approach to understanding patients with addictive behaviors using a comparison of sex is discussed in this paper. Since most health care providers will have experienced sex, this analog can help mental health workers with no lived experience of SUD better understand their patients. This can help reduce stigma, misunderstanding, countertransference feeling, and the judgment of patients, thereby leading to better patient care.

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An Adolescent’s Use of Veterinary Medicines: A Case Report Exploring Addiction

Cited by 13 publications

References 8 publications

Suicide among Ugandan university students: evidence from media reports for 2010–2020

Suicide among Ugandan university students: evidence from media reports for 2010–2020

Mortality Among Patients Admitted in a Psychiatric Facility: A Single-Centre Review

Simplifying Addiction

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