La psychiatrie de consultation-liaison: une étude prospective en milieu hospitalier général

Michalon, Max

doi:10.1177/070674379303800303

Cited by 10 publications

(1 citation statement)

References 21 publications

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“…Epidemiologic studies have shown that dependence on prescription drugs (DPD) is a highly prevalent disorder (Michalon 1993;Maffli et al 1998;Goodwin and Hasin 2002; Correspondence: C. Schmidt, Department of Psychiatry and Psychotherapy, Research Group S:TEP (Substance Abuse: Treatment Epidemiology and Prevention), Medical University of Lü beck, Ratzeburger Allee 160, 23538 Lü beck, Germany. Tel.…”

Section: Introductionmentioning

confidence: 99%

Motivation to change and readiness for counseling in prescription-drug-dependent patients in a general hospital population

Schmidt¹,

Bischof²,

Harting³

et al. 2009

Addiction Research & Theory

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At the present time, only a small minority of prescription-drug-dependent patients is provided with adequate treatment. The purpose of this article is to investigate the motivation to change and the readiness to accept consultation in prescription-drug-dependent patients. Among 952 general hospital patients, aged 18 to 64 years, 45 individuals dependent on prescription drugs were identified, using a screening questionnaire and a structured psychiatric interview as diagnostic instruments. The stage of change was examined following the stage concept of the Transtheoretical Model (TTM). According to the TTM 55.5% (n ¼ 25) of the study population were in the precontemplation stage, 37.8% (n ¼ 17) were on the contemplation stage and 6.7% (n ¼ 3) had reached the level of preparation. For analyzing variables that might influence motivation to change, contemplators and preparators were merged into one group. The self-efficacy to change current drug consumption was significantly higher in patients with elevated motivation to change (p ¼ 0.001). Overall, receiving counseling was rated positive by the sample. The majority of the prescription-drug-dependent patients were in a low stage of motivation to give up their drug consumption, but highly motivated to receive counseling making the general hospital a suitable setting to start early interventions.

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Section: Introductionmentioning

confidence: 99%

Motivation to change and readiness for counseling in prescription-drug-dependent patients in a general hospital population

Schmidt¹,

Bischof²,

Harting³

et al. 2009

Addiction Research & Theory

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Suicide risk in the general hospital

Berger

1995

Psychiatry Clin Neurosci

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This paper reviews the relationship between physical illness and suicide, reviews the studies of attempters and completers of suicide in general hospitals, and discusses those studies which have investigated the characteristics of patients in the medical setting with suicidal ideation. Study of suicidal ideation in a general hospital setting aimed at characterizing patients' suicidality may allow psychiatrists to better discriminate those patients at greater risk for completed suicide. Comparison of medical patients with suicidal ideation with those who had attempted or completed suicide, and recommendations to reduce suicidal impulses and treat these patients are discussed.

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Psychiatric Referrals Associated with Substance Use Disorders: Prevalence and Gender Differences

Alaja

Seppä

Sillanaukee

et al. 1997

Alcoholism Clin & Exp Res

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A psychoactive substance use disorder (ICD-10) was diagnosed in 28% of 1222 psychiatric referrals in six general hospitals in Finland. In the age group 35 o 50 years, 53% of men and 29% of women had a substance use disorder. In the age group 35 to 50 years, sociodemographic characteristics differentiated men diagnosed with substance use disorders from other male consultation patients, but women with substance use disorders were similar to other female consultation patients. Urgency (i.e., consultation required within the same day) was accentuated in referrals associated with substance use disorders. Of attempted suicides, 65% were related to substance use disorders. Use of sedatives or hypnotics had more frequently induced disorders in women with substance use diagnosis compared to men with diagnosis (30% vs. 13%; p < 0.01). Female consultation patients with substance use disorders more often than respective male patients were current mental health outpatients. In conclusion, the proportion of substance use disorders among psychiatric consultation patients was remarkably higher in the present study (28%) compared with the average provided by the earlier literature (12%), and therefore, at least in Finland, psychiatric assessment of general hospital patients should always include assessment for the presence of substance use disorders. If substance use is only looked for in patients who have social problems typical of advanced misuse, detecting female substance use might be impeded. Relation of attempted suicides to substance use disorders was confirmed. To prevent misuse of prescribed drugs detected particularly in female consultation patients, and to prevent attempted suicides, doctors' attention is called to prescriptions of sedatives and hypnotics.

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La psychiatrie de consultation-liaison: une étude prospective en milieu hospitalier général

Cited by 10 publications

References 21 publications

Motivation to change and readiness for counseling in prescription-drug-dependent patients in a general hospital population

Motivation to change and readiness for counseling in prescription-drug-dependent patients in a general hospital population

Suicide risk in the general hospital

Psychiatric Referrals Associated with Substance Use Disorders: Prevalence and Gender Differences

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