Substance Use Disorders (SUD) and Suicidal Behaviors in Adolescents: Insights From Cross-Sectional Inpatient Study

Basith, Sayeda A; Nakaska, Miles M; Sejdiu, Albulena; Shakya, Aabha; Namdev, Vaishalee; Gupta, Siddharth; Mathialagan, Keerthika; Makani, Ramkrishna

doi:10.7759/cureus.15602

Cited by 5 publications

(3 citation statements)

References 17 publications

(17 reference statements)

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“…Overall, individuals in this cohort were highly vulnerable, with most reporting serious MD as well as high material and social deprivation, nearly half had chronic physical illnesses, about a third were high ED users with no usual physician, and many did not receive any psychosocial interventions from community healthcare centers. As in previous studies [ 42 , 43 ], findings show that patients hospitalized for suicide attempts and MD-SRD had a higher risk of early readmission, particularly among young patients. According to a recent study [ 44 ], the risk of rehospitalization for suicidal behaviors is higher within the first month after discharge, mainly among patients with SRD, or depressive and anxious disorders.…”

Section: Discussionsupporting

confidence: 80%

Predictors of Length of Hospitalization and Impact on Early Readmission for Mental Disorders

Gentil

Grenier

Vasiliadis

et al. 2022

IJERPH

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Length of hospitalization, if inappropriate to patient needs, may be associated with early readmission, reflecting sub-optimal hospital treatment, and translating difficulties to access outpatient care after discharge. This study identified predictors of brief-stay (1–6 days), mid-stay (7–30 days) or long-stay (≥31 days) hospitalization, and evaluated how lengths of hospital stay impacted on early readmission (within 30 days) among 3729 patients with mental disorders (MD) or substance-related disorders (SRD). This five-year cohort study used medical administrative databases and multinomial logistic regression. Compared to patients with brief-stay or mid-stay hospitalization, more long-stay patients were 65+ years old, had serious MD, and had a usual psychiatrist rather than a general practitioner (GP). Predictors of early readmission were brief-stay hospitalization, residence in more materially deprived areas, more diagnoses of MD/SRD or chronic physical illnesses, and having a usual psychiatrist with or without a GP. Patients with long-stay hospitalization (≥31 days) and early readmission had more complex conditions, especially more co-occurring chronic physical illnesses, and more serious MD, while they tended to have a usual psychiatrist with or without a GP. For patients with more complex conditions, programs such as assertive community treatment, intensive case management or home treatment would be advisable, particularly for those living in materially deprived areas.

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Section: Discussionsupporting

confidence: 80%

Predictors of Length of Hospitalization and Impact on Early Readmission for Mental Disorders

Gentil

Grenier

Vasiliadis

et al. 2022

IJERPH

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“…In particular, this issue will bring more challenges for girl consumers; female consumers receive less treatment and care because of different reasons, such as social stigma and fear of ostracization (2,7). Studies indicated that among the identi ed high-risk behaviors, uncontrolled sexual behavior, suicide, and violence are among the most serious high-risk health-associated behaviors among adolescents with substance use disorder (8)(9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

A Psychosocial Empowerment Program to Reduce High-Risk Behaviors in Adolescent Girls with Substance Use Disorders: A Mixed-Methods Protocol Study

Ghelbash

Alavi

Noroozi

et al. 2023

Preprint

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Background and objective: adolescent girls with substance use disorders are at risk of numerous psychosocial risks; tendency to high-risk behaviors, such as suicide, high-risk sexual behavior, and violence are among important consequences of substance use. Today, programs are designed with an empowerment approach, as important practical strategies for management of issues associated with health and social welfare. Thus, in this study, we intend to design a comprehensive psychosocial empowerment program with an approach of reducing high-risk behaviors in adolescent girls with substance use disorder. Methods: Using the Talbot and Verrinder model, this study will be designed in three steps. In the first step, the researcher will identify the experiences of adolescent girls with substance use disorder, as well as their psychosocial needs using a qualitative approach. Then, through a review of literature, the needs and strategies will be completed and enriched. Thereafter, using a Delphi technique, the relevant needs and strategies identified in previous stages will be prioritized. In the second step, the program's draft will be designed based on the results obtained from the previous step. The developed program includes introduction, goals, specific objectives, strategies associated with specific objectives separately. During the third phase, the content of the program will be evaluated by a panel of experts. The fourth, fifth and sixth steps of the model, which are dedicated to the implementation, monitoring and evaluation of the program, can be implemented in the future as an interdisciplinary program with the participation of health and social welfare experts and related organizations. Conclusion: It is expected that, in the case of its effective implementation by social welfare and health organizations, the empowerment program would have the potential to have a considerable effect on reducing or controlling high-risk behaviors in adolescent girls with substance use disorder.

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“…4 Drug use disorders severely affect children and adolescents' physical and mental health. 5 The scientific literature underscores the widespread prevalence of psychotropic substance use among adolescents globally. A study performed in Poland showed that 10.8% of respondents aged 13 to 17 had consumed psychotropic drugs, such as cannabis, cocaine, or heroin, at least once.…”

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confidence: 99%

Suicide ideation and psychotropic recreational drug use by adolescents: a systematic review and meta-analysis

Oliveira Gracini,

Nascimento,

Vidigal

et al. 2024

Sao Paulo Med. J.

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BACKGROUND: Adolescence is characterized by complex and dynamic changes, often involving experimentation, including the use of psychotropic substances. Although it is well-established that recreational psychotropic drugs are associated with suicide ideation in adults, evidence of this association in adolescents remains limited. OBJECTIVE: To investigate the relationship between suicide ideation and psychotropic recreational drug use among adolescents. DESIGN AND SETTING: Systematic review with meta-analysis developed at Universidade Federal de Uberlândia (UFU) and Universidade Estadual de Campinas (UNICAMP), Brazil. METHODS: A search across eight electronic databases for observational studies, without language or publication year restrictions, was conducted. The Joanna Briggs Institute tool was used to assess the risk of bias. Random-effects meta-analyses and odds ratios were used to measure the effects. RESULTS: The search yielded 19,732 studies, of which 78 were included in the qualitative synthesis and 32 in the meta-analysis. The findings indicated that suicidal ideation was 1.96 times more likely (95% confidence interval, CI = 1.47; 2.61) for adolescents who used some drug recurrently and 3.32 times more likely (95%CI = 1.86; 5.93) among those who abused drugs. Additionally, adolescents who used cannabis were 1.57 times more likely (95%CI = 1.34; 1.84) to experience suicide ideation compared with non-users, while cocaine users had 2.57 times higher odds (95%CI = 1.47; 4.50). CONCLUSIONS: Psychotropic recreational drug use is associated with suicidal ideation among adolescents regardless of current or previous use, abuse, or type of substance used. SYSTEMATIC REVIEW REGISTRATION: Registered in the PROSPERO database under the identification number CRD42021232360. https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021232360 .

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Substance Use Disorders (SUD) and Suicidal Behaviors in Adolescents: Insights From Cross-Sectional Inpatient Study

Abstract: Basith et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Cited by 5 publications

References 17 publications

Predictors of Length of Hospitalization and Impact on Early Readmission for Mental Disorders

Predictors of Length of Hospitalization and Impact on Early Readmission for Mental Disorders

A Psychosocial Empowerment Program to Reduce High-Risk Behaviors in Adolescent Girls with Substance Use Disorders: A Mixed-Methods Protocol Study

Suicide ideation and psychotropic recreational drug use by adolescents: a systematic review and meta-analysis

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