Total population-based study of the impact of substance use disorders on the overall survival of psychiatric inpatients

Steingrímsson, Steinn; Sigurðsson, Martin I; Aspelund, Thor; Sigfússon, Sigmundur; Magnússon, Andrés

doi:10.3109/08039488.2015.1062143

Cited by 16 publications

(14 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The weakness of this study is that after the patients were discharged from the forensic psychiatric hospital treatment, there is no knowledge of their involvement in outpatient care or their use of medication. In addition, substance disorders are known to increase mortality of psychiatric patients [22,23] and in this study group substance use disorders were not evaluated as a variable. This calls for further studies to research the proportion of substance use disorders as a factor causing increased mortality among forensic psychiatric patients.…”

Section: Discussionmentioning

confidence: 99%

Cause-specific mortality in Finnish forensic psychiatric patients

Ojansuu

Putkonen

Tiihonen

2018

Nordic Journal of Psychiatry

View full text Add to dashboard Cite

The results of this study point out that the high risk for suicide should receive attention when the hospital treatment and the outpatient care is being organized for forensic psychiatric patients. In addition, the risk of accidents should be evaluated and it should be assured that the patients receive proper somatic healthcare during the forensic psychiatric treatment and that it continues also in the outpatient setting.

show abstract

Section: Discussionmentioning

confidence: 99%

Cause-specific mortality in Finnish forensic psychiatric patients

Ojansuu

Putkonen

Tiihonen

2018

Nordic Journal of Psychiatry

View full text Add to dashboard Cite

show abstract

“…Bearing in mind that different studies find high rates of comorbid substance use and severe mental illness, it is important to emphasize the prevalence of dual diagnosis [ 23 , 24 ]. According to the Substance Abuse and Mental Health Services Administration (SAMHSA) [ 25 ], approximately 7.9 million adults in the USA have co-occurring disorders.…”

Section: Introductionmentioning

confidence: 99%

“…Taking this prevalence into account, literature has shown increased all-cause (natural causes, accidents, suicide and homicide) mortality among the psychiatric population. Specifically, a study by Steingrimsson [ 23 ] marks SUD as having the highest mortality of all the diagnostic groups. Several studies point out that the main factors associated with suicide attempts were: borderline personality disorder, lifetime abuse (whether emotional, physical or sexual), co-occurrent psychotic disorders, polydrug abuse, anxiety disorders and depressive symptoms [ 14 , 27 , 28 ].…”

Section: Introductionmentioning

confidence: 99%

“…Continuous models classify people by locating them along graded dimensions, whereas categorical models classify people into distinct groups [ 37 ]. As far as understanding disorders in a dimensional way, we used the Millon Multiaxial Clinical Inventory because Millon [ 23 ] proposed an explanation of the structure of psychopathology in a dimensional alternative model based on the background of ecological adaptation. Clinical syndromes are best understood as disorders rooted in the context of personality styles [ 38 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Which Psychopathological Syndromes Could Be Associated with the Risk of Suicide among Substance Users?

Masferrer

Escalé-Muntañà²,

Malagón

et al. 2018

IJERPH

View full text Add to dashboard Cite

Background: Research has shown that suicide is a highly present phenomenon among the drug dependent population. Moreover, individuals with substance use disorder (SUD) present high psychopathological comorbidity. This study aimed to describe which clinical syndromes are linked to the presence of risk of suicide. Methods: The study was based on a consecutive non-probabilistic convenience sample of 196 patients who attended the Public Addiction Center in Girona (Spain). Sociodemographic data, as well as suicide risk and drug related characteristics, were recorded. The risk of suicide was assessed with the Spanish version of “risk of suicide”. Complicated grief was assessed with the Spanish version of the Inventory of Complicated Grief. Clinical syndromes were measured with the Spanish version of MCMI-III. Results: The syndromes most frequently associated with the presence of risk of suicide were complicated grief, major depression and thought disorder. Conclusions: Different psychopathological syndromes were identified in relation to risk of suicide among patients with SUD. The present results highlight the importance of accurately diagnosing those individuals.

show abstract

“…Concurrent BPD and SUD indicates even more severity and complexity and such co-morbidity is associated with additionally increased rates of suicidal and self-harming behaviour [4][5][6]. Patients with this dual diagnosis offer a challenge for treatment providers and there is widespread pessimism among practitioners about the possibilities of successful treatment [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Mentalization-Based Treatment for Concurrent Borderline Personality Disorder and Substance Use Disorder: A Randomized Controlled Feasibility Study

et al. 2018

View full text Add to dashboard Cite

Aims: There is a scarcity of clinical trials on psychological treatments for concurrent borderline personality disorder (BPD) and substance use disorder (SUD). Mentalization-based treatment (MBT) have shown efficacy in several trials on BPD. The aim of the present study was to examine the feasibility and effectiveness of MBT for concurrent BPD and SUD. Methods: Patients (n = 46) with concurrent BPD and SUD were randomized either to MBT in combination with SUD treatment (n = 24) or to SUD treatment alone (n = 22). Outcome was measured after 18 months using objective data, as well as interview and self-report measures. Results: There was no significant difference between the groups on any outcome variable. No suicide attempts occurred in the MBT group in contrast to 4 suicide attempts that occurred in the control group – a difference that did not reach statistical significance (p = 0.06). A majority of the therapists did not show sufficient MBT adherence and quality. Conclusion: MBT for patients with concurrent BPD and SD does not appear to be harmful; on the other hand, it is possibly helpful in reducing the risk involved in suicide attempts.

show abstract

Total population-based study of the impact of substance use disorders on the overall survival of psychiatric inpatients

Abstract: SUD was the psychiatric diagnosis that had the highest mortality rate among psychiatric inpatients, in both men and women. An additional psychiatric diagnosis on a pre-existing SUD diagnosis did increase the risk for men but not women.

Cited by 16 publications

References 16 publications

Cause-specific mortality in Finnish forensic psychiatric patients

Cause-specific mortality in Finnish forensic psychiatric patients

Which Psychopathological Syndromes Could Be Associated with the Risk of Suicide among Substance Users?

Mentalization-Based Treatment for Concurrent Borderline Personality Disorder and Substance Use Disorder: A Randomized Controlled Feasibility Study

Contact Info

Product

Resources

About