Tobacco Use and Associated Factors in Patients Presenting to a Psychiatric Emergency Room

Background. Rates of cigarette smoking among the public and individuals with mental illness have been well documented. Studies have demonstrated that prevalence of smoking among individuals with mental illness remains elevated compared to the general population and as a distinct subgroup, individuals with mental illness consume more than a third of cigarettes sold in the U.S. However, information on rates of smoking among patients presenting to a psychiatric emergency room (ER) is lacking. This study assesses this understudied population for smoking prevalence and associated factors. Methods. A retrospective chart review of 203 distinct psychiatric ER patients was conducted. Demographics, tobacco use, substance use, psychiatric diagnoses, and family history were noted and analyzed with SPSS. Result. Tobacco use rates were noted to be nearly fifty percent and significant associations were found with active suicidal ideation, alcohol use disorders, illicit drug use disorders, and history of prior psychiatric hospitalization. Conclusion. Tobacco use among psychiatric ER patients is much higher than that of the general population and associated with active suicidal ideations, alcohol use disorders, and illicit substance use disorders. These findings should be considered in the evaluation and expectant management of these patients by their clinicians and healthcare providers.

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Substance use among patients with a psychotic disorder in a psychiatric emergency room

Psychiatric Services ◽

10.1176/ps.48.3.353 ◽

1997 ◽

Vol 48 (3) ◽

pp. 353-358 ◽

Cited By ~ 28

Keyword(s):

Substance Use ◽

Emergency Room ◽

Psychotic Disorder ◽

Psychiatric Emergency ◽

Psychiatric Emergency Room

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Alcohol Use Disorder and Associated Factors Among Medicaland Surgical Outpatients of University of Gondar Specialized Hospital: A Cross-sectional Study

10.21203/rs.3.rs-35754/v1 ◽

2020 ◽

Author(s):

Demeke Demilew ◽

Getachew Tesfaw ◽

Habtamu Kerebih ◽

Endalamaw Salelew

Keyword(s):

Mental Illness ◽

Alcohol Use ◽

Associated Factors ◽

Alcohol Use Disorder ◽

Alcohol Use Disorders ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

History Of ◽

Male Sex

Abstract Background: Alcohol use disorders increase the risk for physical harm, mental or social consequences for patients and others in the communities. Studies on alcohol use disorder and associated factors among medical and surgical outpatients in Ethiopia are limited. Therefore, this study is meant to provide essential data alcohol use disorder and associated factors among medical and surgical outpatients for future interventions. Methods:An institution-based cross-sectional study was conducted using the systematic random sampling technique. Alcohol use disorder was assessed using the World Health Organization’s 10-item Alcohol Use Disorder Identification Test (AUDIT) questionnaire. Data were analyzed using the Statistical Package for Social Sciences (SPSS) version 20. Bivariate and multivariate logistic regression analyses were performed, P-values less than 0.05 were considered statistically significant in the multivariate analysisand the strength of association was measured using AOR at a 95% confidence interval.Results: The prevalence of alcohol use and use disorder were 322(68.50%) and 111(34.5%), respectively. In the multivariate analysis, male sex (AOR=3.33, 95%CI: 1.40, 7.93), history of mental illness (AOR=2.68, 95%CI: 1.12, 6.38), drinking for relaxation (AOR=1.88, 95%CI: 1.02, 3.48) and history of lifetime tobacco use (AOR=5.64, 95%CI: 1.95, 16.29) were significantly associated with the disorders. Conclusions: The prevalence of alcohol use disorders among medical and surgical outpatients was found to be high. Male sex, history of mental illness, use of alcohol for relaxation and tobacco smoking need further attention in the assessment of the disorder.

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Diagnostic Stability of Schizophrenia in Psychiatric Emergency Room Patients

Annals of Clinical Psychiatry ◽

10.3109/10401239809147031 ◽

1998 ◽

Vol 10 (4) ◽

pp. 151-155 ◽

Cited By ~ 4

Author(s):

Dirk Dhossche ◽

Shareh Ghani

Keyword(s):

Emergency Room ◽

Psychiatric Emergency ◽

Psychiatric Emergency Room ◽

Diagnostic Stability ◽

Emergency Room Patients

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Concurrent Childhood Experiences Impact Underage Substance Use

Child Maltreatment ◽

10.1177/10775595211012480 ◽

2021 ◽

pp. 107755952110124

Author(s):

Eliza Broadbent ◽

Jacob Read Miller ◽

Aaron Cheung ◽

Elizabeth Mathews Rollins ◽

Lynneth Kirsten B. Novilla ◽

...

Keyword(s):

Substance Use ◽

Alcohol Use ◽

Tobacco Use ◽

Early Initiation ◽

Adolescent Substance Use ◽

Late Adolescent ◽

Childhood Experiences ◽

Adolescent Substance ◽

The Cross

Adverse and advantageous childhood experiences (ACEs and counter-ACEs) during adolescence are understudied. This study examined how childhood experiences affect youth tobacco/alcohol use. Participants included 489 U.S. adolescents (baseline 10–13 years; 51% female) from the first five waves of the Flourishing Families Project. Results of the cross-lagged model showed ACEs were predictive of early tobacco use only. Counter-ACEs in wave two and wave three predicted, respectively, decreased tobacco and decreased alcohol use in the following wave. Counter-ACEs were also correlated with reduced alcohol and tobacco use in later waves. These findings indicate the salience of counter-ACEs over ACEs in persistent and late adolescent substance use, though ACEs may be important to consider to prevent very early initiation of tobacco.

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Assessment of alcohol use disorder and its associated factors among alcohol users of medical and surgical outpatients attending a specialized hospital in Gondar, Ethiopia: a cross-sectional study

International Journal of Mental Health Systems ◽

10.1186/s13033-021-00454-2 ◽

2021 ◽

Vol 15 (1) ◽

Author(s):

Demeke Demilew ◽

Berhanu Boru ◽

Getachew Tesfaw ◽

Habtamu Kerebih ◽

Endalamaw Salelew

Keyword(s):

Alcohol Use ◽

Associated Factors ◽

Alcohol Use Disorder ◽

Alcohol Use Disorders ◽

Cross Sectional Study ◽

Sectional Study ◽

Multivariate Logistic Regression ◽

Cross Sectional ◽

History Of ◽

Male Sex

Abstract Background Alcohol use disorder increase the risk of physical harm, mental or social consequences for patients and others in the community. Studies on alcohol use disorder and associated factors among medical and surgical outpatients in Ethiopia are limited. Therefore, this study is meant to provide essential data on alcohol use disorder and associated factors among alcohol user medical and surgical outpatients to intervene in the future. Methods An institution-based cross-sectional study was conducted by using the systematic random sampling technique. Alcohol use disorders were assessed using the World Health Organization’s 10-item Alcohol Use Disorder Identification Test (AUDIT) questionnaire. Bivariate and multivariate logistic regression analyses were performed, a P-value less than 0.05 were considered statistically significant in the multivariate analysis and the strength of association was measured at a 95% confidence interval. Results The prevalence of alcohol use disorder was 34.5% with a 95% CI (29.20, 39.80) among study participants. In the multivariate logistic regression analysis, male sex (AOR = 3.33, 95%CI: 1.40, 7.93), history of mental illness (AOR = 2.68, 95%CI: 1.12, 6.38), drinking for relaxation (AOR = 1.88, 95%CI: 1.02, 3.48) and history of lifetime tobacco use (AOR = 5.64, 95%CI: 1.95, 16.29) were factors significantly associated with alcohol use disorder. Conclusion The prevalence of alcohol use disorders among medical and surgical outpatients was found to be high. Male sex, history of mental illness, alcohol use for relaxation and lifetime cigarette smoking need more attention during the assessment of patients in the medical and surgical outpatient departments.

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