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 to 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. (...)
Mots-clés Pascal : Démographie, Epidémiologie, Homme, Sexe, Alcoolisme, Toxicomanie, Trouble psychiatrique, Consommation, Finlande, Europe, Etude multicentrique, Abus médicamenteux
Mots-clés Pascal anglais : Demography, Epidemiology, Human, Sex, Alcoholism, Drug addiction, Mental disorder, Consumption, Finland, Europe, Multicenter study, Drug abuse
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0407136
Code Inist : 002B18C05A. Création : 19/12/1997.