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Predictors of Psychiatric Hospitalization in Ex-Prisoners With Substance Use Problems: A Data-Linkage Study

Olsson, Martin O LU ; Öjehagen, Agneta LU ; Brådvik, Louise LU and Håkansson, Anders C LU (2015) In Journal of Drug Issues 45(2). p.202-213
Abstract
This study analyzed predictors of psychiatric hospitalization in ex-prisoners with substance use problems (N = 4,081) assessed with the Addiction Severity Index and followed post-release for hospitalizations with psychiatric diagnoses (including suicide attempts). Thirty-four percent were hospitalized, and in Cox regression, several substance-related variables predicted hospitalization, including use of heroin, sedatives, and polysubstance. A secondary analysis, with a psychiatric non-substance focus, excluded hospitalizations involving only substance-related disorders or only a personality disorder in addition to a substance-related disorder. With this definition, 10% were hospitalized, and significant baseline predictors were previous... (More)
This study analyzed predictors of psychiatric hospitalization in ex-prisoners with substance use problems (N = 4,081) assessed with the Addiction Severity Index and followed post-release for hospitalizations with psychiatric diagnoses (including suicide attempts). Thirty-four percent were hospitalized, and in Cox regression, several substance-related variables predicted hospitalization, including use of heroin, sedatives, and polysubstance. A secondary analysis, with a psychiatric non-substance focus, excluded hospitalizations involving only substance-related disorders or only a personality disorder in addition to a substance-related disorder. With this definition, 10% were hospitalized, and significant baseline predictors were previous psychiatric hospitalization (hazard ratio [HR] = 1.83), previous suicide attempt (HR = 1.91), depression (HR = 1.33), anxiety (HR = 1.37), sedative use (HR = 1.46), and, negatively, amphetamine use (HR = 0.71). Substance-related variables may predict all-cause psychiatric hospitalizations in prisoners with substance use problems, whereas non-substance-related psychiatric hospitalization may be predicted by baseline psychiatric problems, which calls for attention to psychiatric problems in this setting. (Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
prison, substance use disorders, co-morbidity, criminal justice
in
Journal of Drug Issues
volume
45
issue
2
pages
202 - 213
publisher
SAGE Publications
external identifiers
  • wos:000353924700007
  • scopus:84955302150
ISSN
0022-0426
DOI
10.1177/0022042615575374
language
English
LU publication?
yes
id
bd969599-2742-4eb6-9d6e-59e7f943f113 (old id 7439141)
date added to LUP
2016-04-01 13:30:17
date last changed
2022-04-14 01:31:05
@article{bd969599-2742-4eb6-9d6e-59e7f943f113,
  abstract     = {{This study analyzed predictors of psychiatric hospitalization in ex-prisoners with substance use problems (N = 4,081) assessed with the Addiction Severity Index and followed post-release for hospitalizations with psychiatric diagnoses (including suicide attempts). Thirty-four percent were hospitalized, and in Cox regression, several substance-related variables predicted hospitalization, including use of heroin, sedatives, and polysubstance. A secondary analysis, with a psychiatric non-substance focus, excluded hospitalizations involving only substance-related disorders or only a personality disorder in addition to a substance-related disorder. With this definition, 10% were hospitalized, and significant baseline predictors were previous psychiatric hospitalization (hazard ratio [HR] = 1.83), previous suicide attempt (HR = 1.91), depression (HR = 1.33), anxiety (HR = 1.37), sedative use (HR = 1.46), and, negatively, amphetamine use (HR = 0.71). Substance-related variables may predict all-cause psychiatric hospitalizations in prisoners with substance use problems, whereas non-substance-related psychiatric hospitalization may be predicted by baseline psychiatric problems, which calls for attention to psychiatric problems in this setting.}},
  author       = {{Olsson, Martin O and Öjehagen, Agneta and Brådvik, Louise and Håkansson, Anders C}},
  issn         = {{0022-0426}},
  keywords     = {{prison; substance use disorders; co-morbidity; criminal justice}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{202--213}},
  publisher    = {{SAGE Publications}},
  series       = {{Journal of Drug Issues}},
  title        = {{Predictors of Psychiatric Hospitalization in Ex-Prisoners With Substance Use Problems: A Data-Linkage Study}},
  url          = {{http://dx.doi.org/10.1177/0022042615575374}},
  doi          = {{10.1177/0022042615575374}},
  volume       = {{45}},
  year         = {{2015}},
}