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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
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 Inc.
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
2015-07-03 07:09:44
date last changed
2017-01-01 05:42:31
@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},
  keyword      = {prison,substance use disorders,co-morbidity,criminal justice},
  language     = {eng},
  number       = {2},
  pages        = {202--213},
  publisher    = {SAGE Publications Inc.},
  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},
  volume       = {45},
  year         = {2015},
}