澳大利亚一个地方卫生区急诊科心理健康团队所接收的与苯丙胺类物质相关的病例。
Amphetamine-type-substance-related presentations to the Emergency Department Mental Health Team of a local health district in Australia.
作者信息
Chivaurah Bernard M, Lienert David, Coates Dominiek
机构信息
Psychiatry Registrar, Emergency Department Mental Health Team, Wyong Hospital, NSW, Australia.
Consultant Psychiatrist and Clinical Director, Central Coast Local Health District, NSW, Australia.
出版信息
Australas Psychiatry. 2019 Aug;27(4):369-373. doi: 10.1177/1039856219848836. Epub 2019 May 13.
OBJECTIVES
To identify the prevalence and profile of amphetamine-type-substance-related presentations to the Emergency Department Mental Health Team of a local health district in Australia.
METHODS
Data was collected from medical records of all amphetamine-type-substance presentations to the Emergency Department Mental Health Team over a 1-year period, between 1 January 2015 and 31 December 2015.
RESULTS
Of all presentations referred to the Emergency Department Mental Health Team, 0.15% ( = 189) were amphetamine-type-substance related. Of these, the majority were male, the average age was 32, 19.0% engaged in intravenous drug use, some were aggressive and 15.9% required tranquilisation. The most common presenting issues were psychosis and suicidal threats, intent and behaviour (including intentional overdose). Multiple comorbid conditions were identified. On discharge, 34.4% were admitted into a psychiatric hospital and 32.8% were referred to Community Mental health teams.
CONCLUSIONS
Amphetamine-type-substance users suffer from multiple comorbidities and pose a significant burden on emergency services.
目的
确定澳大利亚一个地方卫生区急诊科心理健康团队接收的苯丙胺类物质相关病例的患病率及概况。
方法
收集2015年1月1日至2015年12月31日这1年期间，急诊科心理健康团队接收的所有苯丙胺类物质病例的医疗记录。
结果
在转介至急诊科心理健康团队的所有病例中，0.15%（即189例）与苯丙胺类物质有关。其中，大多数为男性，平均年龄为32岁，19.0%有静脉注射吸毒行为，部分有攻击性行为，15.9%需要镇静。最常见的就诊问题是精神病以及自杀威胁、意图和行为（包括故意过量用药）。还发现了多种合并症。出院时，34.4%被收治入精神病院，32.8%被转介至社区心理健康团队。
结论
苯丙胺类物质使用者患有多种合并症，给急救服务带来了沉重负担。
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