Gilfillan S, Claassen C A, Orsulak P, Carmody T J, Sweeney J B, Battaglia J, Rush A J
Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas 75235-9070, USA.
Psychiatr Serv. 1998 Jun;49(6):825-8. doi: 10.1176/ps.49.6.825.
Current illicit drug and alcohol users were identified by laboratory evaluation of urine samples from nonpsychotic patients without a primary clinical diagnosis of a substance use disorder seen in a psychiatric emergency room. Urine screens revealed that 32 of 93 nonpsychotic patients (34 percent) had used a substance just before visiting the emergency room. Compared with nonusers, users were more often Caucasian females with adjustment disorders who admitted their previous substance use. The prevalence of concurrent use among nonpsychotic patients was higher than among psychotic patients. Nonpsychotic and psychotic users differed in gender, marital status, level of suicidality, self-report of use, the clinician's suspicion of use, use of seclusion during the visit, admitting status, level of care, and disposition.
当前非法药物和酒精使用者是通过对在精神科急诊室就诊的非精神病患者尿液样本进行实验室评估来确定的，这些患者没有物质使用障碍的主要临床诊断。尿液筛查显示，93名非精神病患者中有32名（34%）在就诊急诊室之前使用过某种物质。与未使用者相比，使用者更多是患有适应障碍的白人女性，她们承认自己以前使用过物质。非精神病患者中同时使用多种物质的患病率高于精神病患者。非精神病使用者和精神病使用者在性别、婚姻状况、自杀倾向水平、自我报告的使用情况、临床医生对使用情况的怀疑、就诊期间的隔离使用情况、收治状态、护理水平和处置方式等方面存在差异。
