International Scholarly Research Notices

Research Article

Substance Abusers in an Acute Psychiatric Facility: A Diagnostic and Logistic Challenge

Table 1

Characteristics of resident patients in an acute department on one random chosen day according to sex, type of abuse, presence of suicidality at admission, diagnosis, use of compulsory admission and/or compulsory treatment with medication according to the Norwegian Law, and the development of substance induced psychosis (W: women, M: men).


	Sex/age	Abuse	Suicidality	ICD-10	Coercion	Comment

1	w/51	Alc/H/B	None	F31	Yes	SIP
2	w/30	None	None	F31	Yes	—
3	w/51	Alcohol	Yes	F32	No	15 AU/day
4	w/51	Alcohol	None	F32	No	Detox-wish, member of Alc-Anon
5	w/62	None	None	F25	Yes	Neuroleptic malignant syndrome
6	w/23	Cannabis/alcohol	None	F20	Yes	Substances not relevant this time
7	m/23	Cannabis/alc/MDMA	Yes	F31	Yes	SIP/bipolar mania
8	w/55	None	None	F22	Yes	—
9	w/51	Alcohol < 5 AU/day	None	F31	Yes	—
10	m/57	Alcohol < 5 AU/day	Yes	F60	No	ECT for depression
11	k/43	Heroin/amphetamine	Yes	F25	Yes	Substance use only in suicidal attempts
12	m/21	Cannabis/cocaine	None	F12/F14	Yes	SIP
13	m/84	None	None	F00	No	—
14	k/60	None	None	F31	No	—
15	m/23	None	None	F31	Yes	—
16	m/42	Alcohol/amphetamine	None	F10/F15	Yes	SIP
17	k/45	None	Yes	F32	No	—
18	k/46	Alc/H/B/MDMA/Can	None	F20	Yes	SIP
19	k/58	Alcohol	Yes	F10	Yes	SIP
20	w/35	None	Yes	F41	No	—
21	w/36	None	Yes	F20	Yes	—
22	w/20	None	Yes	F43/F60	Yes	—
23	w/62	None	Yes	F42	No	B, previous overuse
24	w/26	Cocaine/cannabis	None	F14/F12	Yes	SIP?
25	m/45	None	Yes	F32/F31?	No	—

SIP: Substance-induced psychosis.
Alc: Alcohol, AU: Alcohol Unit = 12 g pure alcohol = 0.33l beer = 1 glass of wine.
Alc-Anon: Alcoholics Anonymous group.
H: Heroin or other opioid substance, including methadone and buprenorphine.
B: Benzodiazepines, MDMA = (3,4-Methylenedioxymethamphetamine) or ecstasy.
ECT: Electroconvulsive treatment.
F31: bipolar disorder; F32: depressive episode; F25: schizoaffective disorder; F20: paranoid schizophrenia; F22: delusional disorder; F60: personality disorder; F10–19: substance abuse disorders; F00: dementia; F41–43: anxiety, compulsive and related disorders.