Citation

Chivaurah BM, Lienert D, Coates D. Australas. Psychiatry 2019; 27(4): 369-373.

Copyright

(Copyright © 2019, Royal Australian and New Zealand College of Psychiatrists, Publisher SAGE Publishing)

DOI

10.1177/1039856219848836

PMID

31081337

Abstract

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% (N = 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.

Language: en

Keywords

Humans; Adult; Female; Male; Middle Aged; New South Wales; Adolescent; mental health; Retrospective Studies; Young Adult; emergency department; Patient Admission; Suicide, Attempted; Emergency Service, Hospital; Referral and Consultation; Amphetamine; Amphetamine-Related Disorders; amphetamines; Illicit Drugs; Psychoses, Substance-Induced