Document Detail

The prevalence of comorbid substance misuse and its influence on suicidal ideation among in-patients with schizophrenia.
MedLine Citation:
PMID:  10868468     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To estimate the prevalence, and identify the clinical correlates of comorbid substance misuse (abuse or dependence) among readmissions with schizophrenia, particularly to establish whether comorbid substance misuse is associated with higher rates of depressive symptoms and suicidal ideation. METHOD: Over 12 months, consecutive readmissions from a catchment area psychiatric service with DSM-IV schizophrenia/schizoaffective disorder were assessed using clinical assessments of symptomatology including depression, insight and compliance. Comorbid substance misuse was diagnosed using DSM-IV criteria. RESULTS: Of 102 readmissions 40% had lifetime, while 20% had current comorbid substance misuse and were predominately young males. Comorbid substance misuse had no statistically significant impact on positive, negative or depressive symptomatology. However, those currently misusing substances reported more suicidal ideation compared with past or non-substance misusers. CONCLUSION: Readmissions with comorbid substance misuse were more likely to report suicidal ideation, and may represent a group of individuals who are at higher risk of suicide.
M Kamali; L Kelly; M Gervin; S Browne; C Larkin; E O'Callaghan
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta psychiatrica Scandinavica     Volume:  101     ISSN:  0001-690X     ISO Abbreviation:  Acta Psychiatr Scand     Publication Date:  2000 Jun 
Date Detail:
Created Date:  2000-10-19     Completed Date:  2000-10-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370364     Medline TA:  Acta Psychiatr Scand     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  452-6     Citation Subset:  IM    
The Theodore and Vada Stanley Research Unit, St John of God Adult Psychiatric Service, Cluain Mhuire Family Centre, Blackrock, Co. Dublin, Eire.
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MeSH Terms
Inpatients / statistics & numerical data*
Ireland / epidemiology
Middle Aged
Patient Compliance
Population Surveillance
Psychiatric Status Rating Scales
Risk Factors
Sampling Studies
Schizophrenia / epidemiology*
Schizophrenic Psychology*
Sex Factors
Substance-Related Disorders / epidemiology*
Suicide / psychology*,  statistics & numerical data

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