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Illicit drug use and violence in acute psychosis among acute adult admissions at a South African psychiatric hospital

dc.contributor.authorWicomb, Roberten_ZA
dc.contributor.authorJacobs, Lyndallen_ZA
dc.contributor.authorEbrahim, Naasikaen_ZA
dc.contributor.authorRensburg, Meganen_ZA
dc.contributor.authorMacharia, Muirurien_ZA
dc.date.accessioned2019-08-28T10:33:39Z
dc.date.available2019-08-28T10:33:39Z
dc.date.issued2018
dc.identifier.citationWicomb, R., et al. 2018. Illicit drug use and violence in acute psychosis among acute adult admissions at a South African psychiatric hospital. African Health Sciences, 18(1):132-136, doi:10.4314/ahs.v18i1.17
dc.identifier.issn1729-0503 (online)
dc.identifier.issn1680-6905 (print)
dc.identifier.otherdoi:10.4314/ahs.v18i1.17
dc.identifier.urihttp://hdl.handle.net/10019.1/106390
dc.descriptionCITATION: Wicomb, R., et al. 2018. Illicit drug use and violence in acute psychosis among acute adult admissions at a South African psychiatric hospital. African Health Sciences, 18(1):132-136, doi:10.4314/ahs.v18i1.17.
dc.descriptionThe original publication is available at https://africanhealthsciences.org
dc.description.abstractAbstract : Background and objective: The prevalence of mental illness and illicit substance use has increased markedly in South Africa’s Western Cape Province, over the last 2 decades; potentially increasing demand for psychiatric care. This paper describes the demographic and substance use profile of patients admitted to Lentegeur (LGH), the largest of the four psychiatric hospitals in the Province. Methods: Medical records, patient interviews and other clinical notes were used to collect data on demographics, illicit substance use, violent behaviour and utilization of rehabilitative services for patients (n=535) admitted to LGH between 1 August 2012 and 31 January 2013. Results: Majority of admissions were male (65.6%) and younger (69.8% < 35 years) compared to females (62.6% >35 years). Overall, 255 (49%) used an illicit substance, (24% females and 63% males). Majority of substance users were youth (18–35 years) in both males (83.1%) and females (73.8%). Cannabis and methamphetamine were the most popular drugs in males (56.3% and 34.9%) and females (17.9% and 16.2%) with the highest rates being among the youth. Violence was common among both men (60.7%) and women (40.8%); among the violent, 67% of males and 35.6% of female used substances. Only 5.5% of drug users utilized formal drug rehabilitation services. Conclusion: Substance use and violence were high, yet only a small proportion of the patients utilised available drug rehabilitation services. This may have implications on psychotic relapses, morbidity and subsequent pressure on financial resources within the health care system. Efforts are needed to maximise utilisation of existing rehabilitative resources for these patients.en_ZA
dc.description.urihttps://africanhealthsciences.org/2018/09/01/illicit-drug-use-and-violence-in-acute-psychosis-among-acute-adult-admissions-at-a-south-african-psychiatric-hospital/
dc.format.extent5 pages ; illustrations
dc.language.isoen_ZAen_ZA
dc.publisherAJPP
dc.subjectDrug abuse -- Social aspects -- South Africaen_ZA
dc.subjectDrug abuse and violence -- South Africaen_ZA
dc.subjectPsychoses -- Treatmenten_ZA
dc.subjectPsychiatric hospitals -- South Africaen_ZA
dc.titleIllicit drug use and violence in acute psychosis among acute adult admissions at a South African psychiatric hospitalen_ZA
dc.typeArticleen_ZA
dc.description.versionPublisher's version
dc.rights.holderAuthors retain copyright


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