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Dual diagnosis in elders discharged from a psychiatric hospital
Author(s)Carol E Blixen, Graham J McDougall, Lee-Jen Suen
Journal titleInternational Journal of Geriatric Psychiatry, vol 12, no 3,, March 1997
Pagespp 307-313
KeywordsAlcoholism ; Drug taking ; Mental disorder ; Depression ; Psychiatric units ; Admission ; Correlation ; United States of America.
AnnotationRecent evidence indicates those aged 60 and over experience significant alcohol and substance abuse problems. A combination of alcoholism and depression is likely to increase the relative risk of suicide. The prevalence and correlates of dual diagnosis (a psychiatric disorder together with alcohol and/or drug addiction) in older psychiatric in-patients are examined, using variables on 101 older people discharged from three psychiatric hospitals: length of hospital stay, psychiatric and medical diagnoses, medications, and history of suicidal ideation or intent. The main psychiatric disorder diagnosis was depression. Over one third had a substance abuse disorder; almost three-quarters of this 'dual diagnosis' group abused alcohol; 29% abused both alcohol and other substances. Significantly more in the dual diagnosis group made a suicide attempt prior to hospital admission. These findings suggest the need for routine use of diagnostic assessment and screening for substance abuse and mental disorders.
Accession NumberCPA-970807223 A
ClassmarkETA: ETD: E: ENR: LDL: QKH: 49: 7T

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