Mental health service users'progression from illicit drug use to schizophrenia in New Zealand

• 作者: Graham Mellsop Pragya Holmes Rees Tapsell
• 来源期刊: 综合精神医学(英文)
• 学科: 医学
• 关键词: SCHIZOPHRENIA ALCOHOL SERVICE
• 年，卷（期）: zhjsyxyw_2019,（5）
• 页码范围: 257-260
• 页数: 4页
• 分类号: R73

摘要

Background Recently,publications have hypothesised that the demonstrated increase in the incidence of schizophrenia in New Zealand is a side effect of the increased strength of available cannabis derivatives over the last 25+years and the much more recent increase in the population's use of methamphetamine.Aim To compare the rates of later schizophrenia between age-matched mental health service users with initial diagnoses as alcohol abusers or illicit drug users.Method From the PRIMHD comprehensive national database,all users of the mental health services over a 5-year period who received an ICD-10 presenting diagnosis of alcohol or substance use/abuse were identified.For each person identified,the database was examined for the following 3 years to determine the numbers later diagnosed with schizophrenia.Results For the initial alcohol problem people in their twenties,1.7%were diagnosed as suffering from schizophrenia in the subsequent 3 years.For the initial drug problem people,the rate was 10.9%.Within that drug-using population,the indigenous Maori developed schizophrenia at a higher rate than did the remainder of the population.Conclusion These findings in New Zealand require further research into their generalisability,context and explanation.