Ten to 15% of the population use benzodiazepines in any given year, and 2% use benzodiazepines chronically. However, benzodiazepine use disorder is more prevalent in individuals who abuse other substances .
Importance Young adults have high levels of behavioral health needs but often lack health insurance. Recent health reforms have increased coverage, but it is unclear how use of hospital-based care changed after expanding insurance. Objective To evaluate the association between health insurance coverage expansions and use of hospital-based care among young adults with behavioral health diagnoses.
Abstract: Background: For pathological gambling (PG) a 12 month prevalence rate of up to 0.66% has been reported. Multiple financial, occupational and relationship problems and losses, humiliation of the person and the environment are possible side effects and may lead to hopelessness, suicidal ideation and behaviour. Suicide attempt rates among pathological gamblers of between 4 and 40% and suicidal ideation of between 12 and 92% have been reported.Aim: This study aims at assessing the prevalence of suicide attempts in PG and at elucidating differences between the patients with and without suicide attempt history (SAH) in a large nationwide Austrian sample.Methods: Between 2002 and 2011 the Austrian Society for the Research of Non-Substance Related Addiction collected 862 questionnaires of pathological gamblers undergoing outpatient and inpatient treatment for pathological gambling in Austria.Results: 1) Of all pathological gamblers 9.7% had a suicide attempt history
Importance Studies have shown that attention-deficit/hyperactivity disorder (ADHD) is associated with transport accidents, but the magnitude of the association remains unclear. Most important, it is also unclear whether ADHD medication reduces this risk.
Abstract: Objective: Depression is common in cancer patients but frequently undetected. Consensus regarding validity and optimal thresholds of screening measures is lacking.
Abstract: Objective: The objective was to estimate the prevalence of both dementia and depression among community-dwelling older Americans and to determine if hospitalization is independently associated with dementia or depression in this population.Method: This cross-sectional study utilized data from a nationally representative, population-based sample of 7197 community-dwelling adults ?65 years old interviewed in 2011 as part of the National Health and Aging Trends Study. Information on hospitalizations was obtained from self- or proxy-report.
Abstract: Background: Although depressive disorders are associated with increased health care utilization in the elderly living in high-income countries, few studies have examined this relationship in Latin America.Method: The present study is part of the São Paulo Ageing and Health Study, a population-based epidemiological study of mental disorders in 2072 low-income adults ? 65 years old living in São Paulo, Brazil. Depressive disorders defined as major depressive disorder (MDD) and clinically relevant depressive symptoms (CRDS) were assessed with the Geriatric Mental State and the Neuropsychiatric Inventory. We examined the association between depressive disorders/symptoms and health care utilization (outpatient visits, hospital admissions and medication use in the past 3 months) using count models.Results: The prevalence of MDD and CRDS was 4.9% and 21.4%, respectively
Importance Up to 1 million persons die by suicide annually. However, a lack of risk markers makes suicide risk assessment one of the most difficult areas of clinical practice. Objective To assess psychotic symptoms (attenuated or frank) as a clinical marker of risk for suicide attempt
Importance Bipolar disorder is associated with premature mortality, but the specific causes and underlying pathways are unclear. Objective To examine the physical health effects of bipolar disorder using outpatient and inpatient data for a national population.
The number of older patients with psychiatric disorders is rapidly increasing nationwide, yet little is known about the outcomes of care for geriatric patients with psychiatric emergencies . This population is also increasing in diversity, and as a result, emergency room clinicians must expand their awareness of ethnicity and its effect on psychiatric emergencies among older patients. Few studies have examined the utilization patterns of psychiatric emergency service (PES) by older patients, but little is known about the impact of race and ethnicity on PES clinical outcomes.