Background
Aims of the study
Methods
Study subjects
Instruments and measures
Analysis and statistical methods
Results
Patient characteristics
Involuntary n/ Voluntary n
| Involuntary | Voluntary |
P-value | |
---|---|---|---|---|
Age, mean (SD) | 65/137 | 29 (10.6) | 31 (8.9) | 0.229 |
Females (%) | 65/137 | 31 (47.7) | 37 (27) | 0.004 |
Education
| ||||
Mean years in primary and high school (SD) | 59/130 | 10.53 (1.4) | 10.59 (1.6) | 0.783 |
Mean years in college/university (SD) | 59/130 | 0.17 (0.8) | 0.31 (1.0) | 0.352 |
Sources of financial support
a, c
| ||||
Employment (%) | 60/130 | 6 (10.0) | 24 (18.5) | 0.137 |
Unemployment compensation (%) | 60/130 | 2 (3.3) | 4 (3.1) | |
Public welfare benefits (%) | 62/135 | 59 (95.2) | 115 (85.2) | 0.043 |
Partner, family, or friends (%) | 60/130 | 17 (28.3) | 37 (28.5) | 0.985 |
Illegal activity (%) | 60/130 | 24 (40.0) | 47 (36.2) | 0.610 |
Prostitution (%) | 60/130 | 3 (5.0) | 1 (0.8) | |
Living arrangement
c
| ||||
With partner (%) | 60/130 | 8 (13.3) | 11 (8.5) | 0.298 |
Alone (%) | 60/130 | 31 (51.7) | 62 (47.7) | 0.610 |
With family (%) | 60/130 | 9 (15.0) | 26 (20.0) | 0.409 |
Homeless (%) | 60/130 | 9 (15.0) | 16 (12.3) | 0.610 |
Institution (%) | 60/130 | 2 (3.3) | 15 (11.5) | |
Visits to physician for somatic complaintsc (%) | 60/130 | 24 (40.0) | 32 (24.6) | 0.031 |
Injecting illicit drugc (%) | 61/134 | 43 (70.5) | 62 (46.3) | 0.002 |
Drug overdosesd (%) | 59/130 | 41 (69.5) | 63 (48.5) | 0.007 |
Suicide attemptsd (%) | 60/131 | 23 (38.3) | 71 (54.2) | 0.042 |
Mental stress score
| ||||
SCL-90-R GSIb, mean (SD) | 62/135 | 1.04 (0.7) | 1.28 (0.7) | 0.023 |
Mental health diagnoses and substance use disorders
Involuntary n/ Voluntary n
| Involuntary (%) | Voluntary (%) |
P-value
| |
---|---|---|---|---|
F10-19 Substance use disorders
| ||||
Single substance | 65/137 | 9 (13.8) | 32 (23.4) | 0.116 |
Two substances | 65/137 | 11 (16.9) | 30 (21.9) | 0.412 |
Three or more substances | 65/137 | 45 (69.2) | 75 (54.7) | 0.050 |
ASI, Substance Abuse
ab
| ||||
Alcohol | 60/132 | 29 (48.3) | 41 (31.1) | 0.021 |
Heroin | 61/134 | 21 (34.4) | 18 (13.4) | 0.001 |
Other opiates | 60/130 | 11 (18.3) | 25 (19.2) | 0.883 |
Benzodiazepines, other sedatives | 60/134 | 39 (65.0) | 63 (47.0) | 0.020 |
Amphetamines | 62/135 | 35 (56.5) | 67 (49.6) | 0.374 |
Cannabis | 61/133 | 32 (52.5) | 71 (53.4) | 0.905 |
Cocaine, inhalants, hallucinogens | 60/132 | 12 (20.0) | 18 (13.6) | 0.260 |
Diagnosis | Involuntary (%) | Voluntary (%) |
P-value
|
---|---|---|---|
Mental disorders
| |||
No mental diagnosis | 26 (40.0) | 35 (25.5) | 0.037 |
Severe mental diagnoses (F20-F39) | 14 (21.5) | 38 (27.7) | 0.347 |
Other mental diagnoses (F40-F99) | 25 (38.5) | 64 (46.7) | 0.270 |
F 20–90 Mental disorders
a
| |||
(F 20.) Schizophrenia disorders | 5 (7.7) | 5 (3.6) | 0.297 |
(F 30.) Mood disorders | 9 (13.8) | 33 (24.1) | 0.094 |
(F 40.) Neurotic disorders | 18 (27.7) | 48 (35.0) | 0.298 |
(F 50.) Behavioral syndromes | 1 (1.5) | 4 (2.9) | |
(F 60.) Personality disorders | 8 (12.3) | 22 (16.1) | 0.484 |
(F 70.) Mental retardation | 1 (1.5) | 0 | |
(F 80.) Developmental disorders | 1 (1.5) | 0 | |
(F 90.) Attention-deficit hyperactivity disorders | 11 (16.9) | 35 (25.5) | 0.172 |
N=
| 65 | 137 |
Characteristics | Bivariate analysis ORa (95% CI) |
P-value | Multivariate analysis ORb (95% CI) |
P-value |
---|---|---|---|---|
Female gender | 2.464 (1.331-4.561) | 0.004 | 2.424 (1.174-5.003) | 0.017 |
Public welfare benefits | 3.420 (0.977-11.979) | 0.054 | 4.029 (1.022-15.877) | 0.046 |
Visits to physician for somatic complaintsc
| 2.042 (1.063-3.921) | 0.032 | 2.208 (1.032-4.725) | 0.041 |
Substance use disorders
| ||||
Single substance | reference | reference | ||
Two substances | 1.304 (0.474-3.587) | 0.608 | 0.626 (0.184-2.129) | 0.454 |
Three or more substances | 2.133 (0.933-4.876) | 0.072 | 1.034 (0.381-2.809) | 0.947 |
Injection drug abuse in the last 6 months | 2.774 (1.453-5.296) | 0.002 | 2.925 (1.338-6.392) | 0.007 |
Mental disorders
| ||||
No mental diagnosis | reference | reference | ||
Severe mental diagnoses (F20-F39) | 0.496 (0.224-1.099) | 0.084 | 0.532 (0.196-1.443) | 0.215 |
Other mental diagnoses (F40-F99) | 0.526 (0.265-1.045) | 0.066 | 0.679 (0.293-1.547) | 0.367 |
Suicide attempts (lifetime) | 0.525 (0.282-0.980) | 0.043 | 0.519 (0.244-1.105) | 0.089 |
Scl-90-R GSI | 0.581 (0.363-0.929) | 0.023 | 0.693 (0.401-1.199) | 0.190 |