Substance misuse, anxiety and depression and urgency of presentation to a public emergency department in Australia

Kinner, Stuart A ., Alati, Rosa, Watt, Kerrianne, Najman, Jake M., Fowler, Greg and Green, David (2005) Substance misuse, anxiety and depression and urgency of presentation to a public emergency department in Australia. Emergency Medicine Australasia, 17 4: 363-370. doi:10.1111/j.1742-6723.2005.00758.x


Author Kinner, Stuart A .
Alati, Rosa
Watt, Kerrianne
Najman, Jake M.
Fowler, Greg
Green, David
Title Substance misuse, anxiety and depression and urgency of presentation to a public emergency department in Australia
Journal name Emergency Medicine Australasia   Check publisher's open access policy
ISSN 1442-2026
1742-6731
Publication date 2005-08-01
Sub-type Article (original research)
DOI 10.1111/j.1742-6723.2005.00758.x
Volume 17
Issue 4
Start page 363
End page 370
Total pages 4
Place of publication Carlton, Australia
Publisher Blackwell Science
Language eng
Subject 320000 Medical and Health Sciences
Abstract OBJECTIVES: To establish the prevalence and comorbidity of substance-related problems and anxiety and depression, among ED presentations, and to compare the prevalence of these conditions among more and less urgent presentations. DESIGN AND SETTING: Cross-sectional survey of ED presentations over a 14 day period (24 h/day) at the Gold Coast Hospital Emergency Department in south-east Queensland, Australia, in October 2002. MEASURES: Usual level of alcohol consumption (Alcohol Use Disorders Identification Test), acute alcohol and illicit drug use (during 24 h prior to interview), symptoms of anxiety and depression (Hospital Anxiety and Depression Scale) and triage category (Australasian Triage Scale). RESULTS: Thirty-one per cent of the sample reported usually consuming alcohol at a hazardous or harmful level. Twenty per cent of participants reported clinically significant levels of anxiety and/or depression, which were in turn significantly associated with hazardous and harmful levels of alcohol use. Hazardous/harmful alcohol consumption was over-represented among less urgent ED presentations, whereas anxiety and depression were more prevalent among more urgent ED presentations. CONCLUSIONS: Emergency departments in Australia are appropriate settings for the detection of both substance use and mental health problems in the wider community. The prevalence of these problems in ED settings is high and there is a need for the development of systematic screening and referral processes. The evidence of a link between urgency of presentation and these problems needs to be further explored.
Keyword Alcohol-related disorder
Comorbidity
Emergency service
Hospital
Mental health
Triage
Q-Index Code C1
Q-Index Status Confirmed Code

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Public Health Publications
 
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Created: Wed, 09 Jan 2008, 00:33:35 EST by Laura McTaggart on behalf of School of Public Health