Use of the urine drug screen in psychiatry emergency service

Akosile, Wole and McDermott, Brett M. (2015) Use of the urine drug screen in psychiatry emergency service. Australasian Psychiatry, 23 2: 128-131. doi:10.1177/1039856214568213

Author Akosile, Wole
McDermott, Brett M.
Title Use of the urine drug screen in psychiatry emergency service
Journal name Australasian Psychiatry   Check publisher's open access policy
ISSN 1039-8562
Publication date 2015-04
Sub-type Article (original research)
DOI 10.1177/1039856214568213
Open Access Status
Volume 23
Issue 2
Start page 128
End page 131
Total pages 4
Place of publication London, United Kingdom
Publisher Sage Publications
Collection year 2016
Language eng
Formatted abstract
Objective: This study investigates if the routine use of the urine drug screen offers any diagnostic or management benefit in the assessment and treatment of psychiatry patients in a suburban psychiatry emergency service.

Methods: Data was collected retrospectively from consecutive patients 18 years and above, who presented to a large suburban hospital emergency department and had a urine drug screen ordered in the emergency department. A total of 111 patients, (with mean age of participants being 34.9 years, SD 10.2 years, minimum 18 – maximum 62 years, 62.2% (69/111) were male) met the inclusion criteria.

Results: The most common drug group identified was benzodiazepines (59.5%; 66/111), followed by cannabis (40.5%; 45/111). Other drugs were identified at much lower levels, including amphetamines (9.0%; 10/111), opiates (4.5%; 5/111) and methadone (0%; 0/111). For most individuals only one drug was detected (55.9%; 62/111), with equal numbers (18.9%) with either zero or two drugs identified by a urine drug screen. Fewer patients had three drugs on a urine drug screen (5.4%; 6/111) or four (0.9%; 1/111).

Conclusions: Qualitative urine drug screens provide limited additional information compared to history taking and has minimal impact on clinical management decisions in a psychiatry emergency service.
Keyword Psychiatry
Urine drug screen
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Admin only - CHRC
Official 2016 Collection
School of Medicine Publications
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 2 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Created: Thu, 09 Apr 2015, 12:43:52 EST by Wole Akosile on behalf of Psychiatry - Princess Alexandra Hospital