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The co-occurrence of mental disorders among Dutch adolescents admitted for acute alcohol intoxication.

Authors
  • de Veld, Loes1
  • van Hoof, Joris J2
  • Wolberink, Inge M3
  • van der Lely, Nicolaas3
  • 1 Department of Paediatrics, Reinier de Graaf Gasthuis, Reinier de Graafweg 5, 2635 AD, Delft, The Netherlands. [email protected] , (Netherlands)
  • 2 Faculty of Behavioural, Management and Social Sciences, University of Twente, PO Box 217, 7500 AE, Enschede, The Netherlands. , (Netherlands)
  • 3 Department of Paediatrics, Reinier de Graaf Gasthuis, Reinier de Graafweg 5, 2635 AD, Delft, The Netherlands. , (Netherlands)
Type
Published Article
Journal
European Journal of Pediatrics
Publisher
Springer-Verlag
Publication Date
Mar 01, 2021
Volume
180
Issue
3
Pages
937–947
Identifiers
DOI: 10.1007/s00431-020-03823-0
PMID: 33025223
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Adolescents with substance use disorders are often diagnosed with co-occurring mental disorders. However, it is unknown if adolescent hospital admission for acute alcohol intoxication is also associated with co-occurring mental disorders. Therefore, the primary aim of this study is to estimate the prevalence of co-occurring mental disorders among Dutch adolescents admitted for acute alcohol intoxication. Secondly, this study aims to explore the cross-sectional relationship between the co-occurrence of mental disorders and patient characteristics, such as sex, age and blood alcohol concentration at admittance. Data were retrospectively collected from 726 adolescents admitted for acute alcohol intoxication. Overall, 245 (34%) of the 726 adolescents treated for acute alcohol intoxication were diagnosed with a co-occurring mental health disorder, such as attention-deficit hyperactivity disorder (13%) or autism spectrum disorder (2.1%). Attention-deficit hyperactivity disorder in particular seems to be more prevalent in the study population than in the general Dutch adolescent population.Conclusion: This study demonstrates that among adolescents admitted for acute alcohol intoxication, the prevalence of co-occurring mental disorders is a common and a relevant issue for treatment and prevention strategies. What is Known: • Alcohol consumption among adolescents has been associated with negative psychosocial effect. • Among adolescents admitted for acute alcohol intoxication, risk factors for psychological dysfunction appear to be inadequately assessed, documented and followed up. What is New: • The current study reports on the prevalence of co-occurring mental disorders among a substantial sample of adolescents admitted for acute alcohol intoxication. • Understanding the prevalence of co-occurring mental disorders is clinically relevant for the outpatient follow-up of adolescents admitted for acute alcohol intoxication.

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