The co-occurrence of mental disorders among Dutch adolescents admitted for acute alcohol intoxication
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ORIGINAL ARTICLE
The co-occurrence of mental disorders among Dutch adolescents admitted for acute alcohol intoxication Loes de Veld 1
&
Joris J. van Hoof 2
&
Inge M. Wolberink 1
&
Nicolaas van der Lely 1
Received: 1 July 2020 / Revised: 23 September 2020 / Accepted: 28 September 2020 # The Author(s) 2020
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 cooccurring 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.
Keywords Adolescents . Acute alcohol intoxication . Mental disorders . Neuropsychological assessment . ADHD Communicated by Gregorio Paolo Milani * Loes de Veld [email protected] Joris J. van Hoof [email protected] Inge M. Wolberink [email protected] Nicolaas van der Lely [email protected] 1
Department of Paediatrics, Reinier de Graaf Gasthuis, Reinier de Graafweg 5, 2635 AD Delft, The Netherlands
2
Faculty of Behavioural, Management and Social Sciences, University of Twente, PO Box 217, 7500 AE Enschede, The Netherlands
Abbreviations ANX ASD ADD/ADHD BAC DD DIC DBC-codes SUD TRAUMA
Anxiety disorder Autism spectrum disorder Attention-deficit (hyperactivity) disorder Blood alcohol concentration Depressive disorder Disruptive, impulse-control and conduct disorders Diagnosi
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