Umeå universitets logga

umu.sePublikationer
Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Compulsory care of individuals with severe substance use disorders and alcohol- and drug-related mortality: a Swedish registry study
Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.ORCID-id: 0000-0002-8532-1019
Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.ORCID-id: 0000-0003-1368-7879
Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete. University of Denver, Denver, CO, United States.
2023 (Engelska)Ingår i: Frontiers in Psychiatry, E-ISSN 1664-0640, Vol. 14, artikel-id 1106509Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aim: This study used 17 year of Swedish registry data (2003–2019) for 25,125 adults assessed for their severity of substance use to identify the baseline factors predicting the risk of being court-ordered into compulsory care and examine the association between admission to compulsory care and mortality risks due to alcohol- or drug-related causes.

Methods and materials: Addiction Severity Index (ASI) assessment data were linked to register data on demographic characteristics, compulsory care, and alcohol- and drug-related mortality. Cox regression models were used to identify baseline factors predictive of post-assessment admission to compulsory care in the 5 years post-substance use assessment. Discrete-time random-effect logistic regression models were used to examine the association between compulsory care duration and alcohol or drug-related mortality risks. Propensity score matching was used for validation.

Results: The first models identified that younger age, female gender, and ASI composite scores for drug use, mental health and employment were significantly associated with the risk of placement in compulsory care for drugs other than alcohol. Female gender and ASI composite scores for alcohol, drug use and employment were significantly associated with compulsory care treatment for alcohol use. The second models showed that older individuals and men were more likely to die due to alcohol-related causes, while younger individuals and men were more likely to die due to drug-related causes. Length of stay in compulsory care institutions significantly increased the likelihood of dying due to substance use-related causes. Propensity scores analyses confirmed the results.

Conclusion: In Sweden, a significant concern is the higher likelihood of women and young individuals to be court-ordered to compulsory care. Although compulsory care is often advocated as a life-saving intervention, our findings do not provide strong support for this claim. On the contrary, our findings show that admission to compulsory care is associated with a higher risk of substance use-related mortality. Factors such as compulsory care often not including any medical or psychological therapy, together with relapse and overdose after discharge, may be possible contributing factors to these findings.

Ort, förlag, år, upplaga, sidor
Frontiers Media S.A., 2023. Vol. 14, artikel-id 1106509
Nyckelord [en]
compulsory care, addiction treatment, alcohol-related mortality, drugs other than alcohol-related mortality, Addiction Severity Index
Nationell ämneskategori
Beroendelära Socialt arbete
Identifikatorer
URN: urn:nbn:se:umu:diva-203400DOI: 10.3389/fpsyt.2023.1106509ISI: 000919995700001PubMedID: 36741106Scopus ID: 2-s2.0-85147213135OAI: oai:DiVA.org:umu-203400DiVA, id: diva2:1728238
Ingår i projekt
STANCE-Programmet: Studier av socialtjänstens interventioner for alkohol- och narkotikaproblem och hälsoeffekter ? ett kollaborativt longitudinellt forskningsprogram, Forte, Forskningsrådet för hälsa, arbetsliv och välfärd
Forskningsfinansiär
Forte, Forskningsrådet för hälsa, arbetsliv och välfärd, 2016–07213Tillgänglig från: 2023-01-18 Skapad: 2023-01-18 Senast uppdaterad: 2024-01-17Bibliografiskt granskad

Open Access i DiVA

fulltext(344 kB)183 nedladdningar
Filinformation
Filnamn FULLTEXT01.pdfFilstorlek 344 kBChecksumma SHA-512
0939d95b1279e7e5e65c7134f88fd9eb695b899069a3472e87b57cd2e16f9fad1a164fd5fe0e4be854196289b7ec3602ec8dd918618c308dc4d09fa4d446dbb6
Typ fulltextMimetyp application/pdf

Övriga länkar

Förlagets fulltextPubMedScopus

Person

Scarpa, SimoneGrahn, RobertLundgren, Lena

Sök vidare i DiVA

Av författaren/redaktören
Scarpa, SimoneGrahn, RobertLundgren, Lena
Av organisationen
Institutionen för socialt arbete
I samma tidskrift
Frontiers in Psychiatry
BeroendeläraSocialt arbete

Sök vidare utanför DiVA

GoogleGoogle Scholar
Totalt: 186 nedladdningar
Antalet nedladdningar är summan av nedladdningar för alla fulltexter. Det kan inkludera t.ex tidigare versioner som nu inte längre är tillgängliga.

doi
pubmed
urn-nbn

Altmetricpoäng

doi
pubmed
urn-nbn
Totalt: 482 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf