Psychoactive substance use at an emergency department in childhood and adolescence psychiatry service in Belo Horizonte
DOI:
https://doi.org/10.11606/issn.1679-9836.v99i4p342-349Keywords:
Adolescent, Child, Mental health, Substance-related disordersAbstract
Introduction: The use of alcohol, tobacco and illicit drugs by children and teenagers is a growing public health problem worldwide. The increased prevalence of substance use was associated with higher rates of anxiety, depressive symptoms and other psychiatric disorders, as well as a rise in mortality and violence rates. Objective: To analyze the prevalence of drug-related care at a Childhood and Adolescent Psychiatric Emergency Department in Belo Horizonte and to determine the sociodemographic profile of these patients. Methods: This is a cross-sectional study conducted through the review of medical records of patients who sought an emergency service of child mental health during the period of one year. A comparative analysis of strategic variables was performed using Pearson’s square test of Fisher’s exact test. Student’s T Test was used for continuous variable. Results: data from 2255 medical records were assessed. A prevalence of psychoactive substance use of 17.7% of the appointments was found. The most used drug was marijuana (14.1%), followed by cocaine (7%), alcohol (5.7%), tobacco (4.2%), solvents and inhalants (3.6%) and crack (1.7%). Higher consumption was observed in men, age 15-17 years and brown ethnicity. Conclusions: A significant prevalence of drug use was observed among child and adolescents. It is possible to assume that the real prevalence is even higher, since it is believed that the real percentage of young people who use these substances is greater than the portion that arrives at emergency service. The results of this study demonstrate a necessity of reinforcing preventive intervention strategies for this population.
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