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OBJECTIVE Aim of this study was to determine the prevalence and pattern of self-injurious behaviour (SIB) and identify the predictors of SIB among treatment-seeking opiate addicts. METHODS Participants were 80 consecutively consenting opiate addicts admitted into community and inpatient treatment programmes of a large South London National Health Service(More)
INTRODUCTION The aim of this study was to compare the characteristics of patients who completed (completers) inpatient treatment of drug dependence with those who failed to complete this programme (noncompleters). METHOD Participants were assessed at admission using the Substance Abuse Assessment Questionnaire (SAAQ) to obtain information about the(More)
Background: There is growing concern about increase in illicit drug use and associated fatalities in young people. Method: This longitudinal analysis of successive cohorts of addicts in England and Wales aged 15–19 years followed up over a 20-year period covering 1974 to 1993 (1) investigated trends in all-causes mortality; (2) examined teenage-specific(More)
BACKGROUND The extent of suicide among addicts in the UK has not been sufficiently examined. AIMS To examine suicide trends among registered addicts in the UK over a 25-year period. METHOD We quantified suicide using International Classification of Diseases (ICD) external death codes E950-959, calculated annual age-standardised suicide rates,(More)
BACKGROUND Studies of psychological stress among substance misuse professionals rarely describe the nature of burnout and psychological morbidity. The main aim of this study was to determine the extent, pattern and predictors of psychological morbidity and burnout among substance misuse professionals. METHODS This study was a cross-sectional mail survey(More)
This article aims to raise awareness about self-harming behaviours and suicide. It explores their complex nature, social context, why they have become a central issue in public health and the challenges they present. The assessment of patients who self-harm is discussed, together with psychological and social policy interventions that may be used.
This paper examines the methadone-related deaths (MRD) among entire cases of inquest on drug-related cases in 18 coroners' jurisdictions in England which were entered on the National Programme on Substance Abuse Deaths during a six-month period in 1997. In 154 deaths methadone, either prescribed or not prescribed, was reported to be the substance directly(More)
OBJECTIVE This study examined the predictors, extent and pattern of fatal antidepressant overdose (FAO) in all psychoactive drug-related deaths and compared these in drug abusers and non-drug abusers. METHOD Inquest data on 491 psychoactive drug-related cases in England and Wales were analysed. We examined predictors of FAO relative to other drug-related(More)
This article describes the development and evaluation of a psychometric instrument for assessing quality of care in outpatient methadone substitution therapy (MST) programmes. The instrument, termed the Quality of Care Index-1 (QCI-1), is a seven-item scale evaluated in two studies. Its psychometric properties are consistently acceptable across both(More)
Ninety-seven subjects (92 of whom were opiate users) admitted to an inpatient treatment unit were followed 3, 6, 9, and 12 months after discharge using the Substance Abuse Assessment Questionnaire (SAAQ).(1) The subjects presented problems of severe drug use, frequently complicated by additional difficulties; 67% of the sample completed detoxification.(More)