Drug Misuse Statistics Scotland 2007 - Drug Misuse Information ...

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Psychiatric discharges C2 Psychiatric discharges Key points 2005/06 Overview ■ In 2005/06 there were 24,632 psychiatric discharges in Scotland, of which 1,623 had a diagnosis of drug misuse (a rate of 33 discharges per 100,000 population) (Tables C2.2 and C2.3). ■ During 2005/06 the ratio of discharges to patients was 1.3 (Table C2.1). ■ Of the 1,623 psychiatric discharges relating to drug misuse over 70% (1,162) were re-admissions (Table C2.2). ■ Over two-thirds (1,119) of drug misuse discharges were males compared with 504 discharges for females (Table C2.2). ■ The majority of patients who were discharged with a diagnosis of drug misuse were aged under 40 years old (81%). The 25 to 29 years old age group had the highest rate of discharges, with 115 per 100, 000 population (Table C2.2). ■ Where a main diagnosis of drug misuse was recorded with supplementary diagnoses, the most common specific supplementary diagnoses were mood (affective) disorders (42) and mental and behavioural disorders due to drug use (55) (Table C2.4). ■ More than two-fifths (737) of discharges involved a supplementary diagnosis for drug misuse. In these cases the most common main diagnoses were schizophrenia (238) and mood affective disorders (145) (Table C2.5). Five year trends – 2001/02 to 2005/06 ■ There has been little change in the rate of psychiatric discharges with either a main or supplementary diagnosis of drug misuse between 2001/02 and 2005/06 (fluctuating between a maximum of 38 per 100,000 population and a minimum of 33 per 100,000 population) (Table C2.2). ■ Similarly, there was little variation over the 5 year period in the rate per 100,000 population of psychiatric discharges where drug misuse was recorded as the main diagnosis only. The rate lay between a maximum of 24 discharges per 100,000 (in 2002/03) and a minimum of 19 per 100,000 (in 2005/06) (Table C2.2). ■ Some of the younger age groups (15 to 29 years old) showed a slight downward trend in the rate of discharges with a diagnosis of drug misuse per 100,000 population between 2001/02 and 2005/06. Some older age groups (40 to 49 years old) showed a slight upward trend over the same period. (Table C2.2). Health Impact Drugs recorded ■ The most common specifically recorded drug was opioids with 26% of cases (424). Cannabinoids was the second most commonly recorded drug with 12% of discharges (201) (Table C2.6). Geographical Profile ■ The highest rate of discharges per 100,000 population was seen in NHS Dumfries and Galloway, with 73 per 100,000 population. The second highest rate was NHS Ayrshire and Arran with 68 per 100,000 (Table C2.2). Drug Misuse Statistics Scotland 2007 121
Psychiatric discharges Background information Data on individual patients are collected by ISD Scotland as a series of Scottish Morbidity Records (SMR). The SMR datasets are a significant local and national information resource, and are used for epidemiological monitoring, health needs assessment, national and local planning and a range of other applications. These statistics are derived from data collected through the mental health inpatient and day case return (SMR04), which records information at admission and discharge. On the SMR04 form up to six separate diagnoses can be recorded on discharge. A diagnosis in the first position is the main diagnosis on discharge. A diagnosis `in any position', refers to the occurrence of a diagnosis in any of the six positions (including main and supplementary). Figures for all admissions, re-admissions and discharges relate to the number of episodes not to the number of individual patients admitted or discharged. Each individual may have more than one episode. First admissions relate to first ever admissions to a psychiatric hospital, and therefore approximate to the number of people. It is also important to note that re-admissions will include patients who have returned for treatment after a long period of time, as well as those who have been re-admitted after a short interval. When figures are broken down by geographical area or age the numbers in some categories can be very small. In these cases both differences between categories and trends over time should be interpreted with caution because they may be misleading. Diagnosis is recorded on both the admission and the discharge part of the record and diagnosis on discharge may differ from diagnosis on admission. The tables presented here are based on diagnosis on discharge. Drugs misuse is defined using the same group of ICD 10 codes outlined in section C1. In tables C2.3 to C2.5 diagnoses have been grouped together into the following short list of conditions based on the International Classification of Diseases 10th Revision (ICD10): Health Impact ICD 10 Code Description F00-F03 Dementia F10 Alcohol Misuse F11-F16, F18-F19 Drug Misuse F20 Schizophrenia F30-F39 Mood (Affective) Disorders F31 - Bipolar Affective Disorders F32 - Depressive Episode F33 - Recurrent Depressive Disorder F04, F05, F09, F22, F23, F24, F28, F29 Other Psychotic Disorders F80-F84, F88-F89, F90, F93-F94, F98 Disorders of Childhood F40-F48 Neurotic, Stress-related and Somatoform Disorders F60 Personality Disorders F70-F79 Learning Disabilities All other codes from chapter 5 Other Conditions Further information Information on ISD Scotland’s national datasets can be found on our website at: http://www.isdscotland.org/isd/4306.html Further statistics on psychiatric admissions and discharges are available at: http://www.isdscotland.org/isd/info3.jsp?pContentID=962&p_applic=CCC&p_service=Content.show& If you would like further information on psychiatric discharges relating to drug misuse then please contact the Substance Misuse Information Strategy Team at substancemisuse@isd.csa.scot.nhs.uk 122 Drug Misuse Statistics Scotland 2007
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