title: Post-traumatic stress disorder, depression and suicidality in inpatients with substance use disorders.
abstract: OBJECTIVE
  The international literature suggests that traumatic events are common for patients with substance use disorders (SUDs), and are often associated with the development of post-traumatic stress disorder (PTSD) and other psychiatric comorbidities. However, limited research has been conducted among Australian SUD patients. The aim of the present study was to examine the prevalence of these disorders in a group of Australian patients admitted for detoxification.
  
  
  METHODS
  Data were collected from 253 inpatients using a modified version of the Composite International Diagnostic Interview, the 10-item Trauma Screening Questionnaire, the Zung Self-rating Depression Scale and questions from the PsyCheck.
  
  
  RESULTS
  Approximately 20% of inpatients experienced moderate to severe depressive symptoms, and 37% had a lifetime history of self-harm or attempted suicide. Approximately 80% of patients had experienced at least one traumatic event, most experiencing multiple traumas. The mean age of first trauma was 14years. Almost 45% of patients screened positive for current PTSD symptoms. Women were nine times more likely to have been raped and five times more likely to have been sexually molested than men. PTSD symptoms were associated with greater trauma exposure, younger age of first trauma, specific trauma types, moderate to severe depressive symptoms and a history of self-harm or attempted suicide. Despite their difficulties, patients with PTSD symptoms had high rates of retention in treatment.
  
  
  CONCLUSIONS
  Patients entering treatment for SUDs should be assessed for PTSD, depression and suicidality. These conditions impact significantly on treatment outcomes, and require the development of appropriate treatment strategies.
authors.affiliation: Northern Sydney Drug and Alcohol Service, Herbert St Clinic, Royal North Shore Hospital, St Leonards, Australia. gdore@nsccahs.health.nsw.gov.au
authors.forename: Glenys
authors.initials: G
authors.lastname: Dore
authors.forename: Katherine
authors.initials: K
authors.lastname: Mills
authors.forename: Robin
authors.initials: R
authors.lastname: Murray
authors.forename: Maree
authors.initials: M
authors.lastname: Teesson
authors.forename: Philippa
authors.initials: P
authors.lastname: Farrugia
mesh_terms: D000328:Adult; D001315:Australia; D015897:Comorbidity; D003863:Depression / Q000453:epidemiology* / Q000523:psychology; D003866:Depressive Disorder / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D006801:Humans; D007297:Inpatients; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000523:psychology; D013406:Suicide, Attempted / Q000523:psychology / Q000706:statistics & numerical data*