Use and diversion of medical marijuana among adults admitted to inpatient psychiatry.
BACKGROUND
Marijuana use is associated with anxiety, depressive, psychotic, neurocognitive, and substance use disorders. Many US states are legalizing marijuana for medical uses.


OBJECTIVE
To determine the prevalence of medical marijuana use and diversion among psychiatric inpatients in Colorado.


METHODS
Some 623 participants (54.6% male) responded to an anonymous 15-item discharge survey that assessed age, gender, marijuana use, possession of a medical marijuana card, diversion of medical marijuana, perceived substance use problems, and effects of marijuana use. Univariate statistics were used to characterize participants and their responses. Chi-square tests assessed factors associated with medical marijuana registration.


RESULTS
Of the total number of respondents, 282 (47.6%) reported using marijuana in the last 12 months and 60 (15.1%) reported having a marijuana card. In comparison to survey respondents who denied having a medical marijuana card, those respondents with a medical marijuana card were more likely to have initiated use before the age of 25, to be male, to have used marijuana in the last 12 months, and to have used at least 20 days in the past month. 133 (24.1%) respondents reported that someone with a medical marijuana card had shared or sold medical marijuana to them; 24 (41.4%) of respondents with a medical marijuana card reported ever having shared or sold their medical marijuana.


CONCLUSIONS
Medical marijuana use is much more prevalent among adults hospitalized with a psychiatric emergency than in the general population; diversion is common. Further studies which correlate amount, dose, duration, and strain of use with particular psychiatric disorders are needed.
Denver Health and Hospital Authority, CO, and the University of Colorado School of Medicine Department of Psychiatry , CO .
Abraham M
AM
Nussbaum
Christian
C
Thurstone
Laurel
L
McGarry
Brendan
B
Walker
Allison L
AL
Sabel
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007297:Inpatients; D008297:Male; D002189:Marijuana Abuse / Q000453:epidemiology*; D008385:Marijuana Smoking / Q000453:epidemiology*; D064086:Medical Marijuana; D008875:Middle Aged; D064226:Prescription Drug Diversion / Q000706:statistics & numerical data*; D015995:Prevalence; D055815:Young Adult
D064086:Medical Marijuana
Cannabis; diversion; inpatient psychiatry; medical marijuana; substance use; survey