Showing papers by "Trond Nordfjærn published in 2022"

Suicidal ideation among inpatients with substance use disorders: Prevalence, correlates and gender differences

Abstract: We examined the prevalence of suicidal ideation (SI) among inpatients with substance use disorders (SUD) and investigated the association between SI and demographic (age, education, gender) and clinical factors (SUD, psychiatric disorders, anxiety/depression symptoms, substance use onset age). We collected medical record data including types of ICD-10 SUD and psychiatric diagnoses (i.e. mood: F30-39; anxiety: F40-48; personality: F60-F60.9; F61.0; F62; ADHD: F90-F90.9) and patient-reported data from 563 patients admitted to inpatient SUD treatment. Lifetime SI was measured by one question from the Addiction Severity Index (ASI). Gender differences in SI rates were examined using Chi-square tests. To determine variables that were uniquely associated with SI we conducted hierarchical regression analyses. The overall prevalence of SI was 50%, and it occurred more frequently among females (61.9%) than males (45.4%). SI was associated with female gender, younger age of substance use onset, mood and personality disorders, and higher anxiety/depression symptoms. Male gender accounted for the significant association between younger age of onset and SI. Diagnostic information on mood and personality disorders, and screening of patient-reported anxiety/depression symptoms at treatment intake may be useful for clinicians in identifying and providing personalized treatment for SUD inpatients who are at increased risk of SI.

Å ha felles barn med nokon med rusmiddelproblem: ein kvalitativ pilotstudie

Abstract: Objective: To examine the experiences of shared parental responsibility with someone affected by substance use disorder (SUD). Characteristics of the experiences and coping strategies were explored. Method: A semi-structured focus group interview was conducted with (N=4) individuals who consulted with a support service regarding their relationship. The participants shared parenting either in a current relationship or as ex-partners. Thematic analysis was used to analyze the interviews. Results: Overall, participants reported significant strain due to shared parenting. The parents reported considerable concern for and strain in their efforts to compensate for the potential damage to the child caused by the parent with SUD. The parents reported varied views regarding professional help, some of them feeling further burdened by interactions with the health care services. Conclusions/Implications: These preliminary results substantiate an association between shared parenting with someone affected by SUD and potential traumatic strain and underline the need for adequate support for these parents. Our observations need further investigation in studies using a larger sample. Keywords: substance use disorders, next of kin, shared parenting, emotional strain, health care