Annual incidence of substance-induced psychoses in Scandinavia from 2000 to 2016
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Annual incidence of substance-induced psychoses in Scandinavia from 2000 to 2016. / Rognli, Eline Borger; Taipale, Heidi; Hjorthoj, Carsten; Mittendorfer-Rutz, Ellenor; Bramness, Jorgen G.; Heiberg, Ina H.; Niemela, Solja.
In: Psychological Medicine, Vol. 53, No. 11, 2023.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Annual incidence of substance-induced psychoses in Scandinavia from 2000 to 2016
AU - Rognli, Eline Borger
AU - Taipale, Heidi
AU - Hjorthoj, Carsten
AU - Mittendorfer-Rutz, Ellenor
AU - Bramness, Jorgen G.
AU - Heiberg, Ina H.
AU - Niemela, Solja
PY - 2023
Y1 - 2023
N2 - Background Substance-induced psychosis (SIP) is a serious condition and may predispose for schizophrenia. We know too little about SIP incidence over time and across countries, including substance-specific SIPs. We estimated annual incidence rate of SIP in Denmark, Norway, and Sweden according to substance, age, gender, and socioeconomic background. Methods Data were drawn from registries covering the whole adult population in the countries. Annual incidence rate per 100 000 persons of SIPs was estimated for Denmark and Sweden from 2000 to 2016 and for Norway from 2010 to 2015. Results The annual incidence rate of any SIP fluctuated between 9.3 and 14.1. The most commonly occurring SIPs were those induced by alcohol, cannabis, amphetamines, and multiple substances. There was a steady decrease in the incidence rate of alcohol-induced psychosis from the first to the last year of the observation period in Denmark (from 4.9 to 1.5) and Sweden (from 4.5 to 2.2). The incidence rate of cannabis-induced psychosis increased in all countries, from 2.6 to 5.6 in Denmark, from 0.8 to 2.7 in Sweden, and from 1.8 to 3.0 in Norway. Median age of any SIP decreased in Denmark (from 36 to 29 years) and Sweden (from 41 to 31 years). Incidence rates were higher in men and in individuals on disability pension, and increased more among those with high parental education. Conclusions We found similar and stable incidence rates of any SIP in all Scandinavian countries through the observation period. The incidence of alcohol-induced psychosis decreased. The incidence of cannabis-induced psychosis increased.
AB - Background Substance-induced psychosis (SIP) is a serious condition and may predispose for schizophrenia. We know too little about SIP incidence over time and across countries, including substance-specific SIPs. We estimated annual incidence rate of SIP in Denmark, Norway, and Sweden according to substance, age, gender, and socioeconomic background. Methods Data were drawn from registries covering the whole adult population in the countries. Annual incidence rate per 100 000 persons of SIPs was estimated for Denmark and Sweden from 2000 to 2016 and for Norway from 2010 to 2015. Results The annual incidence rate of any SIP fluctuated between 9.3 and 14.1. The most commonly occurring SIPs were those induced by alcohol, cannabis, amphetamines, and multiple substances. There was a steady decrease in the incidence rate of alcohol-induced psychosis from the first to the last year of the observation period in Denmark (from 4.9 to 1.5) and Sweden (from 4.5 to 2.2). The incidence rate of cannabis-induced psychosis increased in all countries, from 2.6 to 5.6 in Denmark, from 0.8 to 2.7 in Sweden, and from 1.8 to 3.0 in Norway. Median age of any SIP decreased in Denmark (from 36 to 29 years) and Sweden (from 41 to 31 years). Incidence rates were higher in men and in individuals on disability pension, and increased more among those with high parental education. Conclusions We found similar and stable incidence rates of any SIP in all Scandinavian countries through the observation period. The incidence of alcohol-induced psychosis decreased. The incidence of cannabis-induced psychosis increased.
KW - alcohol
KW - cannabis
KW - drugs
KW - incidence
KW - psychosis
KW - substance use
KW - substance-induced psychosis
KW - SCHIZOPHRENIA-SPECTRUM DISORDERS
KW - CANNABIS USE
KW - SOCIOECONOMIC-STATUS
KW - RISK
KW - AGE
U2 - 10.1017/S003329172200229X
DO - 10.1017/S003329172200229X
M3 - Journal article
C2 - 35983644
VL - 53
JO - Psychological Medicine
JF - Psychological Medicine
SN - 0033-2917
IS - 11
ER -
ID: 317509919