TY - JOUR
KW - Adolescent
KW - Alcoholism/diagnosis/epidemiology/psychology
KW - Cross-Sectional Studies
KW - Depression/diagnosis
KW - Diagnostic and Statistical Manual of Mental Disorders
KW - Female
KW - Humans
KW - Inpatients/psychology/statistics & numerical data
KW - Male
KW - Psychological Trauma/epidemiology
KW - Research Design
KW - Risk Assessment/methods
KW - Risk Factors
KW - Street Drugs/analysis
KW - Substance Abuse Detection/methods
KW - Substance-Related Disorders/diagnosis/epidemiology/psychology
KW - Suicidal Ideation
KW - Suicide, Attempted/prevention & control/psychology
KW - United States/epidemiology
AU - T. S. Oesterle
AU - M. J. Hitschfeld
AU - T. W. Lineberry
AU - T. D. Schneekloth
A1 - 
AB - BACKGROUND: Adolescent use of alcohol and illicit substances is quite common among pediatric psychiatry inpatients; however, little data exist on substance use screening instruments that can be used to augment thorough psychiatric diagnostic interviews. CRAFFT is a screening tool for adolescent substance use that has been validated in outpatient general medical settings. This is the first study to examine its use in adolescent psychiatric inpatients. METHODS: We performed a chart review of records from adolescents admitted to our inpatient psychiatric unit who completed a CRAFFT screen on admission. We compared CRAFFT scores with other measures of substance use, including urine drug screens and the diagnosis of a substance use disorder at discharge. We also examined measures of depression and suicidality in individuals with elevated CRAFFT scores (>/=2 positive answers out of 6) and compared them with measures in those with normal CRAFFT scores. RESULTS: Elevated CRAFFT scores were correlated with other measures of alcohol and substance use, including the diagnosis of a substance use disorder at discharge (P<0.0001), and laboratory screening for alcohol (P=0.0048) and marijuana (P<0.0001) on admission. Previous suicide attempts (P=0.005) and "psychiatric trauma" (P=0.0027) were also positively associated with elevated CRAFFT scores. CONCLUSIONS: CRAFFT scores in adolescent inpatients were correlated with other measures of substance use, supporting its efficacy as a screening tool in this population. CRAFFT scores were also positively correlated with a history of psychiatric trauma and past suicide attempts, which is consistent with the results of previous studies associating pediatric substance use and traumatic life events with an increased risk of suicide.
BT - Journal of psychiatric practice
C5 - Opioids & Substance Use; Healthcare Disparities; Measures
CP - 4
CY - United States
DO - 10.1097/PRA.0000000000000083
IS - 4
JF - Journal of psychiatric practice
N2 - BACKGROUND: Adolescent use of alcohol and illicit substances is quite common among pediatric psychiatry inpatients; however, little data exist on substance use screening instruments that can be used to augment thorough psychiatric diagnostic interviews. CRAFFT is a screening tool for adolescent substance use that has been validated in outpatient general medical settings. This is the first study to examine its use in adolescent psychiatric inpatients. METHODS: We performed a chart review of records from adolescents admitted to our inpatient psychiatric unit who completed a CRAFFT screen on admission. We compared CRAFFT scores with other measures of substance use, including urine drug screens and the diagnosis of a substance use disorder at discharge. We also examined measures of depression and suicidality in individuals with elevated CRAFFT scores (>/=2 positive answers out of 6) and compared them with measures in those with normal CRAFFT scores. RESULTS: Elevated CRAFFT scores were correlated with other measures of alcohol and substance use, including the diagnosis of a substance use disorder at discharge (P<0.0001), and laboratory screening for alcohol (P=0.0048) and marijuana (P<0.0001) on admission. Previous suicide attempts (P=0.005) and "psychiatric trauma" (P=0.0027) were also positively associated with elevated CRAFFT scores. CONCLUSIONS: CRAFFT scores in adolescent inpatients were correlated with other measures of substance use, supporting its efficacy as a screening tool in this population. CRAFFT scores were also positively correlated with a history of psychiatric trauma and past suicide attempts, which is consistent with the results of previous studies associating pediatric substance use and traumatic life events with an increased risk of suicide.
PP - United States
PY - 2015
SN - 1538-1145; 1527-4160
SP - 259
EP - 266
EP - 
T1 - CRAFFT as a Substance Use Screening Instrument for Adolescent Psychiatry Admissions
T2 - Journal of psychiatric practice
TI - CRAFFT as a Substance Use Screening Instrument for Adolescent Psychiatry Admissions
U1 - Opioids & Substance Use; Healthcare Disparities; Measures
U2 - 26164051
U3 - 10.1097/PRA.0000000000000083
VL - 21
VO - 1538-1145; 1527-4160
Y1 - 2015
ER -