{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T19:36:55Z","timestamp":1788550615481,"version":"build-2803163510"},"reference-count":75,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T00:00:00Z","timestamp":1667174400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Substance Use and Addiction Program of Health Canada","award":["8400886"],"award-info":[{"award-number":["8400886"]}]},{"name":"Substance Use and Addiction Program of Health Canada","award":["8400993"],"award-info":[{"award-number":["8400993"]}]},{"name":"Qu\u00e9bec Minist\u00e8re de la sant\u00e9 et des services sociaux","award":["8400886"],"award-info":[{"award-number":["8400886"]}]},{"name":"Qu\u00e9bec Minist\u00e8re de la sant\u00e9 et des services sociaux","award":["8400993"],"award-info":[{"award-number":["8400993"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Psychiatry"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study identified patient clinical and sociodemographic characteristics, and, more originally, service use patterns as predictors of death from physical illness or accidental\/intentional causes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cohort of 19,015 patients with substance-related disorders (SRD) from 14 addiction treatment centers was investigated using Quebec (Canada) health administrative databases. Death was studied over a 3-year period (April 1, 2013, to March 31, 2016), and most predictors from 4 years to 12 months prior to the time of death, using multinomial logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Frequent emergency department (ED) use strongly predicted both causes of death, suggesting that outpatient care responded inadequately to patient needs. Only receipt of specialized SRD and psychiatric care significantly decreased the risk of death from physical illness, with trends toward significance for accidental\/intentional death. Hospitalization, greater material deprivation and having SRD-chronic physical illnesses or alcohol-related disorders most strongly predicted risk of death from physical illness. Sociodemographic characteristics, mainly social deprivation, were more likely to predict accidental\/intentional death.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Outpatient services could be improved by increasing outreach and motivational interventions and, for ED and hospital units, better screening, brief intervention, and referral to treatment, particularly for men and socially deprived patients at high risk of accidental\/intentional death. Patients with more severe health conditions, notably older or materially deprived men at higher risk of death from physical illness, could benefit from programs like assertive community treatment or intensive case management that respond well to diverse and continuous patient needs. Collaborative care between SRD and health services could also be improved.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/07067437221136461","type":"journal-article","created":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T02:55:57Z","timestamp":1667271357000},"page":"163-177","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Predictors of Death From Physical Illness or Accidental\/Intentional Causes Among Patients With Substance-Related Disorders"],"prefix":"10.1177","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4743-8611","authenticated-orcid":false,"given":"Marie-Jos\u00e9e","family":"Fleury","sequence":"first","affiliation":[{"name":"Department of Psychiatry, McGill University, Douglas Hospital Research Centre, Montreal, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhirong","family":"Cao","sequence":"additional","affiliation":[{"name":"Douglas Hospital Research Centre, Montreal, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guy","family":"Grenier","sequence":"additional","affiliation":[{"name":"Douglas Hospital Research Centre, Montreal, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4345-9463","authenticated-orcid":false,"given":"Christophe","family":"Hu\u1ef3nh","sequence":"additional","affiliation":[{"name":"Institut Universitaire sur les D\u00e9pendances, Centre Int\u00e9gr\u00e9 Universitaire de Sant\u00e9 et des Services Sociaux du Centre-Sud-de-l\u2019\u00cele-de-Montr\u00e9al, Montreal, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,10,31]]},"reference":[{"key":"bibr1-07067437221136461","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2021.109030"},{"key":"bibr2-07067437221136461","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2016.0082"},{"key":"bibr3-07067437221136461","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2020.11.002"},{"key":"bibr4-07067437221136461","doi-asserted-by":"publisher","DOI":"10.1111\/acps.12330"},{"key":"bibr5-07067437221136461","unstructured":"EMCDAA. 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