{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T22:47:35Z","timestamp":1775688455582,"version":"3.50.1"},"reference-count":17,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2015,6,1]],"date-time":"2015-06-01T00:00:00Z","timestamp":1433116800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:sec><jats:title>Objective:<\/jats:title><jats:p> To elucidate patterns of substance misuse, across diagnoses and demographic variables, in patients with severe mental illness. <\/jats:p><\/jats:sec><jats:sec><jats:title>Method:<\/jats:title><jats:p> We studied 141 adults admitted to an acute psychiatric unit in Hamilton, New Zealand. Semi-structured interviews, including the Alcohol Use Disorders Identification Test (AUDIT) and Cannabis Use Disorders Identification Test \u2013 Revised (CUDIT-R), were used to assess substance use. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> Seventy-six participants were of European origin (56%), 59 were Maori (42%). Tobacco smoking was noted in 81% overall, with a higher frequency (93%) among Maori. A majority of patients had alcohol use disorder, with greater prevalence in bipolar and schizoaffective disorder compared to schizophrenia. By contrast, cannabis use disorder was strikingly associated with schizophrenia. Younger patients and Maori were disproportionately affected by both alcohol and cannabis use. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p> Substance misuse in New Zealand patients with severe mental illness is common, particularly among younger patients and Maori, and differentially distributed across diagnoses. <\/jats:p><\/jats:sec>","DOI":"10.1177\/1039856215586147","type":"journal-article","created":{"date-parts":[[2015,5,26]],"date-time":"2015-05-26T07:29:31Z","timestamp":1432625371000},"page":"236-240","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Substance use disorders in New Zealand adults with severe mental illness: descriptive study of an acute inpatient population"],"prefix":"10.1177","volume":"23","author":[{"given":"Vajira","family":"Dharmawardene","sequence":"first","affiliation":[{"name":"Consultant Psychiatrist, Department of Psychiatry, Teaching Hospital, Anuradhapura, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David B","family":"Menkes","sequence":"additional","affiliation":[{"name":"Associate Professor of Psychiatry, Waikato Clinical Campus, University of Auckland, Hamilton, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,6,1]]},"reference":[{"key":"bibr1-1039856215586147","doi-asserted-by":"publisher","DOI":"10.1176\/ps.50.11.1427"},{"key":"bibr2-1039856215586147","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61162-3"},{"key":"bibr3-1039856215586147","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.64.7.830"},{"key":"bibr4-1039856215586147","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0b013e3281c61dc5"},{"key":"bibr5-1039856215586147","doi-asserted-by":"publisher","DOI":"10.1080\/j.1440-1614.2006.01910.x"},{"key":"bibr6-1039856215586147","doi-asserted-by":"publisher","DOI":"10.1080\/j.1440-1614.2006.01764.x"},{"key":"bibr7-1039856215586147","first-page":"577","volume":"102","author":"Peace K","year":"1989","journal-title":"N Z Med J"},{"key":"bibr8-1039856215586147","volume-title":"National acuity review final report on New Zealand\u2019s mental health acute inpatient services","author":"New Zealand Ministry of Health","year":"1997"},{"key":"bibr9-1039856215586147","first-page":"1","volume":"118","author":"Wheeler A","year":"2005","journal-title":"N Z Med J"},{"key":"bibr10-1039856215586147","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-10-77"},{"key":"bibr11-1039856215586147","unstructured":"Statistics New Zealand. 2006 Census http:\/\/www.stats.govt.nz\/Census\/2006CensusHomePage\/QuickStats\/AboutAPlace\/SnapShot.aspx?type=regionParentID=tab=Culturaldiversityid=1000003 (2006, accessed 25 April 2014)"},{"key":"bibr12-1039856215586147","volume-title":"Diagnostic and statistical manual of mental disorders, DSM-IV-TR","author":"American Psychiatric Association","year":"2000","edition":"4"},{"key":"bibr13-1039856215586147","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1993.tb02093.x"},{"key":"bibr14-1039856215586147","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2010.02.017"},{"key":"bibr15-1039856215586147","volume-title":"Tobacco use in New Zealand: key findings from the 2009 NZ tobacco use survey","author":"New Zealand Ministry of Health","year":"2010"},{"key":"bibr16-1039856215586147","doi-asserted-by":"publisher","DOI":"10.1080\/14622200110050213"},{"key":"bibr17-1039856215586147","volume-title":"Alcohol in our lives: curbing the harm","author":"New Zealand Law Commission","year":"2010"}],"container-title":["Australasian Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1039856215586147","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1039856215586147","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1039856215586147","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T21:11:04Z","timestamp":1740777064000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1039856215586147"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,6]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,6]]}},"alternative-id":["10.1177\/1039856215586147"],"URL":"https:\/\/doi.org\/10.1177\/1039856215586147","relation":{},"ISSN":["1039-8562","1440-1665"],"issn-type":[{"value":"1039-8562","type":"print"},{"value":"1440-1665","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,6]]}}}