Synthetic Cannabis Analogues and Suicidal Behavior: Case Report.

Abstract:

INTRODUCTION:Despite growing legal control, a wide range of synthetic cannabis analogues is currently used for recreational purposes, notwithstanding their well adverse outcomes, which appear to be more frequent and more serious than those associated with cannabis use. We present the case report of a patient with paranoid schizophrenia, who attempted suicide by serious bodily harm after a single use of "Shiva Ultra Strong," a compound of several synthetic cannabis analogues. CASE SUMMARY:A 32-year-old male patient with paranoid schizophrenia was brought to the emergency department presenting with a severe self-inflicted wound to the neck which lacerated the right jugular vein and ipsilateral airway, and narrowly missed the carotid bifurcation. On examination, the patient exhibited psychomotor agitation and anxiety. Laboratory tests, which included routine substance use screening, proved unremarkable. The patient was admitted to the ENT Department for surgical treatment, after which he was transferred to our Psychiatry Department, exhibiting consistent improvement with his usual antipsychotic regimen, to which he had good previous adherence. Later, after discharge, he admitted to having used a smartshop drug, so-called "Shiva Ultra Strong," shortly before the suicide attempt. CONCLUSION:Although current data on the suicide risk of synthetic cannabis analogues are limited, there is growing evidence of relevant psychiatric effects after their use. Patients with serious mental disorders could prove particularly vulnerable to these drugs, resulting in severe behavioral changes and self-harm.

journal_name

J Addict Med

authors

Oliveira PMDS,Morais ASF,Madeira NGGF

doi

10.1097/ADM.0000000000000335

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

408-410

issue

5

eissn

1932-0620

issn

1935-3227

journal_volume

11

pub_type

杂志文章
  • Co-occurring Substance Use Disorders in Youth With Chronic Medical Conditions: The Need for Integration of Addiction Treatment into Mainstream Medical Facilities.

    abstract::: Approximately 5% of adolescents in the US meet criteria for a substance use disorder (SUD), and many of them benefit from residential treatment programs at points in the course of the disorder to achieve early sobriety and stabilization. Youth with chronic medical conditions use alcohol, marijuana, and other substan...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0000000000000557

    authors: Chadi N,Schizer M,Mountain-Ray S,Thakur A,Weitzman ER,Levy S

    更新日期:2020-05-01 00:00:00

  • PET imaging of dopamine D2 receptor and transporter availability during acquisition of cocaine self-administration in rhesus monkeys.

    abstract::Previous studies have demonstrated that cocaine use alters availability of brain dopamine D2 receptors (D2R) and transporters (DAT). The present study examined the effects of low doses of cocaine on this neuroadaptation. Using positron emission tomography (PET), D2R and DAT availability in the caudate nucleus (Cd), pu...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0b013e318045c038

    authors: Czoty PW,Gage HD,Nader SH,Reboussin BA,Bounds M,Nader MA

    更新日期:2007-03-01 00:00:00

  • The Effect of Substance Use Disorders on the Association Between Guideline-concordant Long-term Opioid Therapy and All-cause Mortality.

    abstract:OBJECTIVE:Patients with substance use disorders (SUDs) prescribed long-term opioid therapy (LtOT) are at risk for overdose and mortality. Prior research has shown that receipt of LtOT in accordance with clinical practice guidelines has the potential to mitigate these outcomes. Our objective was to determine whether the...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0000000000000255

    authors: Gaither JR,Goulet JL,Becker WC,Crystal S,Edelman EJ,Gordon K,Kerns RD,Rimland D,Skanderson M,Justice AC,Fiellin DA

    更新日期:2016-11-01 00:00:00

  • Complexities of cocaine users presenting to the emergency department with chest pain: interactions between depression symptoms, alcohol use, and race.

    abstract::Chest pain is the most frequent cocaine-related medical event for which patients seek treatment in inner-city emergency departments (EDs). Given that depression increases risk for poor substance use and cardiac outcomes, knowledge of correlates of depressive symptoms among these out-of-treatment cocaine users is cruci...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0b013e31815b32df

    authors: Wryobeck JM,Walton MA,Curran GM,Massey LS,Booth BM

    更新日期:2007-12-01 00:00:00

  • Utilization of evidence-based smoking cessation treatments by psychiatric inpatient smokers with depression.

    abstract:OBJECTIVES:Although smoking is a major health issue among depressed psychiatric inpatients and interest in quitting is high, successful quit rates remain low among this population. We sought to understand preferences that depressed inpatient smokers may have for cessation treatments. METHODS:Eighty smokers (60% women,...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0000000000000027

    authors: Strong DR,Uebelacker L,Fokas K,Saritelli J,Matsko S,Abrantes AM,Schonbrun Y

    更新日期:2014-03-01 00:00:00

  • Epidemiology, clinical data, and treatment of viral hepatitis in a large cohort of intravenous drug users.

    abstract:OBJECTIVES:The aim of this study was to evaluate retrospectively the prevalence of hepatitis B virus (HBV) and hepatitis C virus (HCV) infection, epidemiological parameters, and the clinical data from the antiviral treatment of hepatitis C in a large cohort of intravenous drug users (IDUs) followed-up from 1994 until 2...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0b013e318279756f

    authors: Gigi E,Sinakos E,Sykja A,Androulakis G,Tanis C,Stayridou V,Tsirogianni E,Zouridakis K,Bellou AL,Orfanou E,Raptopoulou-Gigi M

    更新日期:2013-01-01 00:00:00

  • Integrating Reproductive and Sexual Health Education and Services Into Opioid Use Disorder Treatment Programs: A Qualitative Study.

    abstract:OBJECTIVES:Women with opioid use disorder (OUD) in the USA are at risk for poor reproductive and sexual health (RSH) outcomes. The qualitative research presented here is part of a larger mixed methods study. The qualitative component used an implementation science framework to investigate provider and staff perspective...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0000000000000657

    authors: Klaman SL,Turner K,Lorvick J,Jones HE

    更新日期:2020-09-01 00:00:00

  • The feasibility and acceptability of groups for pain management in methadone maintenance treatment.

    abstract:OBJECTIVES:Effective and safe pain management interventions in methadone maintenance treatment are needed. METHODS:We examined the feasibility (ie, single-session attendance) and acceptability (ie, patient satisfaction and booster session attendance) of cognitive-behavioral therapy-informed groups for pain management-...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0000000000000055

    authors: Barry DT,Savant JD,Beitel M,Cutter CJ,Schottenfeld RS,Kerns RD,Moore BA,Oberleitner L,Joy MT,Keneally N,Liong C,Carroll KM

    更新日期:2014-09-01 00:00:00

  • Association Between Recent Cannabis Consumption and Withdrawal-Related Symptoms During Early Abstinence Among Females With Smoked Cocaine Use Disorder.

    abstract:BACKGROUND:The effects of cannabis on clinical outcomes of treatment services for other drug use disorders remains unclear. The primary aim of the current study was to investigate the effects of recent cannabis consumption on the severity of cocaine withdrawal and depressive symptoms during a 3-week inpatient treatment...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0000000000000599

    authors: Viola TW,Sanvicente-Vieira B,Kluwe-Schiavon B,Rothmann LM,Mélo-Pereira JVNE,Bicca C,Ottolia Niederauer JP,Schmitz J,Grassi-Oliveira R

    更新日期:2020-07-01 00:00:00

  • Identification of Gambling Problems in Primary Care: Properties of the NODS-CLiP Screening Tool.

    abstract:INTRODUCTION:There are several brief screening tools for gambling that possess promising psychometric properties, but have uncertain utility in generalist healthcare environments which prioritize prevention and brief interventions. This study describes an examination of the National Opinion Research Centre Diagnostic a...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0000000000000429

    authors: Cowlishaw S,McCambridge J,Kessler D

    更新日期:2018-11-01 00:00:00

  • Severity of Analgesic Dependence and Medication-overuse Headache.

    abstract:BACKGROUND AND AIMS:Medication-overuse headache (MOH) is a common chronic headache caused by overuse of headache analgesics. It has similarities with substance dependence disorders. The treatment of choice for MOH is withdrawal of the offending analgesics. Behavioral brief intervention treatment using methods adapted f...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ADM.0000000000000504

    authors: Lundqvist C,Gossop M,Russell MB,Straand J,Kristoffersen ES

    更新日期:2019-09-01 00:00:00

  • Methadone and buprenorphine for opioid dependence during pregnancy: a retrospective cohort study.

    abstract:OBJECTIVES:To compare maternal characteristics, prenatal care, and newborn outcomes in a cohort of opioid-dependent pregnant women treated with methadone versus buprenorphine. METHODS:In a retrospective cohort study, 609 pregnant, opioid-dependent women were treated with methadone (n = 248) or buprenorphine (n = 361) ...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0000000000000092

    authors: Meyer MC,Johnston AM,Crocker AM,Heil SH

    更新日期:2015-03-01 00:00:00

  • Changing Outdated Methadone Regulations That Harm Pregnant Patients.

    abstract::: Methadone regulations have changed minimally since 1974, despite advances in the understanding of the nature of opioid use disorder (OUD) and the role of medications in its treatment. At that time, most patients with OUD were considered to have anti-social personality disorders and the regulations aimed to exert max...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0000000000000720

    authors: McCarthy JJ,Jones HE,Terplan M,Rudolf VP,von Klimo MC

    更新日期:2020-08-18 00:00:00

  • Understanding the Family Planning Needs of Female Participants in a Syringe Exchange Program: A Needs Assessment and Pilot Project.

    abstract:OBJECTIVES:To describe the reproductive health needs of women who inject drugs (WWID) and are participants in a syringe exchange program (SEP) in Hawaii. Our secondary objective was to develop and pilot services in response to those needs. METHODS:We conducted a reproductive health needs-assessment of women participat...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0000000000000508

    authors: Tschann M,Wright T,Lusk H,Giorgio W,Colon A,Kaneshiro B

    更新日期:2019-09-01 00:00:00

  • Income differences and recreational gambling.

    abstract::The purpose of this study was to examine the correlates of recreational gambling in lower-income compared with middle/higher-income groups. We examined, by logistic regression, a nationally representative U.S. adult sample (n = 2417) from the 1998 Gambling Impact and Behavior Study (GIBS) to investigate the influence ...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0b013e318125088f

    authors: Barry DT,Maciejewski PK,Desai RA,Potenza MN

    更新日期:2007-09-01 00:00:00

  • Sex differences among opioid-abusing patients with chronic pain in a clinical trial.

    abstract:BACKGROUND:The characteristics of patients with co-occurring chronic pain and prescription opioid abuse have not been well described, and even less is known about differences between men and women in this population. OBJECTIVES:This study evaluated sex differences in the demographic, diagnostic, and behavioral attribu...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0000000000000086

    authors: Manubay J,Davidson J,Vosburg S,Jones J,Comer S,Sullivan M

    更新日期:2015-01-01 00:00:00

  • Rapid Micro-induction of Buprenorphine/Naloxone for Opioid Use Disorder in a Critically ill Intubated Patient: A Case Report.

    abstract:BACKGROUND:Buprenorphine/naloxone has been shown to be an effective treatment of opioid use disorder. According to the Canadian National clinical practice guideline on the management of opioid use disorders, given the superior safety profile of buprenorphine/naloxone and its potential for flexible take-home dosing in c...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0000000000000675

    authors: Hamata B,Griesdale D,Hann J,Rezazadeh-Azar P

    更新日期:2020-12-01 00:00:00

  • "Compassionate coercion": factors associated with court-mandated drug and alcohol treatment in pregnancy 1994-2005.

    abstract:OBJECTIVES:: To describe trends in court-mandated treatment in pregnancy. In particular, to determine whether pregnant women who enter treatment via the criminal justice system differ from women who enter voluntarily. METHODS:: Data were obtained from the Treatment Episode Data Set, an administrative data set that cap...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0b013e3181b562dc

    authors: Terplan M,Smith EJ,Kozloski MJ,Pollack HA

    更新日期:2010-09-01 00:00:00

  • An Argument for Change in Tobacco Treatment Options Guided by the ASAM Criteria for Patient Placement.

    abstract::Tobacco use is a major threat to public health in the United States, and the number one cause of preventable death. Although most smokers try to quit unaided, robust data indicate that pairing behavioral support to US Food Drug Administration-approved cessation medications significantly increase cessation rates. Those...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章,评审

    doi:10.1097/ADM.0000000000000239

    authors: Williams JM,Steinberg ML,Kenefake AN,Burke MV

    更新日期:2016-09-01 00:00:00

  • Together … to take care: multidisciplinary management of hepatitis C virus treatment in randomly selected drug users with chronic hepatitis.

    abstract::Hepatitis C Virus (HCV) infection is treated with peg-interferon α2a or α2b and ribavirin. International studies show that drug user adherence to treatment is 40% to 60% and increases if the patient is in addiction treatment. The aim of the Together To Take Care (TTTC) study was to achieve better adherence to HCV ther...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0b013e3181cae4d0

    authors: Curcio F,Di Martino F,Capraro C,Angelucci F,Bulla F,Caprio N,Cascone A,D'ascoli G,Focaccio F,Gaveglia M,Longobardo A,Martini S,Masucci S,Morra A,Pasquale G,Pisapia R,Plenzik M,Veneruso C,Villano G,Russo M,De Rosa

    更新日期:2010-12-01 00:00:00

  • The Opioid dependent mother and newborn dyad: non-pharmacologic care.

    abstract::Opioid dependent pregnant and post-partum women and their infants are a complex and vulnerable population requiring individualized, comprehensive and multidisciplinary treatment. Though methadone maintenance in the setting of comprehensive service provision during pregnancy significantly improves pregnancy outcomes fo...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0b013e31817e6105

    authors: Velez M,Jansson LM

    更新日期:2008-09-01 00:00:00

  • Debate: Are Benzodiazepines Appropriate Treatments for Patients with Substance Use Disorders? Yes.

    abstract::Benzodiazepines are a controversial treatment for anxiety in patients with substance use disorders. Concerns include risk of addiction, overdose, and diversion. But benzodiazepines are among the most effective and well-tolerated treatments for anxiety, and are safe for the majority of patients who take them. Though no...

    journal_title:Journal of addiction medicine

    pub_type: 社论

    doi:10.1097/ADM.0000000000000292

    authors: Park TW

    更新日期:2017-03-01 00:00:00

  • Onset of cocaine use: associated alcohol intoxication and psychosocial characteristics among adolescents in substance abuse treatment.

    abstract:OBJECTIVES:Cocaine abuse is widespread in Europe, and Ireland ranks among the leading countries for prevalence of cocaine use among adolescents. This study aimed to examine demographic and substance use correlates of lifetime cocaine use among adolescents with substance use disorder, and to explore the relationship bet...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0b013e318288daa2

    authors: Apantaku-Olajide T,Darker CD,Smyth BP

    更新日期:2013-05-01 00:00:00

  • Effects of disulfiram on QTc interval in non-opioid-dependent and methadone-treated cocaine-dependent patients.

    abstract:OBJECTIVES:Methadone and cocaine are each known to prolong the QTc interval, a risk factor for developing potentially fatal cardiac arrhythmias. Disulfiram, often administered in the context of methadone maintenance to facilitate alcohol abstinence, has been shown to have some efficacy for cocaine dependence. Disulfira...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ADM.0b013e3182928e02

    authors: Atkinson TS,Sanders N,Mancino M,Oliveto A

    更新日期:2013-07-01 00:00:00

  • Evaluation of quetiapine abuse and misuse reported to poison centers.

    abstract:OBJECTIVE:There are case reports of abuse of quetiapine, but no studies address quetiapine abuse or misuse. Most literature on the population that abuses quetiapine describes an older age group with previous substance abuse history, many of whom are in jail. The objective of this study was to evaluate national poison c...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0000000000000020

    authors: Klein-Schwartz W,Schwartz EK,Anderson BD

    更新日期:2014-05-01 00:00:00

  • The Association Between Antenatal Maternal Self-reported Substance Use, Maternal Characteristics, and Obstetrical Variables.

    abstract:BACKGROUND:Substance use disorders during pregnancy are a concern both to the public and medical community, because the negative consequences can be detrimental to both mother and the fetus. The accurate identification of prenatal drug exposure is necessary to determine appropriate medical and psychosocial intervention...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0000000000000521

    authors: Berra A,Kamo S,Mohnot S,Rosselot J,Suire A,Stafford J,Hagan J,Stafford I

    更新日期:2019-11-01 00:00:00

  • No change of sleep after 6 and 12 months of methadone maintenance treatment.

    abstract:OBJECTIVE:To determine whether the methadone maintenance treatment (MMT) affects sleep. METHODS:We prospectively followed up the sleep pattern of 23 opiate addicts when admitted to MMT and after 6 and 12 months of treatment. Pittsburgh Sleep Quality Index, pain self-report questionnaires, urine for drug abuse, and one...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0b013e3181e8b6c4

    authors: Peles E,Schreiber S,Hamburger RB,Adelson M

    更新日期:2011-06-01 00:00:00

  • Treatment Outcome Comparison Between Telepsychiatry and Face-to-face Buprenorphine Medication-assisted Treatment for Opioid Use Disorder: A 2-Year Retrospective Data Analysis.

    abstract:OBJECTIVES:To retrospectively review clinic records to assess the difference between face-to-face and telepsychiatry buprenorphine medication-assisted treatment (MAT) programs for the treatment of opioid use disorder on 3 outcomes: additional substance use, average time to achieve 30 and 90 consecutive days of abstinen...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0000000000000287

    authors: Zheng W,Nickasch M,Lander L,Wen S,Xiao M,Marshalek P,Dix E,Sullivan C

    更新日期:2017-03-01 00:00:00

  • To Improve Substance Use Disorder Prevention, Treatment and Recovery: Engage the Family.

    abstract::: Approximately 21 million people in the United States have a substance use disorder (SUD); the number of family members impacted by a loved one's SUD is exponentially greater. Affected family members of individuals with SUDs are at high risk for developing chronic medical and psychiatric health conditions, are high u...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0000000000000331

    authors: Ventura AS,Bagley SM

    更新日期:2017-09-01 00:00:00

  • Factors Associated With Use of ASAM Criteria and Service Provision in a National Sample of Outpatient Substance Abuse Treatment Units.

    abstract::Standardized patient placement criteria such as those developed by the American Society of Addiction Medicine are increasingly common in substance abuse treatment, but it is unclear what factors are associated with their use or with treatment units' provision of related services. This study examined these issues in th...

    journal_title:Journal of addiction medicine

    pub_type: 杂志文章

    doi:10.1097/ADM.0b013e31818ebb6f

    authors: Chuang E,Wells R,Alexander JA,Friedmann PD,Lee IH

    更新日期:2009-09-01 00:00:00