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2273 Synthetic cannabinoid usage among psychiatric inpatients

Published online by Cambridge University Press:  21 November 2018

Claire L. Mann
Affiliation:
Icahn School of Medicine at Mount Sinai
Anahita B. Nia
Affiliation:
Icahn School of Medicine at Mount Sinai
Sharron Spriggs
Affiliation:
Addiction Institute at Mount Sinai
Steven Carbonaro
Affiliation:
Mount Sinai Beth Israel
Daniel DeFrancisco
Affiliation:
Mount Sinai Beth Israel
Lyla Parvez
Affiliation:
Icahn School of Medicine at Mount Sinai
Charles Perkel
Affiliation:
Icahn School of Medicine at Mount Sinai
Yasmin Hurd
Affiliation:
Addiction Institute at Mount Sinai
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Abstract

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OBJECTIVES/SPECIFIC AIMS: Synthetic cannabinoids (SC) are widely available and are associated with acute psychosis. Our recent study indicated that SC using psychiatric inpatients admitted in 2014 had more psychotic symptoms, aggression, and agitation compared with cannabis [marijuana (MJ)] using patients. The current study will review more charts and will characterize the demographics and presentations of current SC Versus MJ using patients. METHODS/STUDY POPULATION: A chart review was conducted of patients admitted to a New York City inpatient dual diagnosis psychiatric unit from 2014 to 2016. Inclusion criteria were self-reported current SC use or MJ use, or urine toxicology (+) for MJ. RESULTS/ANTICIPATED RESULTS: In total, 585 charts met inclusion criteria, 168 reported current SC use (40 f, 128 m SC users; 122 f, 295 m MJ users). SC using patients were younger (p=0.050), more likely to be Black (p=0.003), and homeless or living in a shelter (p=0.001). SC users were also more likely to be agitated (OR: 2.26) and aggressive (OR: 2.04) and have psychotic symptoms (OR: 3.03) compared with MJ users. SC users received more PRN medication (p<0.001) and had longer lengths of stay (p=0.001). DISCUSSION/SIGNIFICANCE OF IMPACT: Results demonstrate that current SC users had a different demographic profile compared with current MJ users. Our results also support our previous findings: SC using patients were more likely to be agitated and aggressive and were more likely to demonstrate positive psychotic symptoms.

Type
Basic/Translational Science/Team Science
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Association for Clinical and Translational Science 2018