Contacts related to psychiatry and substance abuse in Norwegian casualty clinics

Figures & data

Table I.  Subgroups of the P-chapter in ICPC-2.

Subgroup	Code(s)
Depression/suicidal behaviour	P03, P76, P77
Substance abuse	P15, P16, P17, P18, P19
Anxiety	P01, P27, P74, P75, P79, P82
Acute stress reaction	P02
Unspecified P-diagnoses	P28, P29, P99
Psychosis	P71, P72, P73, P98
Sleep disturbance	P06
Memory disturbance	P20, P70
Others	P04, P05, P07, P08, P09, P10, P11, P12, P13, P22, P23, P24, P25, P78, P80, P81, P85, P86

Table II.  Population, age and gender distribution, consultations, and psychiatric diagnoses (ICPC P-diagnoses) of the two participating out-of-hours districts (casualty clinics), consisting of nine local municipalities.

	After-hours district/casualty clinics
	Nordhordland	Larvik and Lardal
Total number of inhabitants (1 January 2006)	29 021	43 656
Gender (% of men)	50.4	49.2
Age distribution (%)
0–4	6.4	5.3
5–14	14.9	12.9
15–29	19.2	17.6
30–44	19.9	20.5
45–59	20.6	21.4
60 +	19.0	22.3
Events
Total (n)	14 392	12 816
Total (rate)	496	294
Consultations (n)	14 030	12 485
Consultations (rate)	483	286
Out-of-office events (n)	362	331
Out-of-office events (rate)	12	27
P-diagnoses as first diagnosis (n)	315	413
P-diagnoses as first diagnosis (rate)	11	9

Note: Rate denotes events per 1 000 inhabitants per year.

Table III.  Distribution of age in the population (n =72 667) and among events (n = 27 202).

	Age group (years)
	0–4		5–14		15–29		30–44		45–59		60 +		Total
	n	%	n	%	n	%	n	%	n	%	n	%	n	%
Population	4 180	5.8	9 951	13.7	1 3230	18.2	14 706	20.2	15 325	21.1	15 286	21.0	72 677	100
Events
Total	4 071	15.0	3 330	12.2	5 621	20.7	4 834	17.8	4 036	14.8	5 310	19.5	2 7202	100
Consultations	4 053	15.3	3 310	12.5	5 542	20.9	4 784	18.0	3 950	14.9	4 870	18.4	26 509	100
P-diagnoses as first diagnoses in consultations	6	0.9	10	1.5	220	32.8	197	29.4	156	23.3	81	12.1	670	100
Out-of-office events	18	2.6	20	2.9	79	11.4	50	7.2	86	12.4	440	63.5	693	100
P-diagnoses as first diagnoses in out-of-office events	0	0.0	1	1.5	19	32.8	8	13.8	12	20.7	18	31.0	58	100

Note: Six events are excluded due to unknown age.

Figure 1.  Distribution (%) of ICPC-2 chapters of all first diagnoses used at the casualty clinics in 2006 (n = 27 208).

Table IV.  Total, age group, and gender distribution of the subgroups of psychiatric diagnosis (ICPC-2 P-diagnosis, n = 702).

	Total	Men											Women
	(n = 702)	Age groups (years)											Age groups (years)
		0–14		15–29		30–44		45–59		60 +		Total	0–14		15–29		30–44		45–59		60 +		Total
	%	n	%	n	%	n	%	n	%	n	%	n	n	%	n	%	n	%	n	%	n	%	n
Depression/suicidal behaviour	20.4	1	1.3	23	30.7	22	29.3	23	30.7	6	8.0	75	1	1.5	20	29.4	16	23.5	21	30.9	10	14.7	68
Substance abuse	22.1	2	1.7	42	36.5	45	39.1	21	18.3	5	4.3	115	1	2.5	17	42.5	13	32.5	5	12.5	4	10.0	40
Anxiety	19.4	1	1.8	22	40.0	20	36.4	8	14.5	4	7.3	55	2	2.5	26	32.1	17	21.0	15	18.5	21	25.9	81
Acute stress reaction	7.5	0	0.0	7	29.2	13	54.2	3	12.5	1	4.2	24	0	0.0	15	51.7	6	20.7	7	24.1	1	3.4	29
Unspesific P-diagnoses	11.5	2	5.4	17	45.9	11	29.7	5	13.5	2	5.4	37	1	2.3	14	31.8	10	22.7	16	36.4	3	6.8	44
Psychosis	8.8	0	0.0	10	26.3	9	23.7	16	42.1	3	7.9	38	0	0.0	4	16.7	8	33.3	10	41.7	2	8.3	24
Sleep disturbance	3.6	2	15.4	6	46.2	1	7.7	2	15.4	2	15.4	13	1	8.3	4	33.3	2	16.7	2	16.7	3	25.0	12
Memory disturbance	4.1	0	0.0	0	0.0	0	0.0	2	12.5	14	87.5	16	0	0.0	0	0.0	0	0.0	1	7.7	12	92.3	13
Others	2.6	1	9.1	2	18.2	5	45.4	0	0.0	3	27.3	11	1	14.3	5	71.4	0	0.0	1	14.3	0	0.0	7
Total	100.0	9	2.3	129	33.6	126	32.8	80	20.8	40	10.4	384	7	2.2	105	33.0	72	22.6	78	24.5	56	17.6	318

Note: Cases with missing information on gender (n = 26) are excluded from the table.