PREVALENCE OF SUBSTANCE INDUCED PSYCHOSIS IN THAILAND
Keywords:
Substance abuse, Psychiatric symptoms, PrevalenceAbstract
Mental health problems arising from substance use have become increasingly evident in Thai society. This descriptive study aimed to assess the prevalence of psychiatric symptoms among individuals who use illicit substances. A cross-sectional household survey was conducted using a five-stage stratified sampling method. Thailand was divided into 10 regions, and systematic random sampling was performed at the provincial, sub-district, and community levels. Households were systematically selected based on the most recent updated community maps. Within each selected household, members were stratified by gender, and simple random sampling was applied using a random number table in each stratum.
A total of 34,410 individuals participated in the study. Data were collected from March to October 2024 using face-to-face structured interviews. Descriptive and inferential statistics were employed, including frequency distribution, percentage, odds ratio (OR), 95% confidence intervals (CI), point estimation, and chi-square test.
The findings revealed that approximately six million Thais aged 12–65 years, or 122.42 per 1,000 population, had used at least one type of illicit substance. The highest prevalence of substance use was observed among males and individuals aged 20–24 years. This group also exhibited the highest prevalence of substance-induced psychiatric symptoms, with statistically significant differences. The most commonly reported symptoms included delusional speech, social withdrawal, aggressive behavior, restlessness, and physical assault of others.
Downloads
References
United Nations Office on Drugs and Crime (UNODC). World drug report 2019. Vienna: United Nations publication; 2019.
Merlin MD. Archaeological evidence for the tradition of psychoactive plant use in the old world. Economic Botany 2003; 57(3): 295-323.
Sullivan RJ, Hagen EH. Psychotropic substance-seeking: Evolutionary pathology or adaptation? Addiction 2002; 97(4):389-400. http://dx.doi.org/10.1046/j.1360-0443.2002.00024.x.
Department of Fine Arts. The “Tra Sam Duang” Laws. Bangkok: Veteran printing house; 1978.
Kanato M, Leyatikul P, Wonguppa R. Impacts of Medical Cannabis Law in Thailand. ONCB Journal 2020; 36(2): 27-36.
Poshyachinda V. Heroin in Thailand. in the 4th Anniversary of the Office of the Narcotics Control Board. Bangkok: Office of the Prime Minister; 1980; 56–87.
Poshyachinda V, Srisurapanont M, Perngparn U. Amphetamine type stimulants epidemic in Thailand: a country profile. In WHO meeting on amphetamine, MDMA, and other psycho stimulants phase II. Bangkok, Thailand; 1999.pp. 22-26.
Poshyachinda V, Phittayanon P, Simasatitkul V, Perngparn U. Stimulant use, abuse, and dependence in Thailand. Alcohol and drugs perspectives, prevention and Control-Asia Pacific region. Sri Lanka: Alcohol and Drug Information Centre; 1998. 77-106.
Wonguppa R, Kanato M. The prevalence and associated factors of new psychoactive substance use: A 2016 Thailand national household survey. Addict Behav Rep 2018; 7: 111-115.
Kanato M, Leyatikul P. Wonguppa R. Cannabis Situation among the Thai Youth after Law Amendment. ONCB Journal 2022; 36(2): 27-36.
United Nations Office on Drugs and Crime (UNODC). World drug report 2023. Vienna: United Nations publication; 2023.
Kanato M, Sarasiri R, Leyatikul P, (Eds.). ASEAN DRUG MONITORING REPORT 2022. Bangkok: ASEAN Narcotics Cooperation Center; 2023.
Kanato M, Leyatikul P. Size Estimation of Substances Users Population in Thailand 2019. ONCB Journal 2020; 36(2): 37-48.
Office of Secretary of National Addiction treatment & Rehabilitation Committee, Ministry of Public Health. Statistics on Addiction Treatment & Rehabilitation [online] 2020 [cited 2024 March 7]. Available from: https://ncmc.moph.go.th/home/index/dash
WHO. Management of substance abuse [online] 2021 [cited 2021 January 21]. Available from: https://www.who.int/substance_abuse/facts/ATS/en/
McCrady BS, Epstein EE. Addictions: A comprehensive guidebook. Oxford University Press; 2013.
Grant KM, LeVan TD, Wells SM, Li M, Stoltenberg SF, Gendelman HE, et al. Methamphetamine-associated psychosis. Journal of Neuroimmune Pharmacology 2012; 7(1): 113-139.
Srisurapanont M, Ali R, Marsden J, Sunga A, Wada K, Monteiro M. Psychotic symptoms in methamphetamine psychotic in-patients. International Journal of Neuropsycho pharmacology2003; 6(4): 347-352.
Arunogiri S, Foulds JA, McKetin R, Lubman DI. A systematic review of risk factors for methamphetamine-associated psychosis. Australian & New Zealand Journal of Psychiatry 2018; 52(6): 514-529.
Callaghan RC, Cunningham JK, Allebeck P, Arenovich T, Sajeev G, Remington G, et al. Methamphetamine use and schizophrenia: a population-based cohort study in California. American Journal of Psychiatry 2012;169(4), 389-396.
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles in this journal are copyrighted by the x may be read and used for academic purposes, such as teaching, research, or citation, with proper credit given to the author and the journal.use or modification of the articles is prohibited without permission.
statements expressed in the articles are solely the opinions of the authors.
authors are fully responsible for the content and accuracy of their articles.
other reuse or republication requires permission from the journal."