Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-28T02:27:53.538Z Has data issue: false hasContentIssue false

Psychiatric Patients and HIV Infection: a New Population at Risk?

Published online by Cambridge University Press:  02 January 2018

Martin D. Stefan
Affiliation:
The Maudsley Hospital, Denmark Hill, London SE5 8AZ
José Catalán*
Affiliation:
Charing Cross & Westminster Medical School, Riverside Mental Health Trust, Psychological Medicine Unit, Mental Health Centre, Chelsea and Westminster Hospital, London
*
Dr Catalán, Chelsea & Westminster Hospital, 369 Fulham Road, London SW10 9NH

Extract

Background

We assess the evidence that psychiatric patients are at increased risk of infection with HIV and discuss some of the clinical implications.

Method

Surveys of HIV seroprevalence and risk behaviours among psychiatric patients were obtained from a manual and computer search (Medline and AIDSline).

Results

Most studies report an increased prevalence of HIV infection among psychiatric patients compared to the general population. Risk behaviours, and obstacles to risk reduction, are identified.

Conclusions

There is a strong case for investigating the seroprevalence of HIV in psychiatric settings in the UK. Issues relating to HIV and AIDS are likely to assume increasing importance in general psychiatric practice.

Type
Review Article
Copyright
Copyright © 1995 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ayuso-Mateos, J. L., Montanes, F., Lastra, I., et al (1994) HIV seroprevalence in an acute psychiatric unit. 2nd International Conference on Biopsychosocial Aspects of HIV Infection, S5.5 (Abstr.).Google Scholar
Brooner, R. K., Greenfield, L., Schmidt, C. W., et al (1993) Antisocial personality disorder and HIV infection among intravenous drug abusers. American Journal of Psychiatry, 150, 5358.Google ScholarPubMed
Carmen, E. & Brady, S. M. (1990) AIDS risk and prevention for the chronic mentally ill. Hospital and Community Psychiatry, 41, 652657.Google Scholar
Catalán, J. (1990) HIV and AIDS-related psychiatric disorder: what can the psychiatrist do? In Dilemmas and Difficulties in the Management of Psychiatric Patients, (eds Hawton, K. & Cowen, P.), pp. 205217. Oxford: Oxford University Press.Google Scholar
Catalán, J., Riccio, M. & Thompson, C. (1989) HIV disease and psychiatric practice. Psychiatric Bulletin, 13, 316332.CrossRefGoogle Scholar
Chen, C. H. (1994) Seroprevalence of human immunodeficiency virus infection among Chinese psychiatric patients in Taiwan. Acta Psychiatrica Scandinavica, 89, 441442.CrossRefGoogle ScholarPubMed
Civic, D., Walsh, G. & McBride, D. (1993) Staff perspectives on sexual behaviour of patients in a state psychiatric hospital. Hospital and Community Psychiatry, 44, 887889.Google Scholar
Cournos, F., Empfield, M., Horwath, E., et al (1991) HIV seroprevalence among patients admitted to two psychiatric hospitals. American Journal of Psychiatry, 148, 12251230.Google Scholar
Cournos, F., Horwath, E., Guido, J. R., et al (1994a) HIV-1 infection at two public hospitals in New York City. AIDS Care, 6, 443452.Google Scholar
Cournos, F., Guido, J. R., Coomaraswamy, S., et al (1994b) Sexual activity and risk of HIV infection among patients with schizophrenia. American Journal of Psychiatry, 151, 228232.Google Scholar
Di Genio, M., Chiesi, A., Pariante, F., et al (1994) Psychiatric patients may be considered a new population at risk for HIV infection. 2nd International Conference on Biopsychosocial Aspects of HIV Infection, S5.4 (Abstr.).Google Scholar
Empfield, M., Cournos, F., Meyer, I., et al (1993) HIV seroprevalence among homeless patients admitted to a psychiatric inpatient unit. American Journal of Psychiatry, 150, 4752.Google Scholar
General Medical Council (1988) HIV Infection and AIDS: the Ethical Considerations. London: GMC.Google Scholar
Heckman, T. G., Kelly, J. A., Mence, R., et al (1994) Homeless men are at elevated risk for contracting HIV infection. 2nd International Conference on Biopsychosocial Aspects of HIV Infection, S5.1 (Abstr.).Google Scholar
Janssen, R. S., St Louis, M. E., Satten, G. A., et al (1992) HIV infection among patients in U.S. acute care hospitals: strategies for the counselling and testing of hospital patients. New England Journal of Medicine, 327, 445452.Google Scholar
Kalichman, S. C., Kelly, J. A., Johnson, J. R., et al (1994) Factors associated with risk for HIV infection among chronically mentally ill adults. American Journal of Psychiatry, 151, 221227.Google Scholar
Mahler, J., Yi, D., Sacks, M., et al (1994) Undetected HIV infection among patients admitted to an alcohol rehabilitation unit. American Journal of Psychiatry, 151, 439440.Google Scholar
Merrill, J. M., Laux, L. F. & Thornby, J. I. (1990) Why doctors have difficulty with sex histories. Southern Medical Journal, 83, 613617.Google Scholar
Naber, D., Pajonk, F-G., Paerro, C., et al (1994) Human immunodeficiency virus antibody test and seroprevalence in psychiatric patients. Acta Psychiatrica Scandinavica, 89, 358361.Google Scholar
Orr, S. T., Celentano, D. D., Santelli, J., et al (1994) Depressive symptoms and risk factors for HIV acquisition among black women attending urban health centers in Baltimore. AIDS Education and Prevention, 6, 230236.Google ScholarPubMed
Poznansky, M. C., Torkington, J., Turner, G., et al (1994) Prevalence of HIV infection in patients attending an inner city accident and emergency department. British Medical Journal, 308, 636 (Abstr.).CrossRefGoogle ScholarPubMed
Sacks, M., Dermatis, H., Looser-Ott, S., et al (1992a) Seroprevalence of HIV and risk factors for AIDS in psychiatric inpatients. Hospital and Community Psychiatry, 43, 736737.Google Scholar
Sacks, M., Dermatis, H., Looser-Ott, S., et al (1992b) Undetected HIV infection among acutely ill psychiatric inpatients. American Journal of Psychiatry, 149, 544545.Google ScholarPubMed
Schleifer, S. J., Keller, S. E., Frankli, J. E., et al (1990) HIV seropositivity in inner-city alcoholics. Hospital and Community Psychiatry, 41, 248249.Google ScholarPubMed
Schwartländer, B., Janssen, R. S., Satten, G. A., et al (1994) Guidelines for designing rapid assessment surveys of HIV seroprevalence among hospitalised patients. Public Health Reports, 109, 5359.Google Scholar
Stewart, D. L., Zuckerman, C. J. & Ingle, J. M. (1994) HIV seroprevalence in a chronically mentally ill population. Journal of the National Medical Association, 86, 519523.Google Scholar
Susser, E., Valencia, E. & Conover, S. (1993) Prevalence of HIV infection among psychiatric patients in a New York City men's shelter. American Journal of Public Health, 83, 568570.Google Scholar
Unlinked Anonymous HIV Serosurveys Steering Group, Department of Health (1995) Unlinked Anonymous HIV Seroprevalence Monitoring Programme in England and Wales. London: DoH.Google Scholar
Volavka, J., Convit, A., Czobor, P., et al (1991) HIV seroprevalence and risk behaviours in psychiatric inpatients. Psychiatry Research, 39, 109114.Google Scholar
Volavka, J., Convit, A., O'Donnell, J., et al (1992) Assessment of risk behaviours for HIV infection among psychiatric inpatients. Hospital and Community Psychiatry, 43, 482485.Google ScholarPubMed
Weisfuse, I. B., Chiasson, M. A., Back, S., et al (1989) HIV-1 infection in NYC STD clinic patients: evidence for stable seroprevalence 1987–1988. V International Conference on AIDS, Los Angeles. American Foundation for AIDS Research, 89 (Abstr.).Google Scholar
Zamperetti, M., Goldwurm, G. F., Abbate, E., et al (1990) Attempted suicide and HIV infection: epidemiological aspects in a psychiatric ward. VI International Conference on AIDS, 6, 182 (Abstr.).Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.