Case Study in Amphetamine drug with psychiatric and risk of violent behavior with family and the district community.

Abstract

       This study was case study aimed to studied the care guidelines for amphetamine addicted patients with comorbid psychiatric symptoms and risky behaviors for violence against family and community. A 31-year-old Thai woman, married. The patient was admitted to Sikhio Hospital for inpatient treatment on May 15, 2025 at 4:32 p.m.

     Result: According to her mother, for 3 months before coming to the hospital, the patient had been using methamphetamine, could not sleep, walked around, and began to have auditory hallucinations, held a knife, and cursed at villagers with vulgar words. She smashed her own door. On initial admission, the patient was conscious, answered questions with one word had an anxious expression and did not cause a commotion. She had auditory hallucinations that were gossiping. She had a history of using methamphetamine for 14 years, using it every day 3 pills per day. The last time she used it was on May 15, 2025, for 3 pills. The assessment of severe aggressive behavior (Overt Aggression Scale: OAS) = 3 points. The screening and referral of people with drug/substance abuse problems of the Ministry of Public Health (BKK.KST.) V2 was at a level of 33 points : indicating a high level of impact from drug use. It is assumed that she is a severe drug addict. Assessing the risk of suicide 2Q plus negative No thoughts of harming oneself. Urine Methamphetamine = Positive >2,000 mg/ml The doctor treats Antipsychotics Drug and Antianxiety Drug. Diagnosis : Amphetamine induce Psychosis with SMI-V. The nurse must administer medication according to the treatment plan Observe side effects from taking antipsychotics drugs. Assess the risk of harming others. Assess symptoms of drug withdrawal. Build a relationship for the patient to build trust Organize a safe environment for the patient prevent accidents And provide information to other patients to understand. Accept and avoid words that will stimulate the patient to have violent thoughts and behaviors. This patient is in drug withdrawal treatment for a total of 14 days until the symptoms of drug addiction and mental illness are relieved.