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

Abstract

     This study was a case study. The objectives are to study the care of amphetamine addicted patients with psychiatric symptoms and risky behaviors for violence against family and community. A case study of amphetamine addicted patient with psychiatric symptoms and risky behaviors for violence against family and community in the female inpatient ward of Sikhio Hospital, 1 case, by descriptive method.

     The study results found that the patient had a history of using methamphetamine for 14 years, using 3 pills every day, and taking the last pill on May 15, 2025, totaling 3 pills. The assessment of severe aggressive behavior (Overt Aggression Scale: OAS) = 3 points, screening and referring people with drug/substance abuse problems of the Ministry of Public Health (BKK.KST.) V2 was at 33 points, indicating that the level of impact from drug use was high. It was assumed that he was a severe drug addict. The assessment of the risk of suicide was 2Q plus negative, with no thoughts of harming himself. Urine Methamphetamine = Positive >2,000 mg/ml. The doctor treated him with Antipsychotics Drug, Antianxiety Drug. The diagnosis received was Amphetamine induce Psychosis with SMI-V. The nurse must administer medication according to the treatment plan, observe side effects from taking antipsychotics, assess the risk of harming others, assess symptoms of drug withdrawal, build a relationship for the patient to trust, arrange 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 underwent 14 days of drug withdrawal treatment until her drug and psychiatric symptoms were alleviated and she was able to control her emotions.