In 2017, 9.2 hospital admissions per 1000 inhabitants in Switzerland were due to a substance-related disorder (such as withdrawal syndromes or psychological disorders). Compared with 2012, there was no change.
Substance-related hospital admissions were due most frequently to dependence syndrome (6.0 per 1000 population) followed by harmful use (2.7 per 1000 population). The rate for acute intoxications leading to a hospital stay is 1.2 per 1000 population, that for withdrawal state is 0.5 per 1000 population. In total, as is the case for each substance-related disorder, considerably fewer women than men are admitted to hospital.
This indicator is part of the Monitoring System Addiction and NCD (MonAM) of the Federal Office of Public Health (FOPH).
The consumption of psychoactive substances can have harmful effects. One such negative impact is shown by this indicator - hospital admissions due to substance-related disorders. It incorporates a series of illegal (such as opioids and cannabinoids) and legal (such as alcohol and tobacco) substances. The indicator also provides information (optional) on the type of disorder.
The strategy for addiction seeks to create a network bringing together medical and psychiatric service providers with those from the fields of social medicine and psychosocial care, founded on knowledge about the type and scope of treatment available in acute hospitals and psychiatric clinics.
This indicator is calculated using data from the Hospital Medical Statistics.
It shows the rate of hospital admissions due to substance-related disorders in somatic or psychiatric clinics per 1000 population. Data are standardised according to the age structure of the European standard population in 2010 (Eurostat 2013).
The total is comprised of all cases with a main or secondary diagnosis from the ICD-10 group F10-F19 (Mental and behavioural disorders due to psychoactive substances). The total takes account of all cases the main or secondary diagnosis of which is covered by ICD-10 codes F10–F19 (Mental and behavioural disorders due to psychoactive substance use). The diagram shows the total and the five most important categories, but no subdivision by substance. Patients were classified by the diagnosis recorded on discharge from hospital.
The following substances were included (ICD-10 classification): F10-F19):
- Sedatives or hypnotics
- Other stimulants
- Multiple substance use and other psychotropic substances
A break in the time series between 2011 and 2012 arose due to the implementation of the Health Insurance Act’s revision of hospital funding and the consequent new definition of a treatment case for services provided under SwissDRG. For this reason, only the years from 2012 onwards are shown.