Alcohol use and abuse in schizophrenia. A prospective community study

J Nerv Ment Dis. 1989 Jul;177(7):408-14. doi: 10.1097/00005053-198907000-00004.


The authors examined patterns of alcohol use among 115 DSM-III schizophrenics discharged from the state hospital and participating in an urban aftercare program. According to ratings by mobile outreach clinicians, 45% of the patients used alcohol, and 22% were clearly abusing alcohol. Alcohol use was associated with younger age, male sex, street drug use, medication noncompliance, lack of psychosocial supports, increased symptomatology, chronic medical problems, and a higher rate of rehospitalization. Even minimal drinking, not considered alcohol abuse by clinicians, predicted rehospitalization during 1-year prospective follow-up.

MeSH terms

  • Adult
  • Alcohol Drinking*
  • Alcoholism / complications*
  • Community Health Services
  • Female
  • Hospitalization
  • Humans
  • Male
  • Mental Disorders / complications
  • Prospective Studies
  • Schizophrenia / complications*
  • Social Problems
  • Time Factors