Program Evaluation to Aid Choice of Aripiprazole or Risperidone for Hospitalized Adolescents with Cannabis Use Disorder and Psychosis

J Child Adolesc Psychopharmacol. 2023 Oct;33(8):332-336. doi: 10.1089/cap.2023.0053.

Abstract

Introduction: Co-occurring cannabis use and psychosis is an increasing problem. No single behavioral or pharmacologic treatment has emerged as clearly superior. To address the gap, this nonrandomized, quality improvement project compares outcomes for adolescents with co-occurring cannabis use disorder and psychosis prescribed risperidone or aripiprazole. Materials and Methods: This project is a retrospective chart review of 110 adolescents (ages 13-21 years) hospitalized for psychosis and co-occurring cannabis use disorder. The primary outcomes are length of stay and length of stay index. Results: Adolescents prescribed risperidone compared with aripiprazole had a significantly greater length of stay (9.7 days vs. 5.8 days, p = 0.002) and length of stay index (1.4 vs. 0.79, p = 0.004). Conclusions: Adolescents hospitalized for co-occurring psychosis and cannabis use disorder had a significantly longer length of stay and length of stay index. These data are consistent with a more rapid reduction in acute psychotic symptoms for aripiprazole compared with risperidone in the context of co-occurring cannabis use disorder.

Keywords: adolescent; aripiprazole; cannabis; psychosis; quality improvement; risperidone.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adolescent, Hospitalized*
  • Antipsychotic Agents* / therapeutic use
  • Aripiprazole / therapeutic use
  • Humans
  • Marijuana Abuse* / complications
  • Marijuana Abuse* / drug therapy
  • Program Evaluation
  • Psychotic Disorders* / drug therapy
  • Retrospective Studies
  • Risperidone / therapeutic use
  • Substance-Related Disorders*

Substances

  • Aripiprazole
  • Risperidone
  • Antipsychotic Agents