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The Impact of Legalization of Medical and


Recreational Marijuana
Study looks at Colorado youth.
Downloaded from https://journals.lww.com/ajnonline by BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3Le0ic6pTQVAw1q9L8phEKSMckSJUxJ1zoeTwYejRXJ5Tmrf/ZYD3LQ== on 01/21/2019

over a 10-year period among also increased, from 1.2 to 3.2 per
­adolescents, “most notably” in 1,000 ED visits during that time.
the years after the state legalized A diagnosis of cannabis use, abuse,
Photo by Sara Stathas / Alamy Stock Photo.

medical marijuana in 2009 and and misuse was made at 62% of


recreational marijuana in 2014. the 4,202 visits, and a comorbid
In the retrospective study, the psychiatric diagnosis was made at
investigators looked at ED/UC vis­ 71%, with depression being the
its from 2005 to 2015 by patients most common (39% of total vis­
ages 13 through 20 years that were its), followed by mood disorder
determined to be related to mari­ (22%).
juana based on diagnostic codes or “As more states begin to legal­
positive urine drug screens. There ize marijuana,” the authors con­
were 4,202 such visits during this cluded, “the alarming prevalence
period and, in 67%, a behavioral of comorbid psychiatric disorders

A
lthough nine and 29 states health evaluation was also con­ and drug use among adolescents
have legalized recreational ducted. presenting to our ED/UC settings
and medical marijuana, re­ The number of ED/UC visits for marijuana-related concerns
spectively, debate continues about related to marijuana increased further supports the need for im­
the impact of marijuana use by from 161 in 2005 to 777 in 2015, plementation of comprehensive
teenagers, with inconsistent re­ during which time those visits that targeted marijuana education and
sults among studies looking at included a behavioral health eval­ prevention programs directed at
this question (see AJN Reports, uation increased from 84 to 500. youth, particularly those with con­
October 2017). The rate of marijuana-related visits comitant psychiatric illness and
A recent study, however, found per 1,000 ED/UC visits increased drug use.”—Elizabeth Mechcatie,
that marijuana-related ED and ur­ from 1.8 in 2009 to 4.9 in 2015, MA, BSN
gent care (UC) visits to a tertiary an increase of high statistical sig­
care children’s hospital system in nificance. Behavioral health con­ Wang GS, et al. J Adolesc Health 2018 Mar
Colorado increased significantly sultations related to marijuana 30 [Epub ahead of print].

16 AJN ▼ July 2018 ▼ Vol. 118, No. 7 ajnonline.com

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