Evidence map›Paper›PMID 40451017›Full record

ArticleDrug and alcohol dependence2025

Changes in psychosis-related emergency department and hospitalization rates among youth following cannabis legalization in Colorado.

Spruha Joshi, Kyle M Snyder, Christian Thurstone, Bianca D Rivera, Justin Feldman, Magdalena Cerdá, Noa Krawczyk

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. The rising tide of drug-induced psychosis.Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2026
    Review
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Spruha JoshiDepartment of Population Health, New York University Grossman School of Medicine, USA; University of Colorado School of Medicine, USA.
Kyle M SnyderDepartment of Population Health, New York University Grossman School of Medicine, USA; University of Colorado School of Medicine, USA.
Christian ThurstoneDepartment of Population Health, New York University Grossman School of Medicine, USA; Denver Health and Hospital Authority, USA; University of Colorado School of Medicine, USA.
Bianca D RiveraDepartment of Population Health, New York University Grossman School of Medicine, USA; University of Colorado School of Medicine, USA.
Justin FeldmanFXB Harvard School of Public Health, USA.
Magdalena CerdáDepartment of Population Health, New York University Grossman School of Medicine, USA; University of Colorado School of Medicine, USA.
Noa KrawczykDepartment of Population Health, New York University Grossman School of Medicine, USA; University of Colorado School of Medicine, USA. Electronic address: noa.krawczyk@nyulangone.org.

Funding

BEHAVIORAL SCI TRAINING IN DRUG ABUSE RESEARCHT32DA007233 · NIDA · PUBLIC HEALTH SOLUTIONS · PI GOLDSAMT, LLOYD A · 1985 to 2023
$20.2M
Randomized controlled trial of enhanced coordinated specialty care (CSC 2.0)P50MH115846 · NIMH · MCLEAN HOSPITAL · PI Dost Ongur · 2019 to 2026
$16.9M
NIDA NIH HHS T32 DA007233NIMH NIH HHS P50 MH115846
6 · The paper itself

Abstract

An increasing number of U.S. states have legalized cannabis, but the effect on adolescent and young adult psychosis-related hospitalizations remains under-studied. Using data from Denver Health between 2005 and 2020, we examined associations between implementation of the Ogden Memo (expanding use of medical cannabis in Colorado, October 2009) and Amendment 64 (legalizing adult-use cannabis in Colorado, November 2012) and trends in psychosis-related emergency department and hospital visits with and without cannabis use disorder (CUD) among youth aged 10-29. Patients with psychosis hospitalizations were predominately male (68 %), white (53 %), and Medicaid recipients (59 %). Significant increases (p < 0.05) were observed in the monthly average rate of psychosis hospitalizations between pre-Ogden memo (21.9 per 100,000) and post-Ogden memo pre-legalization (28.0 per 100,000) and post-legalization (32.3 per 100,000). Similarly, significant increases (p < 0.05) were observed in the monthly average rate of psychosis hospitalizations involving CUD between pre-Ogden memo (2.0 per 100,000), post-Ogden memo and pre-legalization (3.4 per 100,000), and post-legalization (8.5 per 100,000). Interrupted time series modeling found a significant difference in the trends for psychosis hospitalizations involving CUD following recreational legalization (change in average monthly rate went from 0.02/100,000 (95 % CI -0.02, 0.06) to 0.11/100,000 (95 % CI 0.09, 0.13), (difference (0.09 (95 %CI 0.05, 0.14)). Findings suggest an increase in overall hospital encounters for psychosis among youth after the legalization of recreational cannabis. Given the adoption of increasingly permissive cannabis laws, there is a need to plan effective public health responses that could mitigate unintended consequences related to cannabis use.

Indexed as

Emergency Service, HospitalHospitalizationLegislation, DrugMarijuana AbusePsychotic DisordersAdolescentAdultCannabisChildColoradoFemaleHumansMaleYoung AdultCannabis legalizationCannabis useCannabis use disorderHospitalizationsPsychosisYoung-adults

Identifiers

PMID40451017
PMCPMC12188688

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.