ATS

Amphetamine-type stimulant dependence

Case definition
Cases meet DSM-IV (304.40) or ICD-10 (F15.2) criteria for amphetamine dependence, excluding cases in remission.

Substance dependence
Presence of at least three of the following criteria at some time during the previous year:

Tolerance
Withdrawal
Discontinuation of important social activities and other pleasurable events and/or failure to meet occupational obligations
Increased dosage and/or duration of use
Significant amount of time spent obtaining, using or recovering from the substance
Persistent use despite significant associated problems
Compulsion to take the substance*
Desire to cut down use, or unsuccessful attempts to cut down**

*ICD-10 only
**DSM-IV only

Amphetamine-type stimulant dependence (specifically)

Amphetamine psychosis may occur.
Use is typically cyclical with periods of heavy use (binges) alternating with periods of no use (crash period).
Irritability and depression may be experienced when use is discontinued.
Periods of abstinence may occur, but are usually followed by relapse.

Discussion papers

A discussion paper on ATS-related mortaliy is available. Please send requests for this document to

Flowcharts

ATS mortality flowchart