Substance-induced threat beliefs

Acute persecutory/bizarre beliefs after methamphetamine, cannabis, hallucinogens, steroids, withdrawal

UrgentReview due

Compare (7)

At a glance

High-risk causes: 4
Related differentials: 6

Safety snapshot

Watch forViolencehyperthermiachest painprolonged psychosis

Presentation hinge

Often fixed, systematised, accompanied by hallucinations, thought disorder, or negative symptoms.

Separates the Delusions / Paranoia / Thought Interference / Command Phenomena group. It is not specific to Substance-induced threat beliefs.

Clinical review

Rows marked “Whole group”: Applies to the Delusions / Paranoia / Thought Interference / Command Phenomena group — not specific to Substance-induced threat beliefs

Why it fits

Acute persecutory/bizarre beliefs after methamphetamine, cannabis, hallucinogens, steroids, withdrawal

Key features

Must-not-miss

Violence, hyperthermia, chest pain, prolonged psychosis.

High-risk causes4 causes

Violence
hyperthermia
chest pain
prolonged psychosis

Bedside question

Applies to the Delusions / Paranoia / Thought Interference / Command Phenomena group.

Often fixed, systematised, accompanied by hallucinations, thought disorder, or negative symptoms.

Helpful clues

Immediate action

Applies to the Delusions / Paranoia / Thought Interference / Command Phenomena group.

None listed

Priority steps

Investigations

Applies to the Delusions / Paranoia / Thought Interference / Command Phenomena group.

None listed

Core tests

Mimics / overlap

Applies to the Delusions / Paranoia / Thought Interference / Command Phenomena group.

None listed

Consider

Clinical reference — not validated decision support. Review before use.