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Method: The Multi-center study of Acute Psychiatry included all cases of acute consecutivepsychiatric admissions in twenty acute psychiatric units in health trusts in Norway, The datawere registered during the admission process, including rating of Global Assessment ofFunctioning and Health of the Nation Outcome Scales.Results: Fifty-six percent of the patients were referred for voluntary hospitalization, 44 percentwere referred for involuntary hospitalization. In a regression analysis we found that the strongestpredictors for involuntary hospitalization were contact with police, referral by physicians whodid not know the patient, contact with health services within last 48 hours, not living in ownapartment or house, high scores for aggression, level of hallucinations and delusions, and contactwith an out-of office clinic within last 48 hours and low GAF symptom score. Involuntarypatients were older, more often male, non-Norwegian, unmarried and had lower level ofeducation. They more often had disability pension or received social benefits.Conclusion: Involuntary hospitalization seems to be guided by the severity of psychiatricsymptoms and factors “surrounding” the referred patient. Important factors seem to be malegender, substance abuse, contact with own GP, aggressive behavior, and low level of socialfunctioning and lack of motivation. There was a need for assistance by the police in a significantnumber of cases.Involuntary Hospitalization of First-Episode Psychosis with Substance AbuseDuring a 2-year Follow UpAnne Opsahl, Sørlandet Hospital, Kristiansand, Norway (anne.opsal@sshf.no) (+47 90932859)Thomas Clausen, Norwegian Center for Addiction Research (SERAF), University of Oslo &Sørlandet Hospital, Kristiansand, NorwayØistein Kristensen , Sørlandet Hospital, Kristiansand, NorwayIvar Elvik, Stavanger University Hospital, Stavanger, NorwayInge Joa, Stavanger University Hospital, Stavanger, NorwayTor K. Larsen, Stavanger University Hospital, Stavanger, NorwayObjective: To investigate whether substance abuse (alcohol or illegal drugs) in patients withfirst-episode psychosis (FEP) influenced treatment outcomes such as involuntary hospitalizationduring follow-up.Method: First-episode psychosis patients (n = 103) with consecutive admissions to acomprehensive early psychosis program were included and followed for 2 years. Assessmentmeasures were the Positive and Negative Syndrome Scale, Global Assessment of Functioning,and the Clinician Rating Scale (for substance abuse).Results: Twenty-four per cent of patients abused either alcohol or drugs at baseline. The dropoutrate at 2 years was the same for substance abusers as for non-abusers. Substance use was not210