Homicide has also been associated with cocaine use in as many as 31% of homicide victims. Cocaine-related violent behaviors occur in as many as 55% of patients with cocaine-induced psychiatric symptoms.

Paranoia occurs in 68% to 84% of patients using cocaine. Additional reports were found via bibliographies of various published reports.ĭata Synthesis: The use of cocaine in the “crack” form is often associated with more frequent and intense symptoms. They can be primary to the drug's effect or secondary to exacerbation of comorbid psychiatric disorders.ĭata Sources: A computerized literature search was conducted using MEDLINE to identify reports of psychiatric symptoms secondary to cocaine use. The symptoms include agitation, paranoia, hallucinations, delusions, violence, as well as suicidal and homicidal thinking. Background: Cocaine is an addictive drug that produces numerous psychiatric symptoms, syndromes, and disorders.