Hostname: page-component-8448b6f56d-c4f8m Total loading time: 0 Render date: 2024-04-24T16:27:45.926Z Has data issue: false hasContentIssue false
  • English
  • Français

Variables associated with the hospitalization of psychiatric emergencies evaluated in the community

Published online by Cambridge University Press:  16 April 2020

C. Turrina ,
F. Lucchi ,
R. Este ,
R. Micciolo ,
G. Fazzari  and
E. Sacchetti
C. Turrina
Affiliation:
University Psychiatric Service, University School of Medicine and Spedali Civili, Brescia, Italy
F. Lucchi
Affiliation:
University Psychiatric Service, University School of Medicine and Spedali Civili, Brescia, Italy
R. Este
Affiliation:
University Psychiatric Service, University School of Medicine and Spedali Civili, Brescia, Italy
R. Micciolo
Affiliation:
University Psychiatric Service, University School of Medicine and Spedali Civili, Brescia, Italy
G. Fazzari
Affiliation:
University Psychiatric Service, University School of Medicine and Spedali Civili, Brescia, Italy
E. Sacchetti
Affiliation:
University Psychiatric Service, University School of Medicine and Spedali Civili, Brescia, Italy
Get access

Summary

We investigated hospitalization factors in acutely ill patients visited by psychiatrists at home. A series of 100 consecutive calls for psychiatric emergencies of a community mental health centre were investigated with a structured evaluation of psychiatric symptoms and aggressiveness (IEF, GAS, and VSAS). First order interactions were tested, and selected variables were tested with logistic regression analysis. Admission was significantly associated with GAS scores (low scores were found in 92.6% of admitted patients vs. 43.8% of patients not admitted), paranoid delusions (66.7 vs. 39.7%), and lack of social support (70.4 vs. 30.1%). Multivariate analysis confirmed a significant independent effect only for low GAS score and lack of social support. The study replicated some findings from research on hospitalization in emergency wards, while other factors, such as ’diagnosis’ and ’suicide risk’, were not significant.

Keywords

admission decision makingcommunity interventionspsychiatric emergencies
Type
Original article
Information
European Psychiatry , Volume 14 , Issue 6 , October 1999 , pp. 319 - 324
Copyright
Copyright © European Psychiatric Association 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Apsler, RBassuk, E. Differences among clinicians in the decision to admit Arch Gen Psychiatry 1983 ; 40 : 1133-37.CrossRefGoogle ScholarPubMed
Beck, JCWhite, KAGage, B. Emergency psychiatric assessment of violence Am J Psychiatry 1991 ; 148 : 1562-3.Google Scholar
Bengelsdorf, HChurch, JOKaye, RAOrlowsky, BAlden, DC. The cost effectiveness of crisis intervention. Admission diversion savings can offset the high cost of service J Ner Men Dis 1993 ; 181 : 757-62.CrossRefGoogle Scholar
Endicott, JSpitzer, RLFleiss, JCohen, J. The Global Assessment Scale: a procedure for measuring overall severity of psychiatric disturbance Arch Gen Psychiatry 1976 ; 33 : 766-71.CrossRefGoogle ScholarPubMed
Feinstein, RPlutchik, R. Violence and suicide risk assessment in the psychiatric emergency room Compr Psychiatry 1990 ; 31 : 337-43.CrossRefGoogle ScholarPubMed
Gillig, PMHillard, JLBell, J. The psychiatric emergency service holding area: effect on utilization of inpatient resources Am J Psychiatry 1990 ; 146 : 369-72.Google Scholar
Harrison, JBarrow, SCreed, F. Social deprivation and psychiatric admission rates among different diagnostic groups Br J Psychiatry 1988 ; 167 : 456-62.CrossRefGoogle Scholar
Ingham, JGKreitman, NBMiller, PSashidharan, SPSurtees, PG. Self-esteem, vulnerability and psychiatric disorder in the community Br J Psychiatry 1986 ; 148 : 375-85.CrossRefGoogle Scholar
Kent, SYellowlees, P. Psychiatric and social reasons for frequent rehospitalization Hosp Com Psychiatry 1984 ; 45 : 347-50.Google Scholar
Marson, DCMcGovern, MPPomp, HC. Psychiatric decision making in the emergency room: a research overview Am J Psychiatry 1988 ; 145 : 918-25.Google ScholarPubMed
McNiel, DEMyers, RSZeiner, HKWolfe, HLHatcher, C. The role of violence in decisions about hospitalization from the psychiatric emergency room Am J Psychiatry 1992 ; 149 : 207-12.Google ScholarPubMed
Merson, STyrer, POnyett, SLack, SBirkett, PLynch, SJohnson, T. Early intervention in psychiatric emergencies: a controlled clinical trial Lancet 1992 ; 339 : 1311-14.CrossRefGoogle ScholarPubMed
Mezzich, JEDow, JTRich, CLCoffman, GA. Developing an efficient clinical information system for a comprehensive psychiatric institute, II: the Initial Evaluation Form Beh Res Met Instrum 1981 ; 13 : 464-78.CrossRefGoogle Scholar
Mezzich, JEEvanczuk, KJMathias, RJCoffman, GA. Symptoms and hospitalization decisions Am J Psychiatry 1984 ; 141 : 764-9.Google ScholarPubMed
Mezzich, JEEvanczuk, KJMathias, RJCoffman, GA. Admission decision and multiaxial diagnosis Arch Gen Psychiatry 1984 ; 41 : 1001-4.CrossRefGoogle Scholar
Mezzina, RVidoni, D. Beyond the mental hospital: crisis intervention and continuity of care in Trieste. A four year follow-up study in a community mental health centre Int J Soc Psychiatry 1985 ; 41 : 1–20.CrossRefGoogle Scholar
Mosher, LR. Italy's revolutionary mental health law: an assessment Am J Psychiatry 1982 ; 139 : 199–203.Google Scholar
Mosher, RLBurti, L. Community mental health. Principles and practice. . New-York, London : W.W. Norton & Co. ; 1989.Google Scholar
Payne, CD. The GLIM System Release 3. 77 Manual. Generalized linear interactive modelling. London: Royal Statistical Society; 1986.Google Scholar
Rose, SOHawkins, JApodaca, L. Decision to admit. Criteria for admission and readmission to a Veteran Administration Hospital Arch Gen Psychiatry 1997 ; 34 : 418-21.CrossRefGoogle Scholar
Rosset, NAndreoli, A. Crisis intervention and affective disorders: a comparative cost-effectiveness study Soc Psychiatry Psychiatr Epid 1995 ; 30 : 231-5.Google ScholarPubMed
Sanguineti, VRSamuel, SESwartz, SLRobeson, MR. Retrospective study of 2. 200 involuntary psychiatric admission and riadmissions Am J Psychiatry 1996 ; 153 : 392-6.Google Scholar
Schneider, UValach, LHeim, E. Coping and the decision to hospitalize in emergency psychiatry Gen Hosp Psychiatry 1995 ; 17 : 362-70.CrossRefGoogle Scholar
Slagg, NB. Characteristics of emergency room patients that predict hospitalization or disposition to alternative treatments Hosp Com Psychiatry 1993 ; 44 : 252-6.Google ScholarPubMed
Tansella, M. Community-based psychiatry: long-term patterns of care in South-Verona Psychol Med 1991 ; 19 : 1–54.Google Scholar
Submit a response

Comments

No Comments have been published for this article.