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Clinical predictors of admission status in first episode schizophrenia

Published online by Cambridge University Press:  16 April 2020

B.D. Kelly ,
M. Clarke ,
S. Browne ,
O. McTigue ,
M. Kamali ,
M. Gervin ,
A. Kinsella ,
A. Lane ,
C. Larkin  and
E. O’Callaghan
B.D. Kelly
Affiliation:
Stanley Research Unit, Cluain Mhuire Family Centre, St. John of God Adult Psychiatric Services, Newtownpark Avenue, Blackrock, Co. Dublin, Ireland
M. Clarke
Affiliation:
Stanley Research Unit, Cluain Mhuire Family Centre, St. John of God Adult Psychiatric Services, Newtownpark Avenue, Blackrock, Co. Dublin, Ireland
S. Browne
Affiliation:
Stanley Research Unit, Cluain Mhuire Family Centre, St. John of God Adult Psychiatric Services, Newtownpark Avenue, Blackrock, Co. Dublin, Ireland
O. McTigue
Affiliation:
Stanley Research Unit, Cluain Mhuire Family Centre, St. John of God Adult Psychiatric Services, Newtownpark Avenue, Blackrock, Co. Dublin, Ireland
M. Kamali
Affiliation:
Stanley Research Unit, Cluain Mhuire Family Centre, St. John of God Adult Psychiatric Services, Newtownpark Avenue, Blackrock, Co. Dublin, Ireland
M. Gervin
Affiliation:
Stanley Research Unit, Cluain Mhuire Family Centre, St. John of God Adult Psychiatric Services, Newtownpark Avenue, Blackrock, Co. Dublin, Ireland
A. Kinsella
Affiliation:
Stanley Research Unit, Cluain Mhuire Family Centre, St. John of God Adult Psychiatric Services, Newtownpark Avenue, Blackrock, Co. Dublin, Ireland
A. Lane
Affiliation:
Stanley Research Unit, Cluain Mhuire Family Centre, St. John of God Adult Psychiatric Services, Newtownpark Avenue, Blackrock, Co. Dublin, Ireland
C. Larkin
Affiliation:
Stanley Research Unit, Cluain Mhuire Family Centre, St. John of God Adult Psychiatric Services, Newtownpark Avenue, Blackrock, Co. Dublin, Ireland
E. O’Callaghan*
Affiliation:
Stanley Research Unit, Cluain Mhuire Family Centre, St. John of God Adult Psychiatric Services, Newtownpark Avenue, Blackrock, Co. Dublin, Ireland
*
*Corresponding author. E-mail address: eadbhard@indigo.ie (E. O’Callaghan).
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Abstract

Having a diagnosis of schizophrenia is a risk factor for involuntary admission to psychiatric inpatient care, but we have a limited understanding of why some patients and not others require involuntary admission. We aimed to identify the predictors of involuntary admission in first episode schizophrenia. We used validated instruments to assess clinical and socio-demographic variables in all patients (n = 78) with first episode schizophrenia from a defined geographical area admitted to a Dublin psychiatric hospital over a 4-year period. Involuntary patients (n = 17) could not be distinguished from voluntary patients (n = 61) on the basis of age, gender, living status, marital status, drug abuse or duration of untreated psychosis. Neither positive nor negative symptoms were useful predictors of admission status. Lack of insight was a strong predictor of involuntary status.

Keywords

SchizophreniaTreatmentPsychotic symptomsInsight
Type
Original article
Information
European Psychiatry , Volume 19 , Issue 2 , April 2004 , pp. 67 - 71
Copyright
Copyright © 2004 European Psychiatric Association

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