Factors influencing the stability of psychiatric diagnoses in the emergency setting: review of 934 consecutively inpatient admissions

“…We screened 4,415 articles, evaluated 327 articles at full‐text level, and included 31 studies in our quantitative analysis: 27 on the shift from SAD and 23 on the shift to SAD (Fig. ).…”

Section: Resultsmentioning

confidence: 99%

Diagnostic shift in patients diagnosed with schizoaffective disorder: a systematic review and meta‐analysis of rediagnosis studies

et al. 2016

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Diagnostic shift in SAD patients is substantial. Psychiatrists need to reassess the diagnosis during the course of the illness and to adjust treatment. Slightly more diagnoses of SAD are changed to schizophrenia than to affective disorders, and among patients rediagnosed with SAD, fewer have been diagnosed with schizophrenia than with affective disorders. Thus, at the diagnostic level, there seems to be a slight trend toward schizophrenia during the course of functional psychoses.

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“…The low availability of beds for psychiatric hospitalizations and the inexistence or ineffectiveness of outpatient services may increase the demand in PESs because of the access facilities offered by these units. 12 The excessive demand might lead to a greater rotation of patients at PESs, resulting in inaccurate diagnoses, excessive referral for fulltime hospitalization, 13 and increased re-hospitalization rates.…”

Section: Psychiatric Emergency and The Reform In Mental Health Assistmentioning

confidence: 99%

Serviços de emergência psiquiátrica e suas relações com a rede de saúde mental Brasileira

Barros

Teng

Mari

2010

Rev. Bras. Psiquiatr.

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Objective: To review the literature concerning the role and the inclusion of psychiatric emergency services in mental health networks. Method: We performed a search in online databases (PubMed and SciELO) for empirical articles and reviews about psychiatric emergency services and networks of mental health services. Results: Psychiatric emergency services are a crucial part of well-structured mental health networks, both due to their role in the management of emergencies proper and to their function in the regulation of the network they belong to. Emergency psychiatric services are related to all inpatient and outpatient services, which enables them to organize the flow of admissions and to prevent the overload of the mental health network. The functions of emergency psychiatric services are broad and go beyond the simple referral for hospitalization, encompassing the clinical stabilization of acute cases and the provision of psychosocial support. In Brazil, these functions were expanded after the mental health reform and the overload of the mental health network resulting from the difficulties and limitations of inpatient and outpatient services. Conclusion: Emergency psychiatric services must be valued and expanded; especially those located in general hospitals. It is suggested that investment in psychiatric emergency services be a priority in Brazilian public health policies to improve mental health care. Descriptors

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Factors influencing the stability of psychiatric diagnoses in the emergency setting: review of 934 consecutively inpatient admissions

Cited by 22 publications

References 7 publications

Test–retest reliability of schizoaffective disorder compared with schizophrenia, bipolar disorder, and unipolar depression—a systematic review and meta‐analysis

Test–retest reliability of schizoaffective disorder compared with schizophrenia, bipolar disorder, and unipolar depression—a systematic review and meta‐analysis

Diagnostic shift in patients diagnosed with schizoaffective disorder: a systematic review and meta‐analysis of rediagnosis studies

Serviços de emergência psiquiátrica e suas relações com a rede de saúde mental Brasileira

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