Frequent Visits to a French Psychiatric Emergency Service: Diagnostic Variability in Psychotic Disorders

Abstract

Future studies should further examine the link between increased use of emergency services and diagnostic variability.

Predictors of Recurrent Use of Psychiatric Emergency Services

“…Frequent visitors were mostly men (1)(2)(3)(4)7,12) and lived in a more precarious socioeconomic environment (1,2,4,5,7,8,11). Some studies have established that frequent visitors were younger (3,11,12), contrary to other studies (1,4).…”

“…Some have defined frequent visits as more than two above the mean standard deviation (1,2), and some have used the upper tenth percentile of the sample (4). Others have defined frequent visits as one visit (3) or six visits (2,7) per year, four visits in a quarter (2), or at least six visits in six years (11). Moreover, sample characteristics differ between studies, and some studies have limited the sample to patients with specific diseases, such as psychotic disorders (11), or to "incident" patients (that is, those newly detected as recurrent visitors) with no previous visits to psychiatric services (4).…”

“…Others have defined frequent visits as one visit (3) or six visits (2,7) per year, four visits in a quarter (2), or at least six visits in six years (11). Moreover, sample characteristics differ between studies, and some studies have limited the sample to patients with specific diseases, such as psychotic disorders (11), or to "incident" patients (that is, those newly detected as recurrent visitors) with no previous visits to psychiatric services (4). Unfortunately, previous investigations have focused mainly on recurrent visits over the short term, usually within a single year.…”

“…Unfortunately, previous investigations have focused mainly on recurrent visits over the short term, usually within a single year. To date, only a few studies have extended their follow-up to longer periods (1)(2)(3)(4)11).…”

Indicadores de actividad durante cinco años en un servicio de urgencias de atención voluntaria de un hospital psiquiátrico mexicano

“…Esto es congruente con reportes de que otros factores que podrían influir en la frecuentación de servicios de urgencias son los diagnósticos adictológicos y los trastornos de la personalidad del cluster B, según el DSM-IV. 44,45 Entre otros factores más que pueden favorecer la afluencia de pacientes frecuentadores de los SUP está la sensación de privacidad y de satisfacción al utilizar el servicio de urgencias. 46 Otro factor de riesgo para ser frecuentador es que el usuario no alcance una percepción de mejoría en salud tras utilizar los SUP.…”