Patient-Disease Characteristics and Coping Strategies Predict Hospitalization in Emergency Psychiatry

Schnyder, Ulrich; Valach, Ladislav; Mörgeli, Hanspeter; Heim, Edgar

doi:10.2190/ypkf-ywkl-7ukl-36vc

Cited by 7 publications

(4 citation statements)

References 37 publications

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“…DSM-IV psychiatric diagnoses were grouped into five main categories, as in previous studies (8,14): mood disorders, anxiety disorders, psychotic disorders, substance use disorders, and personality disorders.…”

Section: Sociodemographic and Diagnostic Characteristicsmentioning

confidence: 99%

Predictors of Recurrent Use of Psychiatric Emergency Services

Richard-Lepouriel

Weber²,

Baertschi³

et al. 2015

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Patients with personality disorders and past recurrent use of emergency services appeared to rely more on psychiatric emergency services for continuous psychiatric care than patients without past recurrent use of emergency services and patients with mood, substance use, anxiety, or psychotic disorders. Creation of a follow-up treatment program for this clinical population within the psychiatric emergency setting itself may provide better access to care for these patients.

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Section: Sociodemographic and Diagnostic Characteristicsmentioning

confidence: 99%

Predictors of Recurrent Use of Psychiatric Emergency Services

Richard-Lepouriel

Weber²,

Baertschi³

et al. 2015

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“…Given the limited validity of DSM (25) classification in emergency settings (26,27), diagnostic variables were recoded into more usable categories on the basis of previous research (5,23,28,29). The categories were mental disorders due to a medical condition, psychotic-spectrum disorders, mood disorders, adjustment disorders, neurotic disorders, psychoactive substance use disorders, other conditions that may be a focus of clinical attention, absent or deferred axis I diagnosis, and other diagnoses.…”

Section: Data Collectionmentioning

confidence: 99%

Effects of Patient and Health-System Characteristics on Community Tenure of Discharged Psychiatric Inpatients

Bruffærts¹,

Sabbé²,

Demyttenaere³

2004

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6 68 85 5 O ver the past two decades, the organization and provision of mental health care have changed dramatically. The deinstitutionalization of mental health services has resulted in shorter stays in psychiatric hospitals and in larger numbers of psychiatric patients living in the community (1). Many communities have too few resources to help these patients (2). The number of psychiatric referrals to hospital emergency departments has increased, partly because of the general lack of linkage between institutional and community services (3). This trend has been observed both in the United States and in Europe (4).Previous research has provided consistent evidence that persons with previous use of psychiatric services are among the most frequent users of psychiatric emergency departments (5-10). Moreover, patients who are readmitted to inpatient psychiatric care are often found to have been recently discharged from a psychiatric hospitalization. In previous studies, 24 percent of 262 patients (11) and 38 percent of 128 patients (12) with a recent hospital discharge were readmitted within three to six months. In a study of state hospital patients in Massachusetts, Fisher and colleagues (13) found a 50 percent readmission rate within four years of discharge among 5,610 patients. Early hospital readmission has been related to the presence of mental illnesses with poor prognoses (13-15), to poor quality of patients' social networks, and to patients' difficulties with hygiene at discharge (16).Early readmissions, however, may also reflect the quality of postdischarge treatment and care. Some unplanned psychiatric referrals could be explained by the unexpected and acute progression of the patient's mental illness, but the rest may result because the mentally ill person has been discharged from the hospital too soon or because follow-up in the community is ineffective.Lower readmission rates have been associated with the existence of follow-up services. For example, McIntosh and Worley (17) implemented telephone follow-up and aftercare groups for patients who were discharged from a psychiatric hospitalization. Fifteen months after the implementation of these services, these authors found a readmission rate of

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“…Although misdiagnosis of psychosis in terms of being primary or substance induced may not have immediate consequences-that is, the agitated patient may need to be calmed regardless of the cause-an incorrect diagnosis of a primary psychotic disorder when the symptoms are substance induced is of particular concern because of its long-term implications. These include the associated stigma, the tendency for the diagnosis to be perpetuated in future encounters with mental health professionals (6)(7)(8)(9), unnecessary inpatient hospitalization (10)(11)(12), and inappropriate treatment with antipsychotic medication, which has the potential for serious side effects, such as diabetes, tardive dyskinesia, and neuroleptic malignant syndrome (13)(14)(15)(16). Individuals with a misdiagnosis often are not provided with proper follow-up substance abuse treatment (17).…”

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confidence: 99%

Diagnosing Psychotic Disorders in the Emergency Department in the Context of Substance Use

Schanzer

First²,

Dominguez³

et al. 2006

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Patient-Disease Characteristics and Coping Strategies Predict Hospitalization in Emergency Psychiatry

Abstract: It is argued that the search for patient-disease characteristics in the psychiatric emergency room should be complemented by a more extensive monitoring of the patients' way of coping with their current crisis.

Cited by 7 publications

References 37 publications

Predictors of Recurrent Use of Psychiatric Emergency Services

Predictors of Recurrent Use of Psychiatric Emergency Services

Effects of Patient and Health-System Characteristics on Community Tenure of Discharged Psychiatric Inpatients

Diagnosing Psychotic Disorders in the Emergency Department in the Context of Substance Use

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