Treatment needs, diagnoses and use of services for acutely admitted psychiatric patients in northwest Russia and northern Norway

Sørgaard, Knut W.; Rezvy, Grigory; Bugdanov, Anatoly; Sørlie, Tore; Bratlid, Trond

doi:10.1186/1752-4458-7-4

Cited by 7 publications

(6 citation statements)

References 36 publications

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“…Another study found that women who had always been admitted voluntarily had a higher standardized mortality rate [ 70 ]. A study comparing characteristics of patients in one Russian and two Norwegian hospitals found that a higher proportion of patients in the Russian hospital were voluntary [ 73 ].…”

Section: Resultsmentioning

confidence: 99%

Involuntary admission in Norwegian adult psychiatric hospitals: a systematic review

Wynn

2018

Int J Ment Health Syst

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BackgroundIt is an important objective of the psychiatric services to keep the use of involuntary procedures to a minimum, as the use of coercion involves clinical, ethical, and legal issues. It has been claimed that Norway has a relatively high rate of involuntary admissions. We reviewed the peer-reviewed literature on the use of involuntary admission in Norway, with the purpose of identifying the current state of knowledge and areas in need of further research.MethodsA systematic review following the PRISMA statement was conducted. We searched the electronic databases PsycInfo, PubMed, Web of Science, CINAHL, and Embase for studies relating to involuntary admission to Norwegian adult psychiatric hospitals published in the period 1 January 2001 to 8 August 2016. The database searches were supplemented with manual searches of relevant journals, reference lists, and websites.ResultsSeventy-four articles were included and grouped into six categories based on their main topics: Patients’ experiences, satisfaction and perceived coercion (21 articles), the Referral and admission process (11 articles), Rates of admission (8 articles), Characteristics of the patients (17 articles), Staff attitudes (9 articles), and Outcomes (8 articles). Four of the included articles described intervention studies. Fifty-seven of the articles had a quantitative design, 16 had a qualitative design, and one a mixed-method design. There was a broad range of topics that were studied and considerable variation in study designs. The findings were largely in line with the international literature, but the particularities of Norwegian legislation and the Norwegian health services were reflected in the literature. The four intervention studies explored interventions for reducing rates of involuntary admission, such as modifying referring routines, improving patient information procedures, and increasing patients’ say in the admission process, and represent an important avenue for future research on involuntary admission in Norway.ConclusionsThe review suggests that Norway has a relatively high rate of involuntary admissions. The identified studies represent a broad mix of topics and designs. Four intervention studies were identified. More studies with strong designs are needed to bring research on involuntary admission in Norway to a next level.Electronic supplementary materialThe online version of this article (10.1186/s13033-018-0189-z) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Involuntary admission in Norwegian adult psychiatric hospitals: a systematic review

Wynn

2018

Int J Ment Health Syst

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“…Participants were included from three hospitals: Archangelsk Clinical Psychiatric Hospital, Russia (seven acute wards with 900 emergency psychiatric beds), Nordland County Psychiatric Hospital, Norway (two acute wards with 100 emergency psychiatric beds), and University Hospital of North Norway (three acute wards with 147 emergency psychiatric beds). Further details regarding the study contexts have been published elsewhere [ 26 ]. All admissions to these wards were included for three months in 2005 in Norway, and between 2008 and 2009 in Russia.…”

Section: Methodsmentioning

confidence: 99%

“…Data were collected during clinical consultations by the patients’ therapists (psychiatrists or psychologists). Therapists responsible for the assessments were systematically trained and details of the training procedure are published elsewhere [ 26 ].…”

Section: Methodsmentioning

confidence: 99%

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Prevalence and characteristics of suicide attempters and ideators among acutely admitted psychiatric hospital patients in northwest Russia and northern Norway

et al. 2015

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BackgroundMore knowledge about suicidality and suicide risk profiles in acute psychiatric hospital patients (both first-time and chronic patients) is needed. While numerous factors are associated with suicidality in such populations, these may differ across cultures. Better understanding of factors underlying suicide risk can be informed by cross-cultural studies, and can aid development of therapeutic and preventive measures.MethodsAn explorative, cross-sectional cohort study was carried out. Acutely admitted patients at one psychiatric hospital in northwest Russia and two in northern Norway were included. At admission, demographic, clinical, and service use data were collected, in addition to an assessment of suicidal ideation and attempts, comprising five dichotomic questions. Data from 358 Norwegian and 465 Russian patients were analyzed with univariate and multivariate statistics. Within each cohort, attempters and ideators were compared with patients not reporting any suicidality.ResultsThe observed prevalence of suicidal ideation and attempts was significantly higher in the Norwegian cohort than in the Russian cohort (χ2 = 168.1, p < 0,001). Norwegian suicidal ideators and attempters had more depressed moods, more personality disorders, and greater problems with alcohol/drugs, but fewer psychotic disorders, cognitive problems or overactivity than non-suicidal patients. Russian suicidal ideators and attempters were younger, more often unemployed, had more depressed mood and adjustment disorders, but had fewer psychotic disorders and less alcohol/drug use than the non-suicidal patients.ConclusionsRates of suicidal ideation and non-fatal attempts in Norwegian patients were intermediate between those previously reported for patients admitted for the first time and those typical of chronic patients. However, the significantly lower rates of suicidal ideation and non-fatal attempts in our Russian cohort as compared with the Norwegian, contrasted with what might be expected in a region with much higher suicide rates than in northern Norway. We suggest that suicide-related stigma in Russia may reduce both patient reporting and clinicians’ recognition of suicidality. In both cohorts, overlapping risk profiles of ideators and attempters may indicate that ideators should be carefully evaluated and monitored, particularly those with depressed moods, alcohol/substance abuse disorders, and inadequate treatment continuity.

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“…Seeking treatment privately is also an option for those who can afford it. Assessment and treatment within primary care is rare [15,16,18,19]. However if those with depression and anxiety are more likely to attend general health care services this may equate with missed opportunities for care.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of symptoms, ever having received a diagnosis and treatment of depression and anxiety, and associations with health service use amongst the general population in two Russian cities

et al. 2020

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Background Little is known about the burden of common mental disorders in Russia despite high levels of suicide and alcohol-related mortality. Here we investigated levels of symptoms, self-reports of ever having received a diagnosis and treatment of anxiety and depression in two Russian cities. Methods The study population was men and women aged 35–69 years old participating in cross-sectional population-based studies in the cities of Arkhangelsk and Novosibirsk (2015–18). Participants completed an interview which included the PHQ-9 and GAD-7 scales, questions on whether participants had ever received a diagnosis of depression or anxiety, and health service use in the past year. Participants also reported current medication use and medications were coded in line with the WHO anatomical therapeutic classification (ATC). Depression was defined as PHQ-9 ≥ 10 and Anxiety as GAD-7 ≥ 10. Results Age-standardised prevalence of PHQ-9 ≥ 10 was 10.7% in women and 5.4% in men (GAD-7 ≥ 10 6.2% in women; 3.0% in men). Among those with PHQ-9 ≥ 10 17% reported ever having been diagnosed with depression (equivalent finding for anxiety 29%). Only 1.5% of those with PHQ-9 ≥ 10 reported using anti-depressants and 0.6% of those with GAD-7 ≥ 10 reported using anxiolytics. No men with PHQ-9 ≥ 10 and/or GAD-7 ≥ 10 reported use of anti-depressants or anxiolytics. Use of health services increased with increasing severity of both depression and anxiety. Conclusion There was a large gap between symptoms and reporting of past diagnosis and treatment of common mental disorders in two Russian cities. Interventions aimed at improving mental health literacy and reducing stigma could be of benefit in closing this substantial treatment gap.

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Treatment needs, diagnoses and use of services for acutely admitted psychiatric patients in northwest Russia and northern Norway

Cited by 7 publications

References 36 publications

Involuntary admission in Norwegian adult psychiatric hospitals: a systematic review

Involuntary admission in Norwegian adult psychiatric hospitals: a systematic review

Prevalence and characteristics of suicide attempters and ideators among acutely admitted psychiatric hospital patients in northwest Russia and northern Norway

Prevalence of symptoms, ever having received a diagnosis and treatment of depression and anxiety, and associations with health service use amongst the general population in two Russian cities

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