In the search for population-based indicators of need for mental health services, psychiatric admission rates have been correlated with sociodemographic variables.
We explored such correlations for different diagnostic groups.
Admissions data for the 19 districts in the North West Region were derived from the Korner Episode System for 1992/3 and divided into eight broad diagnostic groups using ICD-9 codes.
Admission rates per 1000 were correlated with measures of deprivation derived from the 1991 census data and with standardised mortality ratios.
For the two largest diagnostic groups, correlations with age-standardised admission rates were also calculated.
For schizophrenia/delusional disorder, eight of the 10 sociodemographic measures were significantly correlated with admission rates (Pearson's r 0.52-0.79).
On all measures these correlations were greater than those seen for total mental illness.
The association between psychiatric admission rates and measures of deprivation varies considerably with diagnosis.
Measures of social deprivation may indicate need for services for patients with psychotic disorders ; admission rates for non-psychotic illnesses may reflect the availability of beds rather than need.
Mots-clés Pascal : Trouble psychiatrique, Admission hôpital, Hôpital psychiatrique, Isolement social, Environnement social, Etude comparative, Diagnostic, Besoin, Service santé, Santé mentale, Royaume Uni, Europe, Homme
Mots-clés Pascal anglais : Mental disorder, Hospital admission, Psychiatric hospital, Social isolation, Social environment, Comparative study, Diagnosis, Need, Health service, Mental health, United Kingdom, Europe, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0564572
Code Inist : 002B18H05B. Création : 01/03/1996.