Characteristics of psychiatric emergencies and the choice of intervention strategies.
The aim of this study was to describe the sociodemographic, contextual and clinical characteristics of a consecutive sample of 3611 psychiatric emergency visits to a Swiss university general hospital, and to investigate their associations with different intervention strategies.
All consultations were documented by a questionnaire covering sociodemographic and diagnostic data as well as information about the consultation and the disposition decision.
In a total of 1093 cases (30.3%) no further emergency intervention was required, in 1287 cases (35.6%) patients were offered out-patient crisis intervention, and in 1231 cases (34.1%) patients were hospitalized.
Social integration and the presence of an easily recognizable precipitating stressor were associated with referral to out-patient crisis intervention.
In logistic regression analyses, referral by the police or by health professionals (in contrast to self-referral or referral by relatives), current diagnosis of a psychotic disorder, and previous hospitalizations were the most powerful predictors of hospitalization.
The presence of a precipitating stressor related to the patient's social network decreased the likelihood of hospitalization.
The findings indicate a need for facilities offering brief admission, allowing for extended emergency assessments.
Mots-clés Pascal : Admission hôpital, Urgence psychiatrique, Trouble psychiatrique, Prise décision, Traitement, Symptomatologie, Facteur sociodémographique, Contexte, Organisation santé, Suisse, Europe, Santé mentale, Homme
Mots-clés Pascal anglais : Hospital admission, Psychiatric emergency, Mental disorder, Decision making, Treatment, Symptomatology, Sociodemographic factor, Context, Public health organization, Switzerland, Europe, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0278194
Code Inist : 002B18H05B. Création : 16/11/1999.