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  1. Characteristics of psychiatric emergencies and the choice of intervention strategies.

    Article - En anglais

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0278194

    Code Inist : 002B18H05B. Création : 16/11/1999.