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  1. Patient-disease characteristics and coping strategies predict hospitalization in emergency psychiatry.

    Article - En anglais

    Objective 

    The goal of this study was to analyze how far patient-disease characteristics (sociodemographic variables, previous psychiatric treatment, way of referral, the patient's current diagnosis), and the patient's coping strategies are connected with the consecutive disposition for inpatient or outpatient treatment.

    Methods 

    Data from a one-year intake of the psychiatric emergency service at a University Hospital (N=1439) were monitored and analyzed with regard to the decision on treatment.

    Four hundred eighty-one patients were hospitalized and 530 were assigned to outpatient treatment.

    Two subsamples of twenty-eight patients from each group filled out the Bernese Coping Modes questionnaire before the decision with regard to the treatment disposition was taken.

    Rcsults : The patient's psychiatric history, the way of referral as well as the current axis I diagnosis made a significant contribution to the treatment decision.

    Overall, patient-disease characteristics allowed for correct classification of 69.3 percent of cases.

    However, coping was a comparable predictor of hospitalization.

    Conclusions 

    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.

    Mots-clés Pascal : Hospitalisation, Urgence psychiatrique, Prédiction, Antécédent, Trouble psychiatrique, Facteur sociodémographique, Orientation, Malade, Diagnostic, Santé mentale, Homme

    Mots-clés Pascal anglais : Hospitalization, Psychiatric emergency, Prediction, Antecedent, Mental disorder, Sociodemographic factor, Orientation, Patient, Diagnosis, Mental health, Human

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

    Cote : 99-0361487

    Code Inist : 002B18I09. Création : 14/12/1999.