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Titolo:
Observation levels in acute psychiatric admissions
Autore:
Langenbach, M; Junaid, O; Hodgson-Nwaefulu, CM; Kennedy, J; Moorhead, SR; Ruiz, P;
Indirizzi:
Univ Cologne, Dept Psychosomat & Psychotherapy, D-50924 Cologne, Germany Univ Cologne Cologne Germany D-50924 hotherapy, D-50924 Cologne, Germany City Hosp, St Francis Unit, Nottingham NG5 1PB, England City Hosp Nottingham England NG5 1PB s Unit, Nottingham NG5 1PB, England Harrogate Dist Hosp, Harrogate HG2 7SX, England Harrogate Dist Hosp Harrogate England HG2 7SX Harrogate HG2 7SX, England Univponwcastle Upon Tyne, Royal Victoria Infirm, Dept Psychiat, Newcastle U Univ Newcastle Upon Tyne Newcastle Upon Tyne Tyne & Wear England NE1 4LP Child & Family Psychiat, Derby DE1 3HB, England Child & Family Psychiat Derby England DE1 3HB at, Derby DE1 3HB, England Psychiat Zentrum, Poliklin, NL-2500 NA Den Haag, Netherlands Psychiat Zentrum Den Haag Netherlands NL-2500 NA A Den Haag, Netherlands
Titolo Testata:
EUROPEAN ARCHIVES OF PSYCHIATRY AND CLINICAL NEUROSCIENCE
fascicolo: 1, volume: 249, anno: 1999,
pagine: 28 - 33
SICI:
0940-1334(199902)249:1<28:OLIAPA>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
RISK ASSESSMENT; HOSPITALS; BEHAVIOR; INPATIENTS; SECLUSION; VIOLENCE;
Keywords:
dangerous behaviour; hospital-patient relations; psychiatric hospitals; risk assessment; suicide;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
38
Recensione:
Indirizzi per estratti:
Indirizzo: Langenbach, M Univ Cologne, Dept Psychosomat & Psychotherapy, D-50924 Cologne, Germany Univ Cologne Cologne Germany D-50924 0924 Cologne, Germany
Citazione:
M. Langenbach et al., "Observation levels in acute psychiatric admissions", EUR ARCH PS, 249(1), 1999, pp. 28-33

Abstract

It was our objective to compare the influence of patients' variables and circumstances of admission on the use of observation levels in acute psychiatric admissions in a British mental health unit. We performed a prospectivecase note survey of all acute psychiatric admissions during 28 consecutivedays in June and July 1991 within a large teaching hospital and a traditional psychiatric hospital in Nottingham, England. We compared, the demographic characteristics of 88 consecutive admissions, admission procedures, clinical data, initial observation levels and changes in observation levels. Asfor the results, most patients were admitted outside of regular. working hours (weekends or after 5 p.m.). Most patients were placed on intermediate (close) observation. The most important factor associated with the choice of observation level was the legal status of the patient (chi(2) = 14.79, df= 2, p < 0.001, Fisher's exact test p < 0.0001). There were significantly fewer incidents (chi(2) = 7.72, df = 2, p < 0.05, Fisher's exact test p < 0.01) on the highest (special) category of observation. The observation policy of the unit was not followed consistently. The number of factors contributing to the choice of observation levels reflects the complexity of the task facing the staff. Special observation is an effective method of managingacutely disturbed patients. The time of admission of most patients impliesthat more trained staff should be provided outside of regular hours. Clinical staff should be regularly trained in the use of observation procedures. It should be a regular topic in clinical audit.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/06/20 alle ore 02:05:47