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Titolo:
FACTORS PREDICTIVE OF REFERRAL TO PSYCHIATRIC-HOSPITAL AMONG GENERAL-HOSPITAL PSYCHIATRIC CONSULTATIONS
Autore:
VIINAMAKI H; TIENARI P; NISKANEN L; NISKANEN M; LEPPAVUORI A; HILTUNEN P; RAHIKKALA H; HERZOG T; MALT UF; LOBO A; HUYSE FJ;
Indirizzi:
KUOPIO UNIV HOSP,DEPT PSYCHIAT,POB 1777 FIN-70211 KUOPIO FINLAND KUOPIO UNIV HOSP,DEPT MED FIN-70211 KUOPIO FINLAND KUOPIO UNIV HOSP,DEPT INTENS CARE & ANAESTHESIOL FIN-70211 KUOPIO FINLAND OULU UNIV HOSP,DEPT PSYCHIAT OULU FINLAND HELSINKI UNIV HOSP,DEPT PSYCHIAT HELSINKI FINLAND UNIV FREIBURG,DEPT PSYCHOTHERAPY & PSYCHOSOMAT MED FREIBURG GERMANY UNIV OSLO,DEPT PSYCHOSOMAT & BEHAV MED OSLO NORWAY UNIV ZARAGOZA,PSYCHIAT SERV ZARAGOZA SPAIN FREE UNIV AMSTERDAM HOSP,DEPT PSYCHIAT AMSTERDAM NETHERLANDS
Titolo Testata:
Acta psychiatrica Scandinavica
fascicolo: 1, volume: 97, anno: 1998,
pagine: 47 - 54
SICI:
0001-690X(1998)97:1<47:FPORTP>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
ADMISSION DECISIONS; LIAISON PSYCHIATRY; EMERGENCY ROOM; CLASSIFICATION; DETERMINANTS; MORBIDITY; ACCIDENT; MODEL; CARE;
Keywords:
CONSULTATION LIAISON; HOSPITALIZATION; PREDICTION; PSYCHIATRIC CARE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Citazioni:
33
Recensione:
Indirizzi per estratti:
Citazione:
H. Viinamaki et al., "FACTORS PREDICTIVE OF REFERRAL TO PSYCHIATRIC-HOSPITAL AMONG GENERAL-HOSPITAL PSYCHIATRIC CONSULTATIONS", Acta psychiatrica Scandinavica, 97(1), 1998, pp. 47-54

Abstract

The aim of this paper was to explore the factors necessitating psychiatric hospital care in a Finnish multi-centre study of general hospital in-patients referred for psychiatric consultation. The study group consisted of 1251 patients referred to psychiatric hospital (n=181) anda comparison group (n=1070) consisting of subjects who were not referred. Differences between groups were studied by univariate analysis. Logistic regression analysis was used both to assess the factors contributing to referral to psychiatric hospital and to create predictive models. The validity of the models was analysed by means of receiver operating characteristic (ROC) curves in an independent sample. Psychiatric hospital care during the previous 5 years was associated with a 3.7-fold (odds ratio) increased risk of hospitalization. A diagnosis of psychosis was associated with a 2.9-fold increased risk, and attempted suicide as a reason for consultation was associated with a 2.1-fold increased risk. Not being married doubled the risk, and the odds ratio was also high in cases of poor psychosocial functioning (as assessed byGlobal Assessment of Functioning (GAF) score). The predictive model differentiated reasonably well between those patients who were hospitalized and the other patients. In conclusion, this multi-centre study offactors predictive of referral to psychiatric hospital among general hospital patients revealed that the most important determinants were previous psychiatric care, diagnosis of psychosis or severe depression,attempted suicide, being unmarried, and poor psychosocial functioningas assessed by GAF score.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 09/07/20 alle ore 22:15:50