加拿大某城市的精神科急诊服务：II. 临床特征及患者处置情况

Psychiatric emergency services in a Canadian city: II. Clinical characteristics and patients' disposition.

作者信息

Oyewumi L K, Odejide O, Kazarian S S

机构信息

Clinical Evaluation Unit, London Psychiatric Hospital, University of Western Ontario.

出版信息

Can J Psychiatry. 1992 Mar;37(2):96-9. doi: 10.1177/070674379203700204.

DOI:10.1177/070674379203700204

PMID:1348658

Abstract

The clinical characteristics of patients seen at the psychiatric emergency facilities in a Canadian city and the determinants of decisions regarding their treatment were investigated. A total of 544 patients who sought psychiatric emergency services from the three hospitals in Saskatoon during a three month period were studied. Cognitive disturbance, past psychiatric history, previous psychiatric hospitalization and diagnoses of substance use disorders, affective disorders, anxiety disorders and schizophrenic disorders were associated with psychiatric emergencies. Psychiatric diagnoses and availability of social support were significantly associated with disposition. The implications of these findings for psychiatric emergency services are discussed.

摘要

对加拿大一个城市精神科急诊机构中患者的临床特征以及有关其治疗决策的决定因素进行了调查。对在三个月期间从萨斯卡通市三家医院寻求精神科急诊服务的544名患者进行了研究。认知障碍、既往精神病史、既往精神科住院治疗以及物质使用障碍、情感障碍、焦虑症和精神分裂症的诊断与精神科急诊相关。精神科诊断和社会支持的可获得性与处置情况显著相关。讨论了这些发现对精神科急诊服务的影响。