Research Department, ARKIN Mental Health Care, Amsterdam, Netherlands.
Psychiatr Serv. 2009 Nov;60(11):1543-6. doi: 10.1176/appi.ps.60.11.1543.
This brief report presents initial data from the Amsterdam Study of Acute Psychiatry (ASAP-I) about factors associated with the decision to admit patients compulsorily (involuntarily) to emergency psychiatric services in the Amsterdam region of the Netherlands.
The study was a prospective cohort study of 1,970 consecutive patients who came into contact with the Psychiatric Emergency Service Amsterdam.
A history of more than 14 outpatient contacts the previous year was associated with a low risk of compulsory admission (OR=.3). An involuntary admission in the previous five years was associated with a higher risk (OR=3.7). Referral by a general practitioner was associated with a low risk compared with referral by police (OR=2.4) or by mental health services (OR=2.3).
The hypothesis that outpatient treatment may help to prevent compulsory admission found some support in this study. More research is needed to understand the mechanisms of the associations so that an intervention study can be developed to test this hypothesis.
本简要报告介绍了阿姆斯特丹急性精神病学研究（ASAP-I）的初步数据，这些数据涉及与荷兰阿姆斯特丹地区将患者强制（非自愿）收治到急诊精神科服务机构的决定相关的因素。
该研究是一项对 1970 名连续接触阿姆斯特丹精神科急诊服务的患者进行的前瞻性队列研究。
与低强制入院风险（OR=.3）相关的因素包括：前一年门诊就诊次数超过 14 次；与高强制入院风险（OR=3.7）相关的因素包括：前五年内被强制入院。与警察（OR=2.4）或精神卫生服务机构（OR=2.3）相比，由全科医生转介与低风险相关。
本研究对门诊治疗可能有助于预防强制入院的假设提供了一些支持。需要进一步研究以了解关联的机制，以便能够开展干预研究来检验这一假设。
