Department of Research, ARKIN Mental Health Care, Klaprozenweg 111, Amsterdam 1033NN, The Netherlands.
Psychiatr Serv. 2012 Jun;63(6):577-83. doi: 10.1176/appi.ps.201100080.
Social support for patients with a mental illness has been associated with a lower rate of hospitalization. It is important to clarify the role played by a lack of social support as a possible predictor of emergency compulsory admission.
A random sample of 252 patients who were evaluated by two psychiatric emergency teams in Amsterdam from September 2004 to September 2006 were interviewed approximately one month later about their social networks and social interactions. The number of emergency compulsory admissions was recorded for 244 patients during a two-year follow-up period after the interviews.
Patients who lived alone had a higher risk of compulsory admission (p≤.05) and had fewer people in their social network (4.6 versus 6.1, p≤.001) compared with patients who lived with others. Among patients who lived alone, the percentage of patients with a compulsory admission was significantly higher among the patients with a high score for negative interactions than among patients with a low score (34% versus 13%, p≤.05).
Of the social support variables, living alone proved to be the only predictor of emergency compulsory admission and readmission, and patients who lived alone had a smaller social network. A high level of negative social interactions increased the risk of compulsory admission among patients who lived alone.
社会支持与精神疾病患者的住院率降低有关。明确社会支持不足作为急诊强制入院的可能预测因素的作用非常重要。
2004 年 9 月至 2006 年 9 月期间，阿姆斯特丹的两个精神病急诊小组对 252 名患者进行了随机抽样，并在大约一个月后对他们的社交网络和社交互动情况进行了访谈。在访谈后的两年随访期间，记录了 244 名患者的急诊强制入院次数。
与与他人同住的患者相比，独居的患者强制入院的风险更高（p≤.05），社交网络中的人数也更少（4.6 人比 6.1 人，p≤.001）。在独居的患者中，与社交互动评分低的患者相比，社交互动评分高的患者的强制入院率显著更高（34%比 13%，p≤.05）。
在社会支持变量中，独居被证明是急诊强制入院和再次入院的唯一预测因素，独居的患者社交网络较小。高水平的负向社交互动增加了独居患者的强制入院风险。
