精神科急诊室中的民事住院治疗。三、作为精神障碍和危险性指标函数的处置情况。
Civil commitment in the psychiatric emergency room. III. Disposition as a function of mental disorder and dangerousness indicators.
作者信息
Segal S P, Watson M A, Goldfinger S M, Averbuck D S
机构信息
Mental Health and Social Welfare Research Group, School of Social Welfare, University of California, Berkeley 94720.
出版信息
Arch Gen Psychiatry. 1988 Aug;45(8):759-63. doi: 10.1001/archpsyc.1988.01800320075010.
Abstract
In 251 evaluations observed in five California public psychiatric emergency rooms, patients who were retained, whether new to the system or having histories of hospitalization, rated higher on measures of danger to self, danger to others, and grave disability than patients who were released. They were also more severely symptomatic and more often given major diagnoses. The combination of dangerousness and mental disorder predicted disposition for 93% of new patients and 88% of recidivist patients. Impulsivity was the most influential aspect of mental disorder.
摘要
在对加利福尼亚州五家公立精神科急诊室的251次评估中，被留院观察的患者，无论其是新进入该系统还是有住院史，在对自身的危险性、对他人的危险性以及严重残疾程度的衡量指标上，得分均高于被放走的患者。他们的症状也更严重，且更常被做出主要诊断。危险性和精神障碍的组合对93%的新患者和88%的复发患者的处置情况具有预测作用。冲动性是精神障碍最具影响力的方面。
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