Hong Victor, Miller Fiona, Kentopp Shane, Reynard Hannah, Biermann Bernard, Beser Can, Shamshair Saad, Fay Bailey, Shobassy Ahmad, Stanley Michelle, Weston Cody, Ghaziuddin Mohammad, Ghaziuddin Neera
Department of Psychiatry, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI, 48105, USA.
J Autism Dev Disord. 2024 Dec 11. doi: 10.1007/s10803-024-06658-y.
There is a dearth of information about patients with autism spectrum disorder (ASD) or intellectual disability (ID) who seek emergency psychiatric care. Given this backdrop, this retrospective study aims to explore clinical, demographic, and disposition-related information about this patient population over a 10-year period.
This study includes individuals with ASD or ID (n = 1461) and had presented to a psychiatric emergency department between 2012 and 2021. Data were extracted using a structured chart review methodology, and included demographic, clinical and visit information. Bivariate and multivariate logistic regressions were estimated to explore associations between key variables and dispositions of interest.
Sample was predominantly White (77.21%), adolescent (mean age ± SD = 15.5 ± 4.3) and male (72.76%). The most common reason for their presentation was aggression towards others (36.39%). 28.27% of patients were psychiatrically hospitalized but 30% of those who needed hospitalization were discharged due to lack of inpatient bed availability.
This study adds to the limited literature about individuals with ASD or ID seeking emergency care. The results indicate a highly acute patient population with aggression, suicidal thoughts, and self-injurious behaviors who are frequently prescribed psychotropic medications and face barriers to accessing higher levels of care.
寻求紧急精神科护理的自闭症谱系障碍（ASD）或智力残疾（ID）患者的相关信息匮乏。在此背景下，这项回顾性研究旨在探讨该患者群体在10年期间的临床、人口统计学和处置相关信息。
本研究纳入了2012年至2021年间前往精神科急诊科就诊的ASD或ID患者（n = 1461）。采用结构化图表回顾方法提取数据，包括人口统计学、临床和就诊信息。进行双变量和多变量逻辑回归分析，以探讨关键变量与感兴趣的处置之间的关联。
样本主要为白人（77.21%）、青少年（平均年龄±标准差 = 15.5±4.3）且男性居多（72.76%）。他们就诊的最常见原因是对他人的攻击行为（36.39%）。28.27%的患者被精神科住院治疗，但30%需要住院治疗的患者因缺乏住院床位而出院。
本研究补充了关于寻求紧急护理的ASD或ID患者的有限文献。结果表明，这是一个急症程度很高的患者群体，存在攻击行为、自杀念头和自伤行为，经常被开具精神药物，且在获得更高水平护理方面面临障碍。
