Gillis L S, Elk R, Trichard L, Le Fevre K, Zabow A, Joffe H, Van Schalkwyk D J
Psychol Med. 1982 Feb;12(1):159-68. doi: 10.1017/s0033291700043415.
Elderly persons over the age of 60 who were admitted for psychiatric care were compared with a random sample of persons living in the same community in respect of psychiatric, medical and socio-economic variables. The group admitted to hospital for psychiatric reasons was very similar to the latter in general characteristics. However, those people admitted to old age homes, which are the other major resource of psychiatric illness, constitute a distinctly separate population, being older and having considerably more physical illnesses and socio-economic problems. Factors predicting admission to an old age home were largely irremediable age-related conditions (dementia, physical infirmity, etc.), but there were also adverse social circumstances, including marked isolation and a lack of social and emotional support. A comparative analysis of the many psychiatric, social and medical factors is presented, with particular reference to reasons for referral and prevention of admission.
将因精神疾病接受治疗而入院的60岁以上老年人，与居住在同一社区的随机抽样人群在精神、医疗和社会经济变量方面进行了比较。因精神疾病原因入院的人群在总体特征上与后者非常相似。然而，那些入住养老院（精神疾病的另一主要来源）的人构成了一个明显不同的群体，他们年龄更大，身体疾病和社会经济问题也更多。预测入住养老院的因素主要是不可治愈的与年龄相关的状况（痴呆、身体虚弱等），但也存在不利的社会环境，包括明显的孤立以及缺乏社会和情感支持。本文对众多精神、社会和医学因素进行了比较分析，特别提及了转诊原因和预防入院的问题。
