Safer D J
Department of Psychiatry, School of Medicine, Johns Hopkins University, Baltimore, USA.
Am J Orthopsychiatry. 1995 Apr;65(2):298-303. doi: 10.1037/h0079619.
A chart review was undertaken in three community mental health centers and an emergency room to compare psychiatric diagnoses given to youths as outpatients with those they had previously received as inpatients. Major disparities between the two sets of diagnoses were evident. A profound underdiagnosis of conduct disorder and a selective overdiagnosis of unipolar depression occurred in hospitals. Implications of the findings are discussed.
在三个社区心理健康中心和一个急诊室进行了一项图表审查，以比较给予青少年门诊患者的精神科诊断与他们之前作为住院患者所接受的诊断。两组诊断之间存在明显差异。医院中存在品行障碍的严重诊断不足和单相抑郁症的选择性诊断过度。讨论了研究结果的意义。
