Sociodemographic and Clinical Correlates Associated with the Frequent Service Users in an Italian Psychiatric Emergency Department
Background: The aim of the present study is to identify the main sociodemographic and clinical correlates associated with frequent service users (FSUs) in an Italian psychiatric emergency department. Methods: This study is an observational and prospective clinical investigation. All subjects (N = 54...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-01-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/13/3/430 |
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| author | Andrea Aguglia Giovanni Pietro Corsini Alessandra Costanza Andrea Berti Edoardo Bruno Andrea Escelsior James Sanvi Alice Trabucco Eleonora Vai Andrea Amerio Gianluca Serafini Mario Amore |
| author_facet | Andrea Aguglia Giovanni Pietro Corsini Alessandra Costanza Andrea Berti Edoardo Bruno Andrea Escelsior James Sanvi Alice Trabucco Eleonora Vai Andrea Amerio Gianluca Serafini Mario Amore |
| author_sort | Andrea Aguglia |
| collection | DOAJ |
| description | Background: The aim of the present study is to identify the main sociodemographic and clinical correlates associated with frequent service users (FSUs) in an Italian psychiatric emergency department. Methods: This study is an observational and prospective clinical investigation. All subjects (N = 549) consecutively admitted to the Psychiatric Inpatient Unit of the IRCCS Ospedale Policlinico San Martino ((Genoa, Italy) were recruited over a period of 18 months. Results: On average, FSUs were more likely to be single (75.0% vs. 64.0, <i>p</i> = 0.001), younger (38.79 years ± 14.68 vs. 45.94 years ± 16.94, <i>p</i> = 0.028), with an earlier onset (20.15 years ± 7.22 vs. 29.33 years ± 15.96, <i>p</i> < 0.001), and longer length of hospitalisation (13.65 days ± 12.40 vs. 9.89 ± 10.15, <i>p</i> = 0.006) compared to non-FSUs. While bipolar disorder was the most common primary diagnosis in both FSUs and non-FSUs, cluster B personality disorder was particularly elevated in FSUs (30.3% vs. 10.4%, <i>p</i> < 0.001). Furthermore, FSUs were more prone to substance use disorder (63.6% vs. 40.0%, <i>p</i> < 0.001), particularly cannabis (45.5% vs. 15.3%, <i>p</i> < 0.001), cocaine (33.3% vs. 10.4%, <i>p</i> < 0.001), and heroin (19.7% vs. 5.8%, <i>p</i> < 0.001), and were more likely to have non-suicidal self-injuries (21.2% vs. 6.8%, <i>p</i> < 0.001). FSUs were significantly more likely to be discharged against medical advice (18.2% vs. 5.6%, <i>p</i> < 0.001) or to have at least one escape attempt from the psychiatric ward (12.1% vs. 0.8%, <i>p</i> < 0.001). Conclusions: Specific clinical and social profiles of patients who repeatedly utilised the services of a psychiatric emergency department have been identified. Our findings can be used to develop suitable structures to support and reintegrate FSUs into society and work life. |
| first_indexed | 2024-03-11T09:48:43Z |
| format | Article |
| id | doaj.art-0fbd05c847554eb497d30dafef4dedbf |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-11T09:48:43Z |
| publishDate | 2023-01-01 |
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| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-0fbd05c847554eb497d30dafef4dedbf2023-11-16T16:24:36ZengMDPI AGDiagnostics2075-44182023-01-0113343010.3390/diagnostics13030430Sociodemographic and Clinical Correlates Associated with the Frequent Service Users in an Italian Psychiatric Emergency DepartmentAndrea Aguglia0Giovanni Pietro Corsini1Alessandra Costanza2Andrea Berti3Edoardo Bruno4Andrea Escelsior5James Sanvi6Alice Trabucco7Eleonora Vai8Andrea Amerio9Gianluca Serafini10Mario Amore11Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, Section of Psychiatry, University of Genoa, 16132 Genoa, ItalyIstituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Ospedale Policlinico San Martino, 16132 Genoa, ItalyDepartment of Psychiatry, Faculty of Medicine, University of Geneva (UNIGE), 1211 Geneva, SwitzerlandDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, Section of Psychiatry, University of Genoa, 16132 Genoa, ItalyDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, Section of Psychiatry, University of Genoa, 16132 Genoa, ItalyDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, Section of Psychiatry, University of Genoa, 16132 Genoa, ItalyDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, Section of Psychiatry, University of Genoa, 16132 Genoa, ItalyDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, Section of Psychiatry, University of Genoa, 16132 Genoa, ItalyDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, Section of Psychiatry, University of Genoa, 16132 Genoa, ItalyDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, Section of Psychiatry, University of Genoa, 16132 Genoa, ItalyDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, Section of Psychiatry, University of Genoa, 16132 Genoa, ItalyDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, Section of Psychiatry, University of Genoa, 16132 Genoa, ItalyBackground: The aim of the present study is to identify the main sociodemographic and clinical correlates associated with frequent service users (FSUs) in an Italian psychiatric emergency department. Methods: This study is an observational and prospective clinical investigation. All subjects (N = 549) consecutively admitted to the Psychiatric Inpatient Unit of the IRCCS Ospedale Policlinico San Martino ((Genoa, Italy) were recruited over a period of 18 months. Results: On average, FSUs were more likely to be single (75.0% vs. 64.0, <i>p</i> = 0.001), younger (38.79 years ± 14.68 vs. 45.94 years ± 16.94, <i>p</i> = 0.028), with an earlier onset (20.15 years ± 7.22 vs. 29.33 years ± 15.96, <i>p</i> < 0.001), and longer length of hospitalisation (13.65 days ± 12.40 vs. 9.89 ± 10.15, <i>p</i> = 0.006) compared to non-FSUs. While bipolar disorder was the most common primary diagnosis in both FSUs and non-FSUs, cluster B personality disorder was particularly elevated in FSUs (30.3% vs. 10.4%, <i>p</i> < 0.001). Furthermore, FSUs were more prone to substance use disorder (63.6% vs. 40.0%, <i>p</i> < 0.001), particularly cannabis (45.5% vs. 15.3%, <i>p</i> < 0.001), cocaine (33.3% vs. 10.4%, <i>p</i> < 0.001), and heroin (19.7% vs. 5.8%, <i>p</i> < 0.001), and were more likely to have non-suicidal self-injuries (21.2% vs. 6.8%, <i>p</i> < 0.001). FSUs were significantly more likely to be discharged against medical advice (18.2% vs. 5.6%, <i>p</i> < 0.001) or to have at least one escape attempt from the psychiatric ward (12.1% vs. 0.8%, <i>p</i> < 0.001). Conclusions: Specific clinical and social profiles of patients who repeatedly utilised the services of a psychiatric emergency department have been identified. Our findings can be used to develop suitable structures to support and reintegrate FSUs into society and work life.https://www.mdpi.com/2075-4418/13/3/430frequent service userssubstancespersonality disordersmood disordersemergency psychiatrycocaine |
| spellingShingle | Andrea Aguglia Giovanni Pietro Corsini Alessandra Costanza Andrea Berti Edoardo Bruno Andrea Escelsior James Sanvi Alice Trabucco Eleonora Vai Andrea Amerio Gianluca Serafini Mario Amore Sociodemographic and Clinical Correlates Associated with the Frequent Service Users in an Italian Psychiatric Emergency Department Diagnostics frequent service users substances personality disorders mood disorders emergency psychiatry cocaine |
| title | Sociodemographic and Clinical Correlates Associated with the Frequent Service Users in an Italian Psychiatric Emergency Department |
| title_full | Sociodemographic and Clinical Correlates Associated with the Frequent Service Users in an Italian Psychiatric Emergency Department |
| title_fullStr | Sociodemographic and Clinical Correlates Associated with the Frequent Service Users in an Italian Psychiatric Emergency Department |
| title_full_unstemmed | Sociodemographic and Clinical Correlates Associated with the Frequent Service Users in an Italian Psychiatric Emergency Department |
| title_short | Sociodemographic and Clinical Correlates Associated with the Frequent Service Users in an Italian Psychiatric Emergency Department |
| title_sort | sociodemographic and clinical correlates associated with the frequent service users in an italian psychiatric emergency department |
| topic | frequent service users substances personality disorders mood disorders emergency psychiatry cocaine |
| url | https://www.mdpi.com/2075-4418/13/3/430 |
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