Sociodemographic, Circumstantial, and Psychopathological Predictors of Involuntary Admission of Patients with Acute Psychosis
Studies have consistently determined that patients with acute psychosis are more likely to be involuntarily admitted, although few studies examine specific risk factors of involuntary admission (IA) among this patient group. Data from all patients presenting in the psychiatric emergency department (...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-08-01
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| Series: | Psychiatry International |
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| Online Access: | https://www.mdpi.com/2673-5318/2/3/24 |
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| author | Johanna Seifert Christian Ihlefeld Tristan Zindler Christian K. Eberlein Maximilian Deest Stefan Bleich Sermin Toto Catharina Meissner |
| author_facet | Johanna Seifert Christian Ihlefeld Tristan Zindler Christian K. Eberlein Maximilian Deest Stefan Bleich Sermin Toto Catharina Meissner |
| author_sort | Johanna Seifert |
| collection | DOAJ |
| description | Studies have consistently determined that patients with acute psychosis are more likely to be involuntarily admitted, although few studies examine specific risk factors of involuntary admission (IA) among this patient group. Data from all patients presenting in the psychiatric emergency department (PED) over a period of one year were extracted. Acute psychosis was identified using specific diagnostic criteria. Predictors of IA were determined using logistic regression analysis. Out of 2533 emergency consultations, 597 patients presented with symptoms of acute psychosis, of whom 118 were involuntarily admitted (19.8%). Involuntarily admitted patients were more likely to arrive via police escort (odds ratio (OR) 10.94) or ambulance (OR 2.95), live in a psychiatric residency/nursing home (OR 2.76), report non-adherence to medication (OR 2.39), and were less likely to suffer from (comorbid) substance abuse (OR 0.53). Use of mechanical restraint was significantly associated with IA (OR 13.31). Among psychopathological aspects, aggressiveness was related to the highest risk of IA (OR 6.18), followed by suicidal intent (OR 5.54), disorientation (OR 4.66), tangential thinking (OR 3.95), and suspiciousness (OR 2.80). Patients stating fears were less likely to be involuntarily admitted (OR 0.25). By understanding the surrounding influencing factors, patient care can be improved with the aim of reducing the use of coercion. |
| first_indexed | 2024-03-10T07:16:32Z |
| format | Article |
| id | doaj.art-859a0193d3e3439890226e689d2a934c |
| institution | Directory Open Access Journal |
| issn | 2673-5318 |
| language | English |
| last_indexed | 2024-03-10T07:16:32Z |
| publishDate | 2021-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Psychiatry International |
| spelling | doaj.art-859a0193d3e3439890226e689d2a934c2023-11-22T15:01:32ZengMDPI AGPsychiatry International2673-53182021-08-012331032410.3390/psychiatryint2030024Sociodemographic, Circumstantial, and Psychopathological Predictors of Involuntary Admission of Patients with Acute PsychosisJohanna Seifert0Christian Ihlefeld1Tristan Zindler2Christian K. Eberlein3Maximilian Deest4Stefan Bleich5Sermin Toto6Catharina Meissner7Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, 30625 Hannover, GermanyDepartment of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, 30625 Hannover, GermanyDepartment of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, 30625 Hannover, GermanyDepartment of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, 30625 Hannover, GermanyDepartment of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, 30625 Hannover, GermanyDepartment of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, 30625 Hannover, GermanyDepartment of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, 30625 Hannover, GermanyDepartment of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, 30625 Hannover, GermanyStudies have consistently determined that patients with acute psychosis are more likely to be involuntarily admitted, although few studies examine specific risk factors of involuntary admission (IA) among this patient group. Data from all patients presenting in the psychiatric emergency department (PED) over a period of one year were extracted. Acute psychosis was identified using specific diagnostic criteria. Predictors of IA were determined using logistic regression analysis. Out of 2533 emergency consultations, 597 patients presented with symptoms of acute psychosis, of whom 118 were involuntarily admitted (19.8%). Involuntarily admitted patients were more likely to arrive via police escort (odds ratio (OR) 10.94) or ambulance (OR 2.95), live in a psychiatric residency/nursing home (OR 2.76), report non-adherence to medication (OR 2.39), and were less likely to suffer from (comorbid) substance abuse (OR 0.53). Use of mechanical restraint was significantly associated with IA (OR 13.31). Among psychopathological aspects, aggressiveness was related to the highest risk of IA (OR 6.18), followed by suicidal intent (OR 5.54), disorientation (OR 4.66), tangential thinking (OR 3.95), and suspiciousness (OR 2.80). Patients stating fears were less likely to be involuntarily admitted (OR 0.25). By understanding the surrounding influencing factors, patient care can be improved with the aim of reducing the use of coercion.https://www.mdpi.com/2673-5318/2/3/24coercionpsychiatrypsychopathologyemergency carelegal status |
| spellingShingle | Johanna Seifert Christian Ihlefeld Tristan Zindler Christian K. Eberlein Maximilian Deest Stefan Bleich Sermin Toto Catharina Meissner Sociodemographic, Circumstantial, and Psychopathological Predictors of Involuntary Admission of Patients with Acute Psychosis Psychiatry International coercion psychiatry psychopathology emergency care legal status |
| title | Sociodemographic, Circumstantial, and Psychopathological Predictors of Involuntary Admission of Patients with Acute Psychosis |
| title_full | Sociodemographic, Circumstantial, and Psychopathological Predictors of Involuntary Admission of Patients with Acute Psychosis |
| title_fullStr | Sociodemographic, Circumstantial, and Psychopathological Predictors of Involuntary Admission of Patients with Acute Psychosis |
| title_full_unstemmed | Sociodemographic, Circumstantial, and Psychopathological Predictors of Involuntary Admission of Patients with Acute Psychosis |
| title_short | Sociodemographic, Circumstantial, and Psychopathological Predictors of Involuntary Admission of Patients with Acute Psychosis |
| title_sort | sociodemographic circumstantial and psychopathological predictors of involuntary admission of patients with acute psychosis |
| topic | coercion psychiatry psychopathology emergency care legal status |
| url | https://www.mdpi.com/2673-5318/2/3/24 |
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