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• W137802400 abstract "Back to table of contents Previous article Next article No AccessFactors influencing disposition decisions for patients seen in a psychiatric emergency servicePublished Online:1 Apr 2006https://doi.org/10.1176/ps.46.7.712AboutSectionsView articleAbstractPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail View articleAbstractOBJECTIVE: The study examined factors influencing clinicians' decisions about disposition of patients seen in a psychiatric emergency service. METHODS: A stratified random unduplicated retrospective sample of 378 patient records was drawn from the records of 1,823 patients who visited the emergency service of an acute care psychiatric hospital in Israel during a seven-month period. Patients were selected from each of the following dispositions: not admitted (N = 96), discharged after brief observation in the emergency service (N = 90), admitted to a open unit (N = 104), and admitted to a locked unit (N = 88). Data on demographic and clinical characteristics of patients and on some clinician and system variables were analyzed using univariate statistical techniques and stepwise logistic regression. RESULTS: Patients were more likely to be admitted if they were judged by clinicians to be suicidal, had more than three previous hospitalizations, were psychotic, had suicidal behavior as the presenting complaint, and were brought to the hospital involuntarily. Variables favoring assignment to a locked unit were age between 20 and 30, dangerousness to self or others, male gender, and a low Global Assessment of Functioning score. CONCLUSIONS: Patients' level of psychopathology and dangerousness were the primary factors influencing clinicians' decisions about disposition of patients from the emergency service. Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Purchase Save for later Item saved, go to cart PPV Articles - Psychiatric Services $35.00 Add to cart PPV Articles - Psychiatric Services Checkout Please login/register if you wish to pair your device and check access availability. Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development. Need more help? 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FiguresReferencesCited byDetailsCited byÉvaluation de l’activité dans les unités d’urgence psychiatrique : une application de la méthode DelphiL'Encéphale, Vol. 49, No. 2Applying Bowen Theory to Psychiatric Assessment and Disposition in the ED1 February 2021 | Journal of the American Psychiatric Nurses Association, Vol. 29, No. 1Compulsory and voluntary admissions in comparison: A 9-year long observational study19 December 2021 | International Journal of Social Psychiatry, Vol. 68, No. 8Impact of compulsory admission on treatment and outcome: A propensity score matched analysis18 January 2022 | European Psychiatry, Vol. 65, No. 1Suicide risk, personality disorder and hospital admission after assessment by psychiatric emergency services23 May 2019 | BMC Psychiatry, Vol. 19, No. 1Disparities in Access to Mental Health Services Among Patients Hospitalized for Deliberate Drug OverdoseElizabeth Charron, M.P.H., Ellen C. Francis, M.S., Smith F. Heavner-Sullivan, M.S., R.N., Khoa D. Truong, Ph.D., M.Phil.14 May 2019 | Psychiatric Services, Vol. 70, No. 9L'Encéphale, Vol. 45, No. 1Psychosomatics, Vol. 59, No. 4BJPsych Bulletin, Vol. 42, No. 1L'Encéphale, Vol. 43, No. 5Individual, social and contextual factors associated with psychiatric care outcomes among patients with intellectual disabilities in the emergency department2 June 2015 | Journal of Intellectual Disability Research, Vol. 59, No. 11General Hospital Psychiatry, Vol. 37, No. 6Interprofessional Differences in Disposition Decisions: Results From a Standardized Web-Based Patient AssessmentTristan Gorrindo, M.D., Elizabeth Goldfarb, B.A., Lydia Chevalier, B.S., Bettina B. Hoeppner, Ph.D., M.S., Robert J. Birnbaum, M.D., Ph.D., Benjamin Meller, B.S., Jonathan E. Alpert, M.D., Ph.D., John Herman, M.D., and Anthony P. Weiss, M.D., M.B.A.1 August 2013 | Psychiatric Services, Vol. 64, No. 8General Hospital Psychiatry, Vol. 33, No. 6Journal of Mental Health Research in Intellectual Disabilities, Vol. 4, No. 3Crisis Intervention and Acute Psychiatry in Amsterdam, 20 Years of Change: a Historical Comparison of Consultations in 1983 and 2004—200517 July 2009 | International Journal of Social Psychiatry, Vol. 56, No. 4Sociology of Health & Illness, Vol. 32, No. 3Interface - Comunicação, Saúde, Educação, Vol. 14, No. 32Factors Related to Admission of Psychiatric Patients to Medical Wards from the General Hospital Emergency Department: A 3-Year Study of Urgent Psychiatric Consultations3 September 2009 | The International Journal of Psychiatry in Medicine, Vol. 39, No. 2Annales Médico-psychologiques, revue psychiatrique, Vol. 167, No. 3General Hospital Psychiatry, Vol. 30, No. 3Residential Treatment For Children & Youth, Vol. 24, No. 3Is Readmission a Valid Indicator of the Quality of Inpatient Psychiatric Care?17 April 2007 | The Journal of Behavioral Health Services & Research, Vol. 34, No. 2Social Psychiatry and Psychiatric Epidemiology, Vol. 41, No. 10Sociology of Health and Illness, Vol. 0, No. 0Special Section on the GAF: Determinants of Indicated Versus Actual Level of Care in Psychiatric Emergency ServicesCornelis L. Mulder, M.D., Gerrit T. Koopmans, Ph.D., and John S. Lyons, Ph.D.1 April 2005 | Psychiatric Services, Vol. 56, No. 4Social Psychiatry and Psychiatric Epidemiology, Vol. 40, No. 10Psychiatric Quarterly, Vol. 76, No. 2Attempted Suicide: Factors Leading to Hospitalization1 November 2004 | The Canadian Journal of Psychiatry, Vol. 49, No. 11Patient and Contextual Factors Related to the Decision to Hospitalize Patients From Emergency Psychiatric ServicesLindsey George, M.D., M.E.S., Janet Durbin, M.Sc., Tess Sheldon, M.Sc., and Paula Goering, Ph.D.1 December 2002 | Psychiatric Services, Vol. 53, No. 12Epidemiology and Psychiatric Sciences, Vol. 11, No. 4Emergency Psychiatry: A Managed Care PerspectivePsychiatric Annals, Vol. 30, No. 4Involuntary First Admission of Patients With Schizophrenia as a Predictor of Future AdmissionsShmuel Fennig, M.D., Jonathan Rabinowitz, D.S.W., and Silvana Fennig, M.D.1 August 1999 | Psychiatric Services, Vol. 50, No. 8Patient-Disease Characteristics and Coping Strategies Predict Hospitalization in Emergency Psychiatry24 June 2016 | The International Journal of Psychiatry in Medicine, Vol. 29, No. 1Psychiatric Clinics of North America, Vol. 22, No. 4Acta Psychiatrica Scandinavica, Vol. 99, No. 3The Journal of Behavioral Health Services & Research, Vol. 25, No. 3Clinical Psychology: Science and Practice, Vol. 4, No. 2Impact of Medicaid managed care on child and adolescent emergency mental health screening in Massachusetts [published erratum appears in Psychiatr Serv 1997 Feb;48(2):230]1 April 2006 | Psychiatric Services, Vol. 47, No. 12 Volume 46Issue 7 July 1995Pages 712-718 Metrics PDF download History Published online 1 April 2006 Published in print 1 July 1995" @default.
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