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• W2340471100 abstract "Back to table of contents Previous article Next article No AccessChronic crisis patients: a discrete clinical groupPublished Online:1 Apr 2006https://doi.org/10.1176/ajp.137.12.1513AboutSectionsView articleAbstractPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail View articleAbstractPatients who made repeated visits to a psychiatric emergency ward and who were studied appeared to comprise a discrete clinical group characterized by a distinct symptom profile, common psychiatric history, and similar styles of interacting with caretakers. They generally did not differ from nonrepeater patients with regard to acute symptomatology but were hospitalized more frequently. They were generally negativistic, had a lengthy psychiatric history consisting of multiple inpatient hospitalizations and current outpatient treatments, and had difficulty establishing rapport with the emergency ward therapists, often evoking intense feelings of dislike. The authors offer an approach to the management of these patients based on an understanding of their cycle of seeking and rejecting help. 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 - American Journal of Psychiatry $35.00 Add to cart PPV Articles - American Journal of Psychiatry 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? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.). FiguresReferencesCited byDetailsCited byInternational Journal of Mental Health Systems, Vol. 10, No. 1Frequent callers to crisis helplines: Who are they and why do they call?27 June 2014 | Australian & New Zealand Journal of Psychiatry, Vol. 49, No. 1Archives of Psychiatric Nursing, Vol. 27, No. 4Case-Control Study of Frequent Visitors to an Urban Psychiatric Emergency ServiceCynthia L. Arfken, Ph.D., Lori L. Zeman, Ph.D., Lindsay Yeager, B.A., Aja White, B.A., Edward Mischel, M.S.W., and Alireza Amirsadri, M.D.1 March 2004 | Psychiatric Services, Vol. 55, No. 3Clinical Pediatric Emergency Medicine, Vol. 5, No. 3Journal of Adolescent Health, Vol. 30, No. 5Psychiatry Research, Vol. 104, No. 1Diferencias sexuales en las tasas de contacto y utilización de los servicios psiquiátricos. Un estudio de seguimiento de tres años en el norte de Finlandia12 May 2020 | European psychiatry (Ed. Española), Vol. 7, No. 8European Psychiatry, Vol. 15, No. 3El estudio comparativo nórdico sobre psiquiatría sectorizada: hospitalizaciones repetidas de urgencia durante un seguimiento de un año12 May 2020 | European psychiatry (Ed. Española), Vol. 6, No. 4The Nordic comparative study on sectorised psychiatry: repeated emergency admissions to inpatient care during a 1-year follow-up16 April 2020 | European Psychiatry, Vol. 13, No. 8Factors Associated With Involuntary Return to a Psychiatric Emergency Service Within 12 MonthsSteven P. Segal, Ph.D., Phillip D. Akutsu, Ph.D., and Margaret A. Watson, D.S.W.1 September 1998 | Psychiatric Services, Vol. 49, No. 9El Estudio nórdico Comparativo Sobre Psiquiatría Sectorizada: Características de los Usuarios Repetidores de los Servicios Ambulatorios de Urgencia en dos Servicios Psiquiátricos Nórdicos. Un Estudio de Seguimiento de un Año12 May 2020 | European psychiatry (Ed. Española), Vol. 5, No. 5The Nordic comparative study on sectorized psychiatry: characteristics of repeat users of emergency outpatient services in two Nordic psychiatric services. A 1-year follow-up study16 April 2020 | European Psychiatry, Vol. 13, No. 1Journal of Psychiatric and Mental Health Nursing, Vol. 5, No. 5Medical Journal of Australia, Vol. 167, No. 11-12Community determinants of psychiatric hospitalization and length of staySocio-Economic Planning Sciences, Vol. 30, No. 1British Journal of Psychotherapy, Vol. 12, No. 4Schizophrenia Research, Vol. 11, No. 1Long Term Psychiatric Treatment1 October 1991 | The Canadian Journal of Psychiatry, Vol. 36, No. 8The Place of Crisis Intervention in Psychiatry26 June 2016 | Australian & New Zealand Journal of Psychiatry, Vol. 21, No. 1Journal of Psychiatric Research, Vol. 21, No. 3Difficult Young Adult Chronic Patients: Re-evaluating Short-Term Clinical ManagementJournal of Psychosocial Nursing and Mental Health Services, Vol. 24, No. 3LiteraturSuicide and Life-Threatening Behavior, Vol. 16, No. 4Levels of Care for Residential Treatment in an Urban SettingPsychiatric Annals, Vol. 15, No. 11New Directions for Mental Health Services, Vol. 1985, No. 28New Directions for Mental Health Services, Vol. 1985, No. 28General Hospital Psychiatry, Vol. 7, No. 3Emergency Psychiatric Services: A Study of Changing Utilization Patterns and Issues1 January 1995 | The International Journal of Psychiatry in Medicine, Vol. 13, No. 3The young adult chronic psychiatric patient in an era of deinstitutionalization.American Journal of Public Health, Vol. 74, No. 4Psychiatric Clinics of North America, Vol. 6, No. 2 Volume 137Issue 12 December 1980Pages 1513-1517 Metrics PDF download History Published online 1 April 2006 Published in print 1 December 1980" @default.
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