Title :

Factors affecting the agreement between emergency psychiatrists and general practitioners regarding involuntary psychiatric hospitalizations

Author(s) :

Geoffroy, Pierre-Alexis [Auteur]
Duhamel, Alain [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Behal, Helene [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Zouitina-Lietaert, Nadia [Auteur]
Duthilleul, Julie [Auteur]
Marquette, Louise [Auteur]
Ducrocq, François [Auteur]
Vaiva, Guillaume [Auteur]
Laboratoire Sciences Cognitives et Sciences Affectives - UMR 9193 [SCALab]
Laboratoire Sciences Cognitives et Sciences Affectives - UMR 9193 [SCALab]
Sciences Cognitives et Sciences Affectives (SCALab) - UMR 9193
Rolland, Benjamin [Auteur]

Journal title :

Scientific Reports

Abbreviated title :

Sci Rep

Volume number :

6

Pages :

28134

Publication date :

2016-06-21

ISSN :

2045-2322

English keyword(s) :

Mesh:Psychotic Disorders/psychology
Mesh:Suicide
Mesh:Psychiatry*
Mesh:Middle Aged
Mesh:Male
Mesh:Involuntary Treatment
Mesh:Psychiatric/statistics & numerical data*
Mesh:Involuntary Treatment/statistics & numerical data*
Mesh:Humans
Mesh:General Practitioners*
Mesh:France/epidemiology
Mesh:Female
Mesh:Emergency Service
Mesh:Hospital
Mesh:Depressive Disorder/psychology
Mesh:Depressive Disorder/epidemiology*
Mesh:Consensus
Mesh:Clinical Decision-Making
Mesh:Bipolar Disorder/psychology
Mesh:Bipolar Disorder/epidemiology*
Mesh:Alcohol Drinking
Mesh:Adult
Mesh:Psychomotor Agitation
Mesh:Psychotic Disorders/epidemiology*
Mesh:Retrospective Studies

HAL domain(s) :

Sciences du Vivant [q-bio]
Sciences cognitives

English abstract : [en]

Important discrepancies exist between physicians in deciding when to perform involuntary hospitalization measures (IHMs). The factors underlying these differences are poorly known.We conducted a two-year single-center ...
Show more >Important discrepancies exist between physicians in deciding when to perform involuntary hospitalization measures (IHMs). The factors underlying these differences are poorly known.We conducted a two-year single-center retrospective study in France on patients who were referred to the emergency department (ED) with an IHM certificate written by a private-practice General Practitioner (GP). For each consultation, the official IHM motive was categorized into four groups: Suicide; Psychosis, Mania, or Melancholia (PMM); Agitation; and Other. The alcohol status of the patient was also noted. The factors underlying the ED psychiatrists' confirmation of the use of IHMs were determined using a logistic regression model. One hundred eighty-nine cases were found (165 patients; 44.2 ± 16 years, 41.3% women). The ED psychiatrists confirmed the use of IHMs in 123 instances (65.1% agreement rate). Multivariate analyses found that IHM disagreement was significantly associated with patient alcohol status and the reason for referral. Specifically, there was an increased risk of IHM disagreement when the patient had an alcohol-positive status (OR = 15.80; 95% CI [6.45-38.67]; p < 0.0001) and when the motive for IHM was "agitation" compared with "suicide" (OR = 11.44; 95% CI[3.38-38.78]; p < 0.0001). These findings reflect significant disparities between GPs and ED psychiatrists regarding the decision to proceed to an IHM.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
CNRS
Inserm
Université de Lille

Collections :

• Lille Neurosciences & Cognition (LilNCog) - U 1172

Research team(s) :

Troubles cognitifs dégénératifs et vasculaires

Submission date :

2019-11-27T13:34:43Z
2020-01-30T07:44:46Z