Titre
When to discharge and when to voluntary or compulsory hospitalize? Factors associated with treatment decision after self-harm.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Michaud, L.
Auteure/Auteur
Berva, S.
Auteure/Auteur
Ostertag, L.
Auteure/Auteur
Costanza, A.
Auteure/Auteur
Van der Vaeren, B.
Auteure/Auteur
Dorogi, Y.
Auteure/Auteur
Saillant, S.
Auteure/Auteur
Golay, P.
Co-dernière auteure/Co-dernier auteur
Morandi, S.
Co-dernière auteure/Co-dernier auteur
Liens vers les personnes
ISSN
1872-7123
Statut éditorial
Publié
Date de publication
2022-11
Volume
317
Première page
114810
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Publication Status: ppublish
Résumé
Clinicians assessing suicidal patients in emergency departments (EDs) must decide whether to admit the person to a psychiatric ward with voluntary or compulsory hospitalization or to discharge him/her as an outpatient. This cross-sectional study aimed to identify independent predictors of this decision among a large sample of self-harm (SH) patients. It used data from all patients admitted to four Swiss EDs between 2016 and 2019. Socio-demographic, clinical, and suicidal process-related characteristics data were evaluated against the decision for voluntary or compulsory hospitalization using t-tests, Chi-Square tests and logistic multiple regression. 2142 episodes from 1832 unique patients were evaluated. Independent predictors of decision to hospitalize included: male gender, advanced age, hospital location, depression and personality disorders, substance use, a difficult socio-economic condition, a clear intent to die, and a serious suicide attempt. Significant variables that emerged as independent predictors of compulsory hospitalization were hospital location, not having anxiety and personality disorders, being retired, having a clear intent to die, and making a serious suicide attempt. Hospital EDs had different rates of compulsory psychiatric admission. However, the decision to admit a patient for hospitalization, either voluntary or compulsory, was mainly based on clinical factors.
PID Serval
serval:BIB_2DD8A3781134
PMID
Open Access
Oui
Date de création
2022-08-22T06:21:11.479Z
Date de création dans IRIS
2025-05-20T14:25:25Z
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Nom
Michaud et al. 2022.pdf
Version du manuscrit
published
Licence
https://creativecommons.org/licenses/by/4.0
Taille
507.42 KB
Format
Adobe PDF
PID Serval
serval:BIB_2DD8A3781134.P001
URN
urn:nbn:ch:serval-BIB_2DD8A37811342
Somme de contrôle
(MD5):b251bc589d2a61dbe89305877760b151