Social and clinical factors associated with psychiatric emergency service use and civil commitment among African-American youth.
Social and clinical factors associated with psychiatric emergency service use and civil commitment among African-American youth.
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DOI：
10.1016/j.genhosppsych.2010.01.007
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发表时间：
2010-05
影响因子：
7
通讯作者：
Ford BE
中科院分区：
文献类型：
--
作者：
Lindsey MA;Joe S;Muroff J;Ford BE
我们研究了非裔美国青年在精神科急救服务(PES)中与抵达状态相关的社会和临床因素(例如，非自愿还是自愿)和民事承诺决定，以评估非裔美国青年的求助模式和接受护理。回顾了2001年10月至2002年9月期间来自市中心PES的1621名非洲裔美国青年的患者记录。用多因素Logistic回归分析了非自愿和自愿入院的青少年的社会和临床因素(例如，非自愿入院与自愿入院)和病例处置(例如，处置维持与驳回)。有行为障碍的低收入青年不太可能自愿来到PES。医疗保险、自杀、DSM诊断、涉及物质、GAF评分和到达PES的一天中的时间是自愿到达的预测因素。年龄较大和GAF得分显著预测了维持非自愿承诺的决定。年龄(较年轻的可能性较小)、较高的GAF分数、保险状况、涉及药物滥用和到达时间(晚班)显著预测了支持自愿决定的决定。我们的发现表明，精神病学和非精神病学因素都影响着非裔美国青年如何进入PES，以及他们关于自愿/非自愿承诺的决定。
We examined the social and clinical factors associated with arrival status (e.g. involuntary versus voluntary) and civil commitment decisions in psychiatric emergency services (PES) to assess African American youths' help-seeking patterns and entrée into care. Patient records were reviewed for 1621 African American youth from an inner-city PES between October 2001 and September 2002. Multivariate logistic regression was used to examine the social and clinical factors associated with arrival status (e.g. involuntary vs. voluntary admission) and case disposition among youth who were involuntarily and voluntarily admitted (e.g. disposition upheld vs. dismissed). Low income youth with behavior disorders were less likely to arrive voluntarily to PES. Medical insurance, suicidality, DSM diagnosis, substance involvement, GAF scores, and time of day the youth arrived to PES were predictors of voluntary arrival. Older age and GAF scores significantly predicted the decision to uphold an involuntary commitment. Age (younger age less likely), higher GAF scores, insurance status, substance abuse involvement, and arrival time (evening shift) significantly predicted the decision to uphold a voluntary decision. Our findings suggest that psychiatric and non-psychiatric factors influence both how African American youth arrive to PES and the decisions made regarding their voluntary/involuntary commitment.
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DOI：
10.1207/s15374424jccp3002_7
发表时间：
2001-06-01
期刊：
JOURNAL OF CLINICAL CHILD PSYCHOLOGY
影响因子：
--
作者：
Cooley-Quille, M;Boyd, RC;Walsh, J
通讯作者：
Walsh, J
影响因子：
3.8
作者：
Pescosolido, Bernice A.;Fettes, Danielle L.;McLeod, Jane D.
通讯作者：
McLeod, Jane D.
影响因子：
3.8
作者：
Moos, RH;Nichol, AC;Moos, BS
通讯作者：
Moos, BS
影响因子：
3.3
作者：
GIBSON, RW
通讯作者：
GIBSON, RW
影响因子：
7
作者：
Muroff, Jordana;Edelsohn, Gail A.;Ford, Briggett C.
通讯作者：
Ford, Briggett C.