Patients assessed by the liaison psychiatric team in the emergency department of a regional hospital in Canada - general characteristics and gender differences
Patients assessed by the liaison psychiatric team in the emergency department of a regional hospital in Canada - general characteristics and gender differences
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DOI：
10.3109/13651501.2016.1174275
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发表时间：
2016-01-01
影响因子：
3
通讯作者：
Agyapong, Vincent I. O.
中科院分区：
文献类型：
--
作者：
Juhas, Michal;Agyapong, Vincent I. O.
目的：了解艾伯塔省北部油砂地区某中型医院急诊科联络精神病患者的特点。方法：使用数据评估工具对ED精神病学服务使用者进行评估，旨在捕捉所有相关的人口统计学和临床特征。结果：总体而言，精神科团队在12个月期间评估了477例患者（48.2%为男性）。男女之间的年龄、种族和关系状况分布相当均衡。大多数有自残或儿童期性虐待史的患者是女性，而男性患者更有可能报告服药不遵医嘱。女性患者有抑郁症和人格障碍的比例较高，而男性患者有焦虑症、双相情感障碍及相关障碍、精神分裂症谱系障碍和物质相关障碍的比例较高。近五分之一的患者入院接受住院治疗，其中男性非自愿入院的比例明显更高。结论：在我们的ED精神病学样本中，许多人口统计学和临床指标存在性别特异性差异。这些差异表明，可能需要有针对性的教育和服务举措，以促进更好地获得精神病学服务和治疗结果。
Objective: To describe the characteristics of liaison psychiatric patients in the emergency department (ED) of a medium sized hospital in the oil sands region of Northern Alberta.Methods: ED psychiatry services users were evaluated using a data assessment tool designed to capture all relevant demographic and clinical characteristics.Results: Overall, 477 patients (48.2% male) were assessed by the psychiatric team over the 12 month period. There was a fairly balanced distribution by age, ethnicity and relationship status between both sexes. The majority of patients with a history of self-harm or childhood sexual abuse were female while male patients were significantly more likely to report medication non-compliance. A higher proportion of female patients had depressive disorders and personality disorders while a higher proportion of male patients had anxiety disorders, bipolar and related disorders, schizophrenia spectrum disorders and substance-related disorders. Nearly one in five patients was admitted for inpatient treatment with a significantly higher proportion of males being admitted involuntarily.Conclusions: There were sex-specific differences in many of the demographic and clinical measures in our ED psychiatric sample. These differences indicate a potential need for targeted education and service initiatives to promote better access to psychiatric services and treatment outcomes.