Factors influencing compulsory admission in first-admitted subjects with psychosis
Soc Psychiatry Psychiatr Epidemiol. 2004-06-01; 39(10): 804-809
DOI: 10.1007/s00127-004-0826-5
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1. Soc Psychiatry Psychiatr Epidemiol. 2004 Oct;39(10):804-9. doi:
10.1007/s00127-004-0826-5.
Factors influencing compulsory admission in first-admitted subjects with
psychosis.
Cougnard A(1), Kalmi E, Desage A, Misdrahi D, Abalan F, Brun-Rousseau H, Salmi
LR, Verdoux H.
Author information:
(1)Equipe Accueil 3676 MP2S, IFR 99 of Public Health, Université Victor Segalen
Bordeaux 2, Bordeaux, France.
BACKGROUND: There is a growing body of evidence that patients with early
psychosis have undesirable pathways to care, yet few studies have explored the
factors related to compulsory admission in patients with psychosis. The aim of
the present study was to examine the demographic and clinical factors and
pathways to care influencing compulsory admission in first-admitted subjects
with psychosis.
METHODS: Pathways to care, clinical and demographic characteristics, were
assessed using multiple sources of information in 86 subjects with psychosis
first admitted in two hospitals of South-Western France. Characteristics
independently associated with compulsory admission were explored using logistic
regressions.
RESULTS: Nearly two-thirds of the subjects (61.6%) were compulsorily admitted.
Compulsory admission was independently predicted by being a male (adjusted OR =
3.2, 95 % CI 1.2-8.6, p = 0.02), having a diagnosis of schizophrenia broadly
defined (adjusted OR = 2.8, 95 % CI 1.02-7.4, p = 0.04) and absence of
depressive or anxiety symptoms (adjusted OR = 0.05, 95% CI 0.005-0.5, p=0.01).
CONCLUSION: These results suggest that factors related to the disease itself
play an important role in decisions concerning compulsory admission. The high
frequency of compulsory admission as the first mode of contact with psychiatric
hospital in subjects with psychosis constitutes a major public health issue.
Further research on the strategies aimed at avoiding compulsory admission in
subjects with incipient psychosis is necessary.
DOI: 10.1007/s00127-004-0826-5
PMID: 15669661 [Indexed for MEDLINE]