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A retrospective analysis of personality disorder presentations in a Canadian university-affiliated hospital’s emergency department

BACKGROUND: Individuals with personality disorders often have extensive involvement with healthcare services including frequent utilisation of emergency departments. AIMS: The aim of this study was to identify factors associated with emergency department presentations by individuals with personality...

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Autores principales: Penfold, Sarah, Groll, Dianne, Mauer-Vakil, Dane, Pikard, Jennifer, Yang, Megan, Mazhar, Mir Nadeem
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Royal College of Psychiatrists 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5156851/
https://www.ncbi.nlm.nih.gov/pubmed/27990295
http://dx.doi.org/10.1192/bjpo.bp.116.003871
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author Penfold, Sarah
Groll, Dianne
Mauer-Vakil, Dane
Pikard, Jennifer
Yang, Megan
Mazhar, Mir Nadeem
author_facet Penfold, Sarah
Groll, Dianne
Mauer-Vakil, Dane
Pikard, Jennifer
Yang, Megan
Mazhar, Mir Nadeem
author_sort Penfold, Sarah
collection PubMed
description BACKGROUND: Individuals with personality disorders often have extensive involvement with healthcare services including frequent utilisation of emergency departments. AIMS: The aim of this study was to identify factors associated with emergency department presentations by individuals with personality disorders. METHOD: A 12-month retrospective data analysis of all mental-health-related emergency department visits was performed. Age, gender, time and season of presentation, length of stay, mode of arrival and discharge arrangements for individuals with personality disorders were compared to individuals with other psychiatric diagnoses. RESULTS: There were 336 visits by individuals with personality disorders and 5290 visits by individuals with other psychiatric diagnoses. Individuals with personality disorders were significantly more likely to be female, young adults, brought in by police, arrive in the evening, discharged home and have a longer median length of stay. CONCLUSION: Knowing what factors are associated with emergency department presentations by individuals with personality disorders can help ensure that appropriately trained support staff are available. DECLARATION OF INTEREST: None. COPYRIGHT AND USAGE: © The Royal College of Psychiatrists 2016. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license.
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spelling pubmed-51568512016-12-16 A retrospective analysis of personality disorder presentations in a Canadian university-affiliated hospital’s emergency department Penfold, Sarah Groll, Dianne Mauer-Vakil, Dane Pikard, Jennifer Yang, Megan Mazhar, Mir Nadeem BJPsych Open Paper BACKGROUND: Individuals with personality disorders often have extensive involvement with healthcare services including frequent utilisation of emergency departments. AIMS: The aim of this study was to identify factors associated with emergency department presentations by individuals with personality disorders. METHOD: A 12-month retrospective data analysis of all mental-health-related emergency department visits was performed. Age, gender, time and season of presentation, length of stay, mode of arrival and discharge arrangements for individuals with personality disorders were compared to individuals with other psychiatric diagnoses. RESULTS: There were 336 visits by individuals with personality disorders and 5290 visits by individuals with other psychiatric diagnoses. Individuals with personality disorders were significantly more likely to be female, young adults, brought in by police, arrive in the evening, discharged home and have a longer median length of stay. CONCLUSION: Knowing what factors are associated with emergency department presentations by individuals with personality disorders can help ensure that appropriately trained support staff are available. DECLARATION OF INTEREST: None. COPYRIGHT AND USAGE: © The Royal College of Psychiatrists 2016. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license. The Royal College of Psychiatrists 2016-12-15 /pmc/articles/PMC5156851/ /pubmed/27990295 http://dx.doi.org/10.1192/bjpo.bp.116.003871 Text en © 2016 The Royal College of Psychiatrists http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Paper
Penfold, Sarah
Groll, Dianne
Mauer-Vakil, Dane
Pikard, Jennifer
Yang, Megan
Mazhar, Mir Nadeem
A retrospective analysis of personality disorder presentations in a Canadian university-affiliated hospital’s emergency department
title A retrospective analysis of personality disorder presentations in a Canadian university-affiliated hospital’s emergency department
title_full A retrospective analysis of personality disorder presentations in a Canadian university-affiliated hospital’s emergency department
title_fullStr A retrospective analysis of personality disorder presentations in a Canadian university-affiliated hospital’s emergency department
title_full_unstemmed A retrospective analysis of personality disorder presentations in a Canadian university-affiliated hospital’s emergency department
title_short A retrospective analysis of personality disorder presentations in a Canadian university-affiliated hospital’s emergency department
title_sort retrospective analysis of personality disorder presentations in a canadian university-affiliated hospital’s emergency department
topic Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5156851/
https://www.ncbi.nlm.nih.gov/pubmed/27990295
http://dx.doi.org/10.1192/bjpo.bp.116.003871
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