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Suicide risk, personality disorder and hospital admission after assessment by psychiatric emergency services

BACKGROUND: The main objectives of the mobile Psychiatric Emergency Services (PES) in the Netherlands are to assess the presence of a mental disorder, to estimate risk to self or others, and to initiate continuity of care, including psychiatric hospital admission. The aim of this study was to assess...

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Autores principales: Van Veen, Mark, Wierdsma, André I., van Boeijen, Christine, Dekker, Jack, Zoeteman, Jeroen, Koekkoek, Bauke, Mulder, Cornelis L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6533743/
https://www.ncbi.nlm.nih.gov/pubmed/31122268
http://dx.doi.org/10.1186/s12888-019-2145-0
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author Van Veen, Mark
Wierdsma, André I.
van Boeijen, Christine
Dekker, Jack
Zoeteman, Jeroen
Koekkoek, Bauke
Mulder, Cornelis L.
author_facet Van Veen, Mark
Wierdsma, André I.
van Boeijen, Christine
Dekker, Jack
Zoeteman, Jeroen
Koekkoek, Bauke
Mulder, Cornelis L.
author_sort Van Veen, Mark
collection PubMed
description BACKGROUND: The main objectives of the mobile Psychiatric Emergency Services (PES) in the Netherlands are to assess the presence of a mental disorder, to estimate risk to self or others, and to initiate continuity of care, including psychiatric hospital admission. The aim of this study was to assess the associations between the level of suicidality and risk of voluntary or involuntary admission in patients with and without a personality disorder who were presented to mobile PES. METHODS: Observational data were obtained in three areas of the Netherlands from 2007 to 2016. In total, we included 71,707 contacts of patients aged 18 to 65 years. The outcome variable was voluntary or involuntary psychiatric admission. Suicide risk and personality disorder were assessed by PES-clinicians. Multivariable regression analysis was used to explore associations between suicide risk, personality disorder, and voluntary or involuntary admission. RESULTS: Independently of the level of suicide risk, suicidal patients diagnosed with personality disorder were less likely to be admitted voluntarily than those without such a diagnosis (admission rate .37 versus .46 respectively). However, when the level of suicide risk was moderate or high, those with a personality disorder who were admitted involuntarily had the same probability of involuntary admission as those without such a disorder. CONCLUSIONS: While the probability of voluntary admission was lower in those diagnosed with a personality disorder, independent of the level of suicidality, the probability of involuntary admission was only lower in those whose risk of suicide was low. Future longitudinal studies should investigate the associations between (involuntary) admission and course of suicidality in personality disorder.
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spelling pubmed-65337432019-05-28 Suicide risk, personality disorder and hospital admission after assessment by psychiatric emergency services Van Veen, Mark Wierdsma, André I. van Boeijen, Christine Dekker, Jack Zoeteman, Jeroen Koekkoek, Bauke Mulder, Cornelis L. BMC Psychiatry Research Article BACKGROUND: The main objectives of the mobile Psychiatric Emergency Services (PES) in the Netherlands are to assess the presence of a mental disorder, to estimate risk to self or others, and to initiate continuity of care, including psychiatric hospital admission. The aim of this study was to assess the associations between the level of suicidality and risk of voluntary or involuntary admission in patients with and without a personality disorder who were presented to mobile PES. METHODS: Observational data were obtained in three areas of the Netherlands from 2007 to 2016. In total, we included 71,707 contacts of patients aged 18 to 65 years. The outcome variable was voluntary or involuntary psychiatric admission. Suicide risk and personality disorder were assessed by PES-clinicians. Multivariable regression analysis was used to explore associations between suicide risk, personality disorder, and voluntary or involuntary admission. RESULTS: Independently of the level of suicide risk, suicidal patients diagnosed with personality disorder were less likely to be admitted voluntarily than those without such a diagnosis (admission rate .37 versus .46 respectively). However, when the level of suicide risk was moderate or high, those with a personality disorder who were admitted involuntarily had the same probability of involuntary admission as those without such a disorder. CONCLUSIONS: While the probability of voluntary admission was lower in those diagnosed with a personality disorder, independent of the level of suicidality, the probability of involuntary admission was only lower in those whose risk of suicide was low. Future longitudinal studies should investigate the associations between (involuntary) admission and course of suicidality in personality disorder. BioMed Central 2019-05-23 /pmc/articles/PMC6533743/ /pubmed/31122268 http://dx.doi.org/10.1186/s12888-019-2145-0 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Van Veen, Mark
Wierdsma, André I.
van Boeijen, Christine
Dekker, Jack
Zoeteman, Jeroen
Koekkoek, Bauke
Mulder, Cornelis L.
Suicide risk, personality disorder and hospital admission after assessment by psychiatric emergency services
title Suicide risk, personality disorder and hospital admission after assessment by psychiatric emergency services
title_full Suicide risk, personality disorder and hospital admission after assessment by psychiatric emergency services
title_fullStr Suicide risk, personality disorder and hospital admission after assessment by psychiatric emergency services
title_full_unstemmed Suicide risk, personality disorder and hospital admission after assessment by psychiatric emergency services
title_short Suicide risk, personality disorder and hospital admission after assessment by psychiatric emergency services
title_sort suicide risk, personality disorder and hospital admission after assessment by psychiatric emergency services
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6533743/
https://www.ncbi.nlm.nih.gov/pubmed/31122268
http://dx.doi.org/10.1186/s12888-019-2145-0
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