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Sociodemographic and Clinical Correlates Associated with the Frequent Service Users in an Italian Psychiatric Emergency Department

Background: The aim of the present study is to identify the main sociodemographic and clinical correlates associated with frequent service users (FSUs) in an Italian psychiatric emergency department. Methods: This study is an observational and prospective clinical investigation. All subjects (N = 54...

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Autores principales: Aguglia, Andrea, Corsini, Giovanni Pietro, Costanza, Alessandra, Berti, Andrea, Bruno, Edoardo, Escelsior, Andrea, Sanvi, James, Trabucco, Alice, Vai, Eleonora, Amerio, Andrea, Serafini, Gianluca, Amore, Mario
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914622/
https://www.ncbi.nlm.nih.gov/pubmed/36766535
http://dx.doi.org/10.3390/diagnostics13030430
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author Aguglia, Andrea
Corsini, Giovanni Pietro
Costanza, Alessandra
Berti, Andrea
Bruno, Edoardo
Escelsior, Andrea
Sanvi, James
Trabucco, Alice
Vai, Eleonora
Amerio, Andrea
Serafini, Gianluca
Amore, Mario
author_facet Aguglia, Andrea
Corsini, Giovanni Pietro
Costanza, Alessandra
Berti, Andrea
Bruno, Edoardo
Escelsior, Andrea
Sanvi, James
Trabucco, Alice
Vai, Eleonora
Amerio, Andrea
Serafini, Gianluca
Amore, Mario
author_sort Aguglia, Andrea
collection PubMed
description Background: The aim of the present study is to identify the main sociodemographic and clinical correlates associated with frequent service users (FSUs) in an Italian psychiatric emergency department. Methods: This study is an observational and prospective clinical investigation. All subjects (N = 549) consecutively admitted to the Psychiatric Inpatient Unit of the IRCCS Ospedale Policlinico San Martino ((Genoa, Italy) were recruited over a period of 18 months. Results: On average, FSUs were more likely to be single (75.0% vs. 64.0, p = 0.001), younger (38.79 years ± 14.68 vs. 45.94 years ± 16.94, p = 0.028), with an earlier onset (20.15 years ± 7.22 vs. 29.33 years ± 15.96, p < 0.001), and longer length of hospitalisation (13.65 days ± 12.40 vs. 9.89 ± 10.15, p = 0.006) compared to non-FSUs. While bipolar disorder was the most common primary diagnosis in both FSUs and non-FSUs, cluster B personality disorder was particularly elevated in FSUs (30.3% vs. 10.4%, p < 0.001). Furthermore, FSUs were more prone to substance use disorder (63.6% vs. 40.0%, p < 0.001), particularly cannabis (45.5% vs. 15.3%, p < 0.001), cocaine (33.3% vs. 10.4%, p < 0.001), and heroin (19.7% vs. 5.8%, p < 0.001), and were more likely to have non-suicidal self-injuries (21.2% vs. 6.8%, p < 0.001). FSUs were significantly more likely to be discharged against medical advice (18.2% vs. 5.6%, p < 0.001) or to have at least one escape attempt from the psychiatric ward (12.1% vs. 0.8%, p < 0.001). Conclusions: Specific clinical and social profiles of patients who repeatedly utilised the services of a psychiatric emergency department have been identified. Our findings can be used to develop suitable structures to support and reintegrate FSUs into society and work life.
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spelling pubmed-99146222023-02-11 Sociodemographic and Clinical Correlates Associated with the Frequent Service Users in an Italian Psychiatric Emergency Department Aguglia, Andrea Corsini, Giovanni Pietro Costanza, Alessandra Berti, Andrea Bruno, Edoardo Escelsior, Andrea Sanvi, James Trabucco, Alice Vai, Eleonora Amerio, Andrea Serafini, Gianluca Amore, Mario Diagnostics (Basel) Article Background: The aim of the present study is to identify the main sociodemographic and clinical correlates associated with frequent service users (FSUs) in an Italian psychiatric emergency department. Methods: This study is an observational and prospective clinical investigation. All subjects (N = 549) consecutively admitted to the Psychiatric Inpatient Unit of the IRCCS Ospedale Policlinico San Martino ((Genoa, Italy) were recruited over a period of 18 months. Results: On average, FSUs were more likely to be single (75.0% vs. 64.0, p = 0.001), younger (38.79 years ± 14.68 vs. 45.94 years ± 16.94, p = 0.028), with an earlier onset (20.15 years ± 7.22 vs. 29.33 years ± 15.96, p < 0.001), and longer length of hospitalisation (13.65 days ± 12.40 vs. 9.89 ± 10.15, p = 0.006) compared to non-FSUs. While bipolar disorder was the most common primary diagnosis in both FSUs and non-FSUs, cluster B personality disorder was particularly elevated in FSUs (30.3% vs. 10.4%, p < 0.001). Furthermore, FSUs were more prone to substance use disorder (63.6% vs. 40.0%, p < 0.001), particularly cannabis (45.5% vs. 15.3%, p < 0.001), cocaine (33.3% vs. 10.4%, p < 0.001), and heroin (19.7% vs. 5.8%, p < 0.001), and were more likely to have non-suicidal self-injuries (21.2% vs. 6.8%, p < 0.001). FSUs were significantly more likely to be discharged against medical advice (18.2% vs. 5.6%, p < 0.001) or to have at least one escape attempt from the psychiatric ward (12.1% vs. 0.8%, p < 0.001). Conclusions: Specific clinical and social profiles of patients who repeatedly utilised the services of a psychiatric emergency department have been identified. Our findings can be used to develop suitable structures to support and reintegrate FSUs into society and work life. MDPI 2023-01-25 /pmc/articles/PMC9914622/ /pubmed/36766535 http://dx.doi.org/10.3390/diagnostics13030430 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Aguglia, Andrea
Corsini, Giovanni Pietro
Costanza, Alessandra
Berti, Andrea
Bruno, Edoardo
Escelsior, Andrea
Sanvi, James
Trabucco, Alice
Vai, Eleonora
Amerio, Andrea
Serafini, Gianluca
Amore, Mario
Sociodemographic and Clinical Correlates Associated with the Frequent Service Users in an Italian Psychiatric Emergency Department
title Sociodemographic and Clinical Correlates Associated with the Frequent Service Users in an Italian Psychiatric Emergency Department
title_full Sociodemographic and Clinical Correlates Associated with the Frequent Service Users in an Italian Psychiatric Emergency Department
title_fullStr Sociodemographic and Clinical Correlates Associated with the Frequent Service Users in an Italian Psychiatric Emergency Department
title_full_unstemmed Sociodemographic and Clinical Correlates Associated with the Frequent Service Users in an Italian Psychiatric Emergency Department
title_short Sociodemographic and Clinical Correlates Associated with the Frequent Service Users in an Italian Psychiatric Emergency Department
title_sort sociodemographic and clinical correlates associated with the frequent service users in an italian psychiatric emergency department
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914622/
https://www.ncbi.nlm.nih.gov/pubmed/36766535
http://dx.doi.org/10.3390/diagnostics13030430
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