Are pre-existing psychiatric disorders the only reason for involuntary holds in the emergency department?

Autor: Christian Lachner, Michael J. Maniaci, Tyler F. Vadeboncoeur, Nancy L. Dawson, Teresa A. Rummans, Archana Roy, Lorrina L. Hall, M. Caroline Burton
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: International Journal of Emergency Medicine, Vol 13, Iss 1, Pp 1-7 (2020)
Druh dokumentu: article
ISSN: 1865-1372
1865-1380
DOI: 10.1186/s12245-020-0265-4
Popis: Abstract Objectives To determine the role of previous psychiatric disorders including substance use disorders on emergency department (ED) patients on involuntary holds and compare presentations, treatment, and outcomes based on cause. Methods We conducted a retrospective study of patients ≥ 18 years old on involuntary holds in the ED of a tertiary care center from January 1, 2013, to November 30, 2015. Demographic and clinical information were collected. Those with and without prior psychiatric disorder including substance use disorder were compared. Results We identified 251 patients of which 129 (51.4%) had a psychiatric disorder, 23 (9.2%) had a substance use disorder, and 86 (34.3%) had both. Thirteen patients (5.2%) had no psychiatric disorder or substance use disorder and the majority 10 (76.9%) were on involuntary holds due to suicidal threats related to pain or another medical problem. Patients without a psychiatric or substance use disorder were older (55 years [17.8] vs 42 [19]; P = 0.01), more likely to be married (10 [76.9%] vs 64 [26.9%]; P
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