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Clinical profiles and temporal patterns of psychiatric emergency room visitors in Sweden

Schmidt, Manuela LU ; Ekstrand, Joakim and Bengtsson Tops, Anita (2018) In Nordic Journal of Psychiatry 72(3). p.197-204
Abstract

Aims: To describe persons visiting the psychiatric emergency room (PER) in Sweden and to compare persons who frequently (PFV) and infrequently (PIFV) visit PERs in terms of group size, age, gender, PER location inside versus outside the home municipality, diagnosis (ICD 10), temporal patterns of visits and hospital admissions. Methods: This register study included all visits to PERs in one Swedish county over 3 years, 2013–2015 (N = 67,031 visits). The study employed descriptive statistics as well as Chi-square tests combined with Bonferroni correction to compare PFV with PIFV. Results: Of the total of 27,282 visitors, 2201 (8.1%) were identified as PFV (five or more visits within 12 months) and they accounted for 38.1% of the total... (More)

Aims: To describe persons visiting the psychiatric emergency room (PER) in Sweden and to compare persons who frequently (PFV) and infrequently (PIFV) visit PERs in terms of group size, age, gender, PER location inside versus outside the home municipality, diagnosis (ICD 10), temporal patterns of visits and hospital admissions. Methods: This register study included all visits to PERs in one Swedish county over 3 years, 2013–2015 (N = 67,031 visits). The study employed descriptive statistics as well as Chi-square tests combined with Bonferroni correction to compare PFV with PIFV. Results: Of the total of 27,282 visitors, 2201 (8.1%) were identified as PFV (five or more visits within 12 months) and they accounted for 38.1% of the total visits. The study found differences between PFV and PIFV in gender, diagnostic profile, hospital admissions and temporal patterns. Differences were also detected with regard to distance between PERs and home municipalities. However, no age-related differences were found between the two groups. Conclusions: PFV and PIFV have different clinical profiles and temporal patterns. These results may be important when planning, developing and evaluating interventions targeting the needs of each group, which is in accordance with a person-centred approach. Such an approach might eventually result in fewer visits to PERs.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
diagnosis, hospital admissions, psychiatric emergency, temporal patterns, Visitors
in
Nordic Journal of Psychiatry
volume
72
issue
3
pages
197 - 204
publisher
Informa Healthcare
external identifiers
  • scopus:85038405280
ISSN
0803-9488
DOI
10.1080/08039488.2017.1417477
language
English
LU publication?
yes
id
460e54a9-6ff4-44db-9a0c-3aff286c7d3a
date added to LUP
2018-01-03 12:40:52
date last changed
2018-02-20 14:22:11
@article{460e54a9-6ff4-44db-9a0c-3aff286c7d3a,
  abstract     = {<p>Aims: To describe persons visiting the psychiatric emergency room (PER) in Sweden and to compare persons who frequently (PFV) and infrequently (PIFV) visit PERs in terms of group size, age, gender, PER location inside versus outside the home municipality, diagnosis (ICD 10), temporal patterns of visits and hospital admissions. Methods: This register study included all visits to PERs in one Swedish county over 3 years, 2013–2015 (N = 67,031 visits). The study employed descriptive statistics as well as Chi-square tests combined with Bonferroni correction to compare PFV with PIFV. Results: Of the total of 27,282 visitors, 2201 (8.1%) were identified as PFV (five or more visits within 12 months) and they accounted for 38.1% of the total visits. The study found differences between PFV and PIFV in gender, diagnostic profile, hospital admissions and temporal patterns. Differences were also detected with regard to distance between PERs and home municipalities. However, no age-related differences were found between the two groups. Conclusions: PFV and PIFV have different clinical profiles and temporal patterns. These results may be important when planning, developing and evaluating interventions targeting the needs of each group, which is in accordance with a person-centred approach. Such an approach might eventually result in fewer visits to PERs.</p>},
  author       = {Schmidt, Manuela and Ekstrand, Joakim and Bengtsson Tops, Anita},
  issn         = {0803-9488},
  keyword      = {diagnosis,hospital admissions,psychiatric emergency,temporal patterns,Visitors},
  language     = {eng},
  number       = {3},
  pages        = {197--204},
  publisher    = {Informa Healthcare},
  series       = {Nordic Journal of Psychiatry},
  title        = {Clinical profiles and temporal patterns of psychiatric emergency room visitors in Sweden},
  url          = {http://dx.doi.org/10.1080/08039488.2017.1417477},
  volume       = {72},
  year         = {2018},
}