TY  - JOUR
PY  - 2022//
TI  - When to discharge and when to voluntary or compulsory hospitalize? Factors associated with treatment decision after self-harm
JO  - Psychiatry research
A1  - Michaud, Laurent
A1  - Berva, Sébastien
A1  - Ostertag, Louise
A1  - Costanza, Alessandra
A1  - Van Der Vaeren, Bénédicte
A1  - Dorogi, Yves
A1  - Saillant, Stéphane
A1  - Golay, Philippe
A1  - Morandi, Stéphane
SP  - e114810
EP  - e114810
VL  - 317
IS  - 
N2  - Clinicians assessing suicidal patients in emergency departments (EDs) must decide whether to admit the person to a psychiatric ward with voluntary or compulsory hospitalization or to discharge him/her as an outpatient. This cross-sectional study aimed to identify independent predictors of this decision among a large sample of self-harm (SH) patients. It used data from all patients admitted to four Swiss EDs between 2016 and 2019. Socio-demographic, clinical, and suicidal process-related characteristics data were evaluated against the decision for voluntary or compulsory hospitalization using t-tests, Chi-Square tests and logistic multiple regression. 2142 episodes from 1832 unique patients were evaluated. Independent predictors of decision to hospitalize included: male gender, advanced age, hospital location, depression and personality disorders, substance use, a difficult socio-economic condition, a clear intent to die, and a serious suicide attempt. Significant variables that emerged as independent predictors of compulsory hospitalization were hospital location, not having anxiety and personality disorders, being retired, having a clear intent to die, and making a serious suicide attempt. Hospital EDs had different rates of compulsory psychiatric admission. However, the decision to admit a patient for hospitalization, either voluntary or compulsory, was mainly based on clinical factors.<p />  <p>Language: en</p>
LA  - en
SN  - 0165-1781
UR  - http://dx.doi.org/10.1016/j.psychres.2022.114810
ID  - ref1
ER  -