Abstract
Norwegian studies report that a substantial amount of referrals for compulsory mental health care are disallowed at specialist assessment, at a rate that varies with referring agent. Knowledge on factors associated with disallowance could improve the practice of compulsory mental health care. This study aims to examine such factors, placing particular emphasis on the impact of referring agents. This study utilized data from the prospective, longitudinal cohort study 'Suicidality in Psychiatric Emergency Admissions' conducted at a Norwegian psychiatric emergency unit which served approximately 400 000 inhabitants. Data on referral, admission and patient characteristics were retrieved on compulsory admissions conducted between 1 May 2005 and 30 April 2008. Bivariate and logistic regression analyses and structural multilevel modelling were performed. Among 2813 compulsory admissions, 764 were disallowed. Low competence in the referring agent, high GAF S score, observed alcohol or drug intoxication, reported suicide risk, and the presence of neurotic, stress-related and somatoform disorders, personality disorders and other non-specified diagnoses were associated with above average disallowance frequency. Non-Norwegian ethnicity and...Continue Reading
References
Jul 22, 1998·The Australian and New Zealand Journal of Psychiatry·Y StolkG Coffey
May 4, 2000·Acta Psychiatrica Scandinavica. Supplementum·G Høyer
Dec 6, 2006·Comprehensive Psychiatry·Geir PedersenSigmund Karterud
Nov 11, 2008·Nordic Journal of Psychiatry·John Chr FløvigGunnar Morken
Mar 21, 2009·Suicide & Life-threatening Behavior·Mark S OordtSteven M Schmidt
Jul 15, 2009·Acta Psychiatrica Scandinavica·M NorredamA Krasnik
May 1, 2010·General Hospital Psychiatry·Michael A LindseyBriggett E Ford
Oct 23, 2010·European Psychiatry : the Journal of the Association of European Psychiatrists·A FiorilloT Kallert
Jun 3, 2011·Comprehensive Psychiatry·Geir Pedersen, Sigmund Karterud
Aug 13, 2011·Nordic Journal of Psychiatry·Ingrid H JohansenSteinar Hunskaar
May 16, 2012·The Psychiatric Quarterly·Ariel EytanYasser Khazaal
Feb 12, 2013·International Journal of Law and Psychiatry·Kjetil HustoftTorleif Ruud
Oct 15, 2013·Emergency Medicine Australasia : EMA·Dawn CutlerRobert Gribble
Jan 15, 2014·Journal of Psychiatric Practice·Hal S WortzelLisa A Brenner
Jan 1, 2006·International Journal of Psychiatry in Clinical Practice·Rolf Wynn
Oct 26, 2014·BMC Health Services Research·Eli Feiring, Kristian N Ugstad
Jun 1, 2010·The HIM Journal·Julie Rust
Citations
Jul 7, 2016·Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række·Anne Kristine Bergem
Aug 6, 2019·The International Journal of Social Psychiatry·Florian HotzyMatthias Jaeger
May 13, 2019·European Psychiatry : the Journal of the Association of European Psychiatrists·Florian HotzyAnastasia Theodoridou
Aug 2, 2017·Administration and Policy in Mental Health·Florian HotzySebastian Olbrich
Feb 5, 2019·Frontiers in Psychiatry·Silvan MartyFlorian Hotzy
Mar 29, 2018·International Journal of Mental Health Systems·Rolf Wynn
Feb 21, 2021·Administration and Policy in Mental Health·Sonja MoetteliFlorian Hotzy