Occasional and frequent repeaters in a psychiatric emergency room

Social Psychiatry and Psychiatric Epidemiology
Yves Ledoux, Pierre Minner

Abstract

Repeated use of a psychiatric emergency room (PER) is inadequate, and revolving door patients represent a burden on PER. Their socio-demographic and diagnostic profiles need to be better documented to enable early identification. A retrospective study was undertaken over a 16-month period following the initial visit. Non-repeaters, occasional (2-3 contacts) or frequent repeaters (4 or more) were compared with univariate and logistic regression techniques. Frequent repeaters - 4% of 2,470 patients and 15% of 3,511 contacts - were more likely to be younger socially handicapped males stressed by grief, pharmaceutical drug misusers and self-referred with no previous hospitalization history. The diagnostic profile was a mixture of severity (psychosis) and less structured complaints (secondary depressive disorder). Disposition upon first contact was temporary hospitalization at PER revealing case assessment difficulties. A continuum of social disability from occasional to frequent repetition of contact was observed. Repeaters have characteristics that may permit early identification. Their diagnosis, a mixture of non-specific complaints and primarily residual or disorganized schizophrenia, defies evaluation and adequate treatment. Ne...Continue Reading

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Citations

May 22, 2010·Community Mental Health Journal·Marie-Josée FleuryJean Caron
May 25, 2011·The Psychiatric Quarterly·Marie-Josée FleuryJean Caron
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