PMID: 11316509Apr 24, 2001Paper

Psychiatric status, somatisation, and health care utilization of frequent attenders at the emergency department: a comparison with routine attenders

Journal of Psychosomatic Research
E R WilliamsD McNally

Abstract

Seventy-seven frequent attenders at an emergency department (ED) in an inner-city hospital in the UK (defined as seven or more visits in the previous 12 months) were compared with 182 patients who were attending the same department on a routine basis. Patients completed the Schedules for Clinical Assessment in Neuropsychiatry (SCAN) and the Short Form (SF)-36. Information was obtained on 64% of the frequent attenders and 45% underwent a detailed psychiatric assessment. Of the frequent attenders, 45% had psychiatric disorder and 49% had some form of an alcohol-related disorder. Compared with routine attenders, frequent attenders reported lower health status, had more psychiatric disorder (odds ratio: OR=8.2, 95% confidence interval: CI=3.8--18.1), had more general hospital admissions (OR=19.9, 95% CI=8.3--47.8), more psychiatric admissions (OR=167.5, 95% CI=9.5--2959.0), and more GP visits (95% CI for difference=-10.2 to -5.7). There was no evidence that frequent attenders had more somatisation than routine attenders. Specific treatment and management strategies need to be developed for this group of patients, although a substantial proportion may be difficult to engage in the treatment process.

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Citations

Feb 28, 2009·Social Psychiatry and Psychiatric Epidemiology·Hans Jörgen GrabeHenry Völzke
Nov 29, 2012·Pediatric Emergency Care·Ilene ClaudiusJeffrey I Gold
Feb 1, 2013·Pediatric Emergency Care·Andrew T DangJacqueline Grupp-Phelan
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May 22, 2007·Emergency Medicine Journal : EMJ·Thomas E LockerJon Nicholl
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