Social Psychiatry and Psychiatric Epidemiology

, Volume 34, Issue 8, pp 425–431

Determinants of psychiatric inpatient admission to general hospital psychiatric wards: an epidemiological study in a region of central Italy

Authors

  • T. Mattioni
    • Psychiatric Unit, G.B. Grassi Hospital, Rome, Italy
  • D. Di Lallo
    • Epidemiology Unit, Lazio Regional Health Authority, Via di S. Constanza, 53, 1-00198 Rome, Italy Tel.: +39-6-5168 6489, Fax: +39-6-5168 6463
  • R. Roberti
    • Psychiatric Unit, S. Filippo Neri Hospital, Rome, Italy
  • M. Miceli
    • Epidemiology Unit, Lazio Regional Health Authority, Via di S. Constanza, 53, 1-00198 Rome, Italy Tel.: +39-6-5168 6489, Fax: +39-6-5168 6463
  • M. Stefani
    • Epidemiology Unit, Lazio Regional Health Authority, Via di S. Constanza, 53, 1-00198 Rome, Italy Tel.: +39-6-5168 6489, Fax: +39-6-5168 6463
  • C. Maci
    • Psychiatric Unit, S. Pertini Hospital, Rome, Italy
  • C. A. Perucci
    • Epidemiology Unit, Lazio Regional Health Authority, Via di S. Constanza, 53, 1-00198 Rome, Italy Tel.: +39-6-5168 6489, Fax: +39-6-5168 6463
ORIGINAL PAPER

DOI: 10.1007/s001270050164

Cite this article as:
Mattioni, T., Di Lallo, D., Roberti, R. et al. Soc Psychiatry Psychiatr Epidemiol (1999) 34: 425. doi:10.1007/s001270050164

Abstract

Objective: To determine which factors contribute to the decision to admit individuals to psychiatric wards in general hospitals. Method: Data on 1,379 individuals undergoing psychiatric evaluation in eight emergency rooms in a region of central Italy were collected. A logistic regression analysis was used to evaluate the likelihood of psychiatric admission considering the independent effects of demographic, social, and clinical factors and of the history of psychiatric treatment. Results: The adjusted odds ratio for psychiatric admission significantly increased with the following variables: severity of symptoms; presence of paranoid states and schizophrenic psychoses, affective psychoses and acute psychotic conditions (with neurotic disorders used as reference); a history of outpatient treatment; the presence of a staff member of a community mental health facility upon presentation at the emergency room; and the availability of beds in the psychiatric ward. Conclusion: The independent effect played by the presence of a staff member of a community mental health facility is of particular interest, suggesting the existence of a collaborative relationship between inpatient and outpatient services.

Download to read the full article text

Copyright information

© Steinkopff Verlag 1999