ORIGINAL PAPER

Social Psychiatry and Psychiatric Epidemiology

, Volume 34, Issue 8, pp 425-431

First online:

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

  • T. MattioniAffiliated withPsychiatric Unit, G.B. Grassi Hospital, Rome, Italy
  • , D. Di LalloAffiliated withEpidemiology 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. RobertiAffiliated withPsychiatric Unit, S. Filippo Neri Hospital, Rome, Italy
  • , M. MiceliAffiliated withEpidemiology 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. StefaniAffiliated withEpidemiology 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. MaciAffiliated withPsychiatric Unit, S. Pertini Hospital, Rome, Italy
  • , C. A. PerucciAffiliated withEpidemiology Unit, Lazio Regional Health Authority, Via di S. Constanza, 53, 1-00198 Rome, Italy Tel.: +39-6-5168 6489, Fax: +39-6-5168 6463

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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.