Table 1 Admission patterns and characteristics in patients assessed by the Psychiatric Emergency Services
Total no. of patients assessed N = 71,707 (100%) | No admission N = 42,572 (59%) | Voluntary admission N = 14,346 (20%) | Involuntary admission N = 14,789 (21%) | ||
|---|---|---|---|---|---|
Sociodemographic variables | |||||
Gender | Male | 55.1 | 57.4 | 19.6 | 23.0 |
Female | 44.9 | 61.7 | 20.6 | 17.7 | |
Ethnicity | Dutch | 67.3 | 59.1 | 21.1 | 19.8 |
Other | 8.2 | 54.9 | 17.9 | 27.2 | |
Unknown | 24.5 | 61.6 | 17.6 | 20.8 | |
Age | 18–38 | 49.5 | 59.9 | 18.2 | 21.9 |
39–59 | 44.4 | 58.8 | 21.7 | 19.5 | |
60–65 | 6.1 | 59.5 | 22.6 | 17.9 | |
Clinical factors | |||||
Suicide risk | None (0) | 35.4 | 62.0 | 15.9 | 22.1 |
Low (1) | 40.3 | 63.5 | 17.7 | 18.8 | |
Moderate (2) | 16.3 | 55.3 | 28.4 | 16.3 | |
High (3) | 8.0 | 35.2 | 32.9 | 31.9 | |
Substance abuse | None (0) | 54.0 | 62.5 | 20.1 | 17.4 |
Low (1) | 13.2 | 61.8 | 18.7 | 19.5 | |
Moderate (2) | 16.1 | 56.7 | 17.9 | 25.4 | |
High (3) | 16.7 | 50.1 | 22.7 | 27.2 | |
Danger to others | None (0) | 54.3 | 72.1 | 21.9 | 5.9 |
Low (1) | 30.3 | 56.5 | 20.7 | 22.8 | |
Moderate (2) | 8.5 | 25.9 | 15.4 | 58.7 | |
High (3) | 7.0 | 13.1 | 7.4 | 79.4 | |
Motivation for treatment | None (0) | 25.4 | 75.7 | 22.9 | 1.3 |
Low (1) | 31.2 | 64.4 | 30.8 | 4.8 | |
Moderate (2) | 22.2 | 54.8 | 17.4 | 27.8 | |
High (3) | 21.2 | 37.1 | 3.5 | 59.4 | |
Psychiatric diagnoses | |||||
Diagnosis axis I DSM-IV | Depressive disorder | 12.6 | 63.6 | 28.7 | 7.7 |
Psychotic disorder | 32.1 | 38.8 | 20.3 | 40.9 | |
Other | 55.3 | 68.9 | 20.0 | 11.1 | |
Diagnosis axis II DSM IV | Personality disordera | 16.2 | 62.8 | 23.0 | 14.2 |
Environmental factors | |||||
Admission requested by family | Not applicable | 58.3 | 66.3 | 15.9 | 17.8 |
Yes | 28.0 | 28.3 | 36.6 | 35.1 | |
No | 13.7 | 93.3 | 3.7 | 3.1 | |
Family involvement | None (0) | 44.1 | 61.4 | 21.0 | 17.6 |
Low (1) | 21.4 | 60.2 | 19.9 | 19.9 | |
Moderate (2) | 15.7 | 58.5 | 20.0 | 21.6 | |
High (3) | 18.8 | 54.4 | 17.8 | 27.9 | |