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KMID : 0897520170220020091
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Journal of Korean Association of Social Psychiatry
2017 Volume.22 No. 2 p.91 ~ p.101
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Characteristics and Risk Factors of Psychiatric Emergency Hospitalization Patients by Article 26 of Mental Health Acts
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Bae Jee-Hye
Oum Se-Joon
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Abstract
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Objectives : This study aimed to identify the characteristics and risk factors of psychiatric emergency hospitalization patients by Article 26 of Mental Health Acts.
Methods : If a person who discovers any person who is presumed to be mentally ill and is highly likely to harm himself/herself or
a third person lacks time to hospitalize the person under Articles 23 through 25, he/she may request emergency hospitalization (EH) of the person to a mental medical institution with consent of a medical doctor and a police officer. We retrospectively reviewed medical records of 919 cases of psychiatric hospitalization patients in emergency room (ER) of Seoul Metropolitan Eunpyeong hospital between January 1st and December 31th, 2015. We compared characteristics between the each group of patients by t-test or chi square test. Generalized estimating equation (GEE) with a logistic regression were used to identify the risk factors.
Results : Of 919 cases of psychiatric admission patients, 441 cases (48.0%) were EH. From among EH, 106 cases (24.0%) were repeated emergency hospitalizations (REH). Among enabling factors, family, marital status, living alone, homeless, visit time, visit day, and accompaniment were significant associative factors in EH, but only family, living alone, and visit time were significant in REH. Among need factors, suicidal behavior, violent behavior, diagnosis of other psychotic disorder, depressive disorder, substance use disorder, and adjustment disorder, other neurotic disorder, length of stay in ER, seclusion, physical restraint, and Injection were significant associative factors in EH, but only suicidal behavior and diagnosis of depressive disorder and adjustment disorder, other neurotic disorder were significant in REH.
Conclusion : Patients with EH were lived in a more insecure socioeconomic environment and vulnerable support systems, more likely to have a suicidal and violent behavior, and also found to have more severe psychiatric symptoms. It is necessary to connect the patients with community mental health services, by expanding public mental health system.
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KEYWORD
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Psychiatric emergency hospitalization, Repeated psychiatric emergency hospitalization, Characteristics, Risk factors, Mental health acts
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