Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-10T07:46:12.577Z Has data issue: false hasContentIssue false
  • English
  • Français

Clinical predictors of admission status in first episode schizophrenia

Published online by Cambridge University Press:  16 April 2020

B.D. Kelly ,
M. Clarke ,
S. Browne ,
O. McTigue ,
M. Kamali ,
M. Gervin ,
A. Kinsella ,
A. Lane ,
C. Larkin  and
E. O’Callaghan
B.D. Kelly
Affiliation:
Stanley Research Unit, Cluain Mhuire Family Centre, St. John of God Adult Psychiatric Services, Newtownpark Avenue, Blackrock, Co. Dublin, Ireland
M. Clarke
Affiliation:
Stanley Research Unit, Cluain Mhuire Family Centre, St. John of God Adult Psychiatric Services, Newtownpark Avenue, Blackrock, Co. Dublin, Ireland
S. Browne
Affiliation:
Stanley Research Unit, Cluain Mhuire Family Centre, St. John of God Adult Psychiatric Services, Newtownpark Avenue, Blackrock, Co. Dublin, Ireland
O. McTigue
Affiliation:
Stanley Research Unit, Cluain Mhuire Family Centre, St. John of God Adult Psychiatric Services, Newtownpark Avenue, Blackrock, Co. Dublin, Ireland
M. Kamali
Affiliation:
Stanley Research Unit, Cluain Mhuire Family Centre, St. John of God Adult Psychiatric Services, Newtownpark Avenue, Blackrock, Co. Dublin, Ireland
M. Gervin
Affiliation:
Stanley Research Unit, Cluain Mhuire Family Centre, St. John of God Adult Psychiatric Services, Newtownpark Avenue, Blackrock, Co. Dublin, Ireland
A. Kinsella
Affiliation:
Stanley Research Unit, Cluain Mhuire Family Centre, St. John of God Adult Psychiatric Services, Newtownpark Avenue, Blackrock, Co. Dublin, Ireland
A. Lane
Affiliation:
Stanley Research Unit, Cluain Mhuire Family Centre, St. John of God Adult Psychiatric Services, Newtownpark Avenue, Blackrock, Co. Dublin, Ireland
C. Larkin
Affiliation:
Stanley Research Unit, Cluain Mhuire Family Centre, St. John of God Adult Psychiatric Services, Newtownpark Avenue, Blackrock, Co. Dublin, Ireland
E. O’Callaghan*
Affiliation:
Stanley Research Unit, Cluain Mhuire Family Centre, St. John of God Adult Psychiatric Services, Newtownpark Avenue, Blackrock, Co. Dublin, Ireland
*
*Corresponding author. E-mail address: eadbhard@indigo.ie (E. O’Callaghan).
Get access

Abstract

Having a diagnosis of schizophrenia is a risk factor for involuntary admission to psychiatric inpatient care, but we have a limited understanding of why some patients and not others require involuntary admission. We aimed to identify the predictors of involuntary admission in first episode schizophrenia. We used validated instruments to assess clinical and socio-demographic variables in all patients (n = 78) with first episode schizophrenia from a defined geographical area admitted to a Dublin psychiatric hospital over a 4-year period. Involuntary patients (n = 17) could not be distinguished from voluntary patients (n = 61) on the basis of age, gender, living status, marital status, drug abuse or duration of untreated psychosis. Neither positive nor negative symptoms were useful predictors of admission status. Lack of insight was a strong predictor of involuntary status.

Keywords

SchizophreniaTreatmentPsychotic symptomsInsight
Type
Original article
Information
European Psychiatry , Volume 19 , Issue 2 , April 2004 , pp. 67 - 71
Copyright
Copyright © 2004 European Psychiatric Association

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed.Washington (DC): APA; 1994.Google Scholar
Bartko, GHerczeg, IZador, GClinical symptomatology and drug compliance in schizophrenic patients. Acta Psychiatr Scand 1988;77: 74–6.CrossRefGoogle ScholarPubMed
Daly, AWalsh, DIrish psychiatric services: activities 1999. Dublin: The Health Research Board; 2000.Google Scholar
Farren, CMcLoughlin, DClare, AProcedures for involuntary admission to public and private psychiatric facilities. Ir J Psychol Med 1992;9:96–100.CrossRefGoogle Scholar
Fennig, SRabinowitz, JFennig, SInvoluntary first admission of patients with schizophrenia as a predictor of future admissions. Psy-chiatr Serv 1999;50:1049–52.CrossRefGoogle ScholarPubMed
Fenton, WSBlyler, CRHeinssen, RKDeterminants of medication compliance in schizophrenia: empirical and clinical findings. Schizophr Bull 1997;23:637–51.CrossRefGoogle ScholarPubMed
Figuerdo, JLGutirrez, MMosquera, FLalaguna, BGonzalez, PAInvoluntary hospitalization in the first psychotic episodes: associated factors. Acta Esp Psiquiatr 2000;28:275–8.Google Scholar
Inch, RCrossley, MKeegan, DThorarinson, DUse of Brief Psychiatric rating Scale to measure success in a psychosocial day program. Psychiatr Serv 1997;48:1195–7.Google Scholar
Isohanni, MNieminen, PRelationship between involuntary admission and the therapeutic process in a closed ward functioning as a therapeutic community. Acta Psychiatr Scand 1991;81:240–4.CrossRefGoogle Scholar
Kay, SRFiszbein, AOpler, LAThe positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull 1987;13:261–76.Google Scholar
Khanna, RGupta, NVerma, SKhanna, NFactors related to psychiat ric hospitalisation for first contact patients. Int J Soc Psychiatry 1992;38:293–303.CrossRefGoogle Scholar
Lowenstein, MBinder, RLMcNeil, DEThe relationship between admission symptoms and hospital assaults. Hosp Community Psychiatry 1990;41:311–3.Google ScholarPubMed
Lysaker, PHBryson, GJLancaster, RSEvans, JDBell, MDInsight in schizophrenia: associations with executive function and coping style. Schizophr Res 2003;59:41–7.CrossRefGoogle ScholarPubMed
MallaA, Norman, RMHelmes, EFactors associated with involuntary admission to psychiatric facilities in Newfoundland. Can MedAssoc J 1987;136:1166–71.Google Scholar
McNeil, DEBinder, RLCorrelates of accuracy in the assessment of psychiatric inpatients’ risk of violence. Am J Psychiatry 1995;152: 901–6.Google Scholar
Miller, KSSimons, RLFein, SBCompulsory mental hospitalisation in England and Wales. J Health Soc Behav 1974;15:151–6.CrossRefGoogle ScholarPubMed
Riecher, ARossler, WLoffler, WFatkeheuer, BFactors influencing compulsory admission of psychiatric patients. Psychol Med 1991;21: 197–208.CrossRefGoogle ScholarPubMed
Rooney, SMurphy, KCMulvany, FO’ Callaghan, ELarkin, CA comparisonof voluntary and involuntary patients admittedto hospital. Ir J Psychol Med 1996;13:132–7.CrossRefGoogle Scholar
Sanz, MConstable, GLopez-Ibor, IKemp, RDavid, ASA comparative study of insight scales and their relationship to psychopathologi-cal and clinical variables. Psychol Med 1988;28:437–46.Google Scholar
Spengler, AFactors influencing assignment of patients to compulsory admission. Soc Psychiatry 1986;21:113–22.CrossRefGoogle ScholarPubMed
SPSS INC. SPSS user guide base statistics 6.1. Chicago: SPSS Inc; 1994.Google Scholar
Szmukler, GIBird, ASButton, EJCompulsory admissions in a London Borough. I. Social and clinical features and a follow-up. Psychol Med 1981;11:617–36.CrossRefGoogle Scholar
Verdoux, HLengronne, JLiraud, FGonzales, BAssens, FAbalan, Fet al. Medication adherence in psychosis: predictors and impact on outcome. A 2-year follow-up of first-admitted patients. Acta Psychiatr Scand 2000;102:203–10.CrossRefGoogle Scholar
Weiler, MAFleisher, MHMcArthur-Campbell, DInsight and symptom change in schizophrenia and other disorders. Schizophr Res 2000;45:29–36.CrossRefGoogle ScholarPubMed
Young, JLZonana, HVShepler, LMedication non-compliance in schizophrenia: codification and update. BullAmAcad Psychiatry Law 1986;14:105–22.Google ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.