Skip to Main content Skip to Navigation
Master Thesis

L’hospitalisation psychiatrique de courte durée aux urgences d’un hôpital général : une étude rétrospective sur les facteurs prédictifs d’orientation à l’issue de la prise en charge

Abstract : The availability of short-stay beds for brief admission (less than 72 hours) of crisis patients presenting to the emergency room is a model that has gained a growing interest because it allows time for developing alternatives to psychiatric hospitalization and favors a maintained functioning in the community. The primary objective of this study was to determine the factors predicting aftercare dispositions: transfer for further hospitalization, or return to the community. All patients (n=255) admitted to the short-stay unit of the Emergency Department of Rambouillet General Hospital during a one year period were included in the study. Logistic regression analysis was used to determine which factors, among patients clinical and socio-demographic characteristics, were associated with further hospitalization decision at discharge. Statistically significant factors associated with a higher probability of hospitalization included the patient’s initial wish to be hospitalized, the presence of a comorbid disorder, a referral by family or friends, a history of psychiatric hospitalization and suicidal ideation on arrival in the emergency room. Conversely, significant factors associated with a lower probability of hospitalization were the presence of a personality disorder, a precipitating conflict situation, age between 20 and 39 years, being employed. Our study confirms that clinical factors such as the presence of a personality disorder or the context of a precipitating conflict situation are predictive of a community return. Interestingly, it points out the importance of the patient’s initial wish in the hospitalization decision.
Document type :
Master Thesis
Complete list of metadatas

Cited literature [62 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-01624594
Contributor : Université Paris Descartes - Scd <>
Submitted on : Thursday, October 26, 2017 - 2:56:10 PM
Last modification on : Friday, March 27, 2020 - 2:35:56 AM
Long-term archiving on: : Saturday, January 27, 2018 - 2:37:33 PM

File

ThExe_NOROTTE_Cyrille_DUMAS.pd...
Files produced by the author(s)

Identifiers

  • HAL Id : dumas-01624594, version 1

Citation

Cyrille Norotte. L’hospitalisation psychiatrique de courte durée aux urgences d’un hôpital général : une étude rétrospective sur les facteurs prédictifs d’orientation à l’issue de la prise en charge. Médecine humaine et pathologie. 2016. ⟨dumas-01624594⟩

Share

Metrics

Record views

67

Files downloads

436