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Title of Journal: Soc Psychiatry Psychiatr Epidemiol

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Abbravation: Social Psychiatry and Psychiatric Epidemiology

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Springer Berlin Heidelberg

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DOI

10.1016/0368-2048(90)85048-e

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ISSN

1433-9285

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Factors influencing compulsory admission in first

Authors: Audrey Cougnard Ester Kalmi Alain Desage David Misdrahi François Abalan Hélène BrunRousseau Louis Rachid Salmi Hélène Verdoux
Publish Date: 2004/06/01
Volume: 39, Issue: 10, Pages: 804-809
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Abstract

There is a growing body of evidence that patients with early psychosis have undesirable pathways to care yet few studies have explored the factors related to compulsory admission in patients with psychosis The aim of the present study was to examine the demographic and clinical factors and pathways to care influencing compulsory admission in firstadmitted subjects with psychosisPathways to care clinical and demographic characteristics were assessed using multiple sources of information in 86 subjects with psychosis first admitted in two hospitals of SouthWestern France Characteristics independently associated with compulsory admission were explored using logistic regressionsNearly twothirds of the subjects 616 were compulsorily admitted Compulsory admission was independently predicted by being a male adjusted OR = 32 95 CI 12–86 p = 002 having a diagnosis of schizophrenia broadly defined adjusted OR = 28 95 CI 102–74 p = 004 and absence of depressive or anxiety symptoms adjusted OR = 005 95 CI 0005–05 p = 001These results suggest that factors related to the disease itself play an important role in decisions concerning compulsory admission The high frequency of compulsory admission as the first mode of contact with psychiatric hospital in subjects with psychosis constitutes a major public health issue Further research on the strategies aimed at avoiding compulsory admission in subjects with incipient psychosis is necessary

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