Academic Journal
Sociodemographic and Clinical Correlates Associated with the Frequent Service Users in an Italian Psychiatric Emergency Department
| العنوان: | Sociodemographic and Clinical Correlates Associated with the Frequent Service Users in an Italian Psychiatric Emergency Department |
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| المؤلفون: | Aguglia A., Corsini G. P., Costanza A., Berti A., Bruno E., Escelsior A., Sanvi J., Trabucco A., Vai E., Amerio A., Serafini G., Amore M. |
| المساهمون: | Aguglia, A., Corsini, G. P., Costanza, A., Berti, A., Bruno, E., Escelsior, A., Sanvi, J., Trabucco, A., Vai, E., Amerio, A., Serafini, G., Amore, M. |
| بيانات النشر: | MDPI |
| سنة النشر: | 2023 |
| المجموعة: | Università degli Studi di Genova: CINECA IRIS |
| مصطلحات موضوعية: | cannabinoid, cocaine, emergency psychiatry, frequent service user, mood disorder, personality disorder, substances |
| الوصف: | Background: The aim of the present study is to identify the main sociodemographic and clinical correlates associated with frequent service users (FSUs) in an Italian psychiatric emergency department. Methods: This study is an observational and prospective clinical investigation. All subjects (N = 549) consecutively admitted to the Psychiatric Inpatient Unit of the IRCCS Ospedale Policlinico San Martino ((Genoa, Italy) were recruited over a period of 18 months. Results: On average, FSUs were more likely to be single (75.0% vs. 64.0, p = 0.001), younger (38.79 years ± 14.68 vs. 45.94 years ± 16.94, p = 0.028), with an earlier onset (20.15 years ± 7.22 vs. 29.33 years ± 15.96, p < 0.001), and longer length of hospitalisation (13.65 days ± 12.40 vs. 9.89 ± 10.15, p = 0.006) compared to non-FSUs. While bipolar disorder was the most common primary diagnosis in both FSUs and non-FSUs, cluster B personality disorder was particularly elevated in FSUs (30.3% vs. 10.4%, p < 0.001). Furthermore, FSUs were more prone to substance use disorder (63.6% vs. 40.0%, p < 0.001), particularly cannabis (45.5% vs. 15.3%, p < 0.001), cocaine (33.3% vs. 10.4%, p < 0.001), and heroin (19.7% vs. 5.8%, p < 0.001), and were more likely to have non-suicidal self-injuries (21.2% vs. 6.8%, p < 0.001). FSUs were significantly more likely to be discharged against medical advice (18.2% vs. 5.6%, p < 0.001) or to have at least one escape attempt from the psychiatric ward (12.1% vs. 0.8%, p < 0.001). Conclusions: Specific clinical and social profiles of patients who repeatedly utilised the services of a psychiatric emergency department have been identified. Our findings can be used to develop suitable structures to support and reintegrate FSUs into society and work life. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | ELETTRONICO |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/36766535; info:eu-repo/semantics/altIdentifier/wos/WOS:000929243400001; volume:13; firstpage:430; lastpage:441; numberofpages:12; journal:DIAGNOSTICS; https://hdl.handle.net/11567/1109375; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85147812311 |
| DOI: | 10.3390/diagnostics13030430 |
| الاتاحة: | https://hdl.handle.net/11567/1109375 https://doi.org/10.3390/diagnostics13030430 |
| رقم الانضمام: | edsbas.7F5138BF |
| قاعدة البيانات: | BASE |
| DOI: | 10.3390/diagnostics13030430 |
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