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Clinical profiles and temporal patterns of psychiatric emergency room visitors in Sweden
Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society. Lund University.ORCID iD: 0000-0002-3113-6432
Kristianstad University, School of Health and Society, Avdelningen för Ekonomi och arbetsliv. Kristianstad University, Research Platform for Collaboration for Health.
Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.ORCID iD: 0000-0001-5904-8664
2018 (English)In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 72, no 3, p. 197-204Article in journal (Refereed) Published
Abstract [en]

AIMS: To describe persons visiting the psychiatric emergency room (PER) in Sweden and to compare persons who frequently (PFV) and infrequently (PIFV) visit PERs in terms of group size, age, gender, PER location inside versus outside the home municipality, diagnosis (ICD 10), temporal patterns of visits and hospital admissions.

METHODS: This register study included all visits to PERs in one Swedish county over 3 years, 2013-2015 (N = 67,031 visits). The study employed descriptive statistics as well as Chi-square tests combined with Bonferroni correction to compare PFV with PIFV.

RESULTS: Of the total of 27,282 visitors, 2201 (8.1%) were identified as PFV (five or more visits within 12 months) and they accounted for 38.1% of the total visits. The study found differences between PFV and PIFV in gender, diagnostic profile, hospital admissions and temporal patterns. Differences were also detected with regard to distance between PERs and home municipalities. However, no age-related differences were found between the two groups.

CONCLUSIONS: PFV and PIFV have different clinical profiles and temporal patterns. These results may be important when planning, developing and evaluating interventions targeting the needs of each group, which is in accordance with a person-centred approach. Such an approach might eventually result in fewer visits to PERs.

Place, publisher, year, edition, pages
2018. Vol. 72, no 3, p. 197-204
Keywords [en]
Visitors, diagnosis, hospital admissions, psychiatric emergency, temporal patterns
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hkr:diva-17722DOI: 10.1080/08039488.2017.1417477ISI: 000424948600007PubMedID: 29254427OAI: oai:DiVA.org:hkr-17722DiVA, id: diva2:1168176
Available from: 2017-12-20 Created: 2017-12-20 Last updated: 2018-03-05Bibliographically approved

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Ekstrand, Joakim

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Research Platform for Collaboration for HealthSchool of Health and SocietyAvdelningen för Ekonomi och arbetslivAvdelningen för Sjuksköterskeutbildningarna
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