PMID- 34018857 OWN - NLM STAT- MEDLINE DCOM- 20220119 LR - 20220119 IS - 2042-1818 (Electronic) IS - 0025-8024 (Linking) VI - 62 IP - 1 DP - 2022 Jan TI - Exploring the prevalence of personality disorder and the feasibility of using the SAPAS as a screening tool for personality disorder in an emergency department in India. PG - 8-16 LID - 10.1177/00258024211011387 [doi] AB - BACKGROUND: Personality disorders (PD) lead to frequent emergency department (ED) visits. Existing studies have evaluated high-risk ED populations in Western settings. PD screening tools, such as the Standardized Assessment of Personality - Abbreviated Scale (SAPAS), have thus far only been validated in Western populations. AIMS: This study aimed to establish the screened prevalence of PD, and to evaluate the performance of the SAPAS as a screening tool within an ED setting in India. METHODS: The study took place in the ED of a private multi-speciality hospital in Kolkata, India. All attendees were approached during two days per week over three months, except those who were medically unfit to participate. The SAPAS and the International Personality Disorder Examination (IPDE) were translated into Bengali and then used as screening tools for PD and as the reference standard for PD diagnosis. RESULTS: Out of 120 ED attendees approached, 97 participated (48 men and 49 women), of whom 24% met the criteria for a diagnosis of PD. A cut-off score of 4 on the SAPAS provided the best trade-off between sensitivity and specificity for detecting PD. CONCLUSION: The prevalence of PD was similar to Western samples, and the SAPAS showed promise for use in a non-Western setting. FAU - Sen, Piyal AU - Sen P AD - Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK. AD - Elysium Healthcare, UK. FAU - Barnicot, Kirsten AU - Barnicot K AD - Centre for Psychiatry, Imperial College London, UK. AD - Central and North West London NHS Foundation Trust, UK. FAU - Podder, Priyanka AU - Podder P AUID- ORCID: 0000-0001-9134-851X AD - Department of Psychology, University of Calcutta, India. FAU - Dasgupta, Indraneel AU - Dasgupta I AD - Department of Emergency Medicine, Peerless Hospital and B.K. Roy Research Centre, India. AD - Royal College of Emergency Medicine, UK. FAU - Gormley, Mariko AU - Gormley M AD - King's College London, UK. LA - eng PT - Journal Article DEP - 20210521 PL - England TA - Med Sci Law JT - Medicine, science, and the law JID - 0400721 SB - IM MH - *Emergency Service, Hospital MH - Feasibility Studies MH - Female MH - Humans MH - Male MH - *Personality Disorders/diagnosis/epidemiology MH - Prevalence MH - Sensitivity and Specificity OTO - NOTNLM OT - Asian OT - India OT - Personality disorder OT - SAPAS OT - emergency department EDAT- 2021/05/22 06:00 MHDA- 2022/01/20 06:00 CRDT- 2021/05/21 12:13 PHST- 2021/05/22 06:00 [pubmed] PHST- 2022/01/20 06:00 [medline] PHST- 2021/05/21 12:13 [entrez] AID - 10.1177/00258024211011387 [doi] PST - ppublish SO - Med Sci Law. 2022 Jan;62(1):8-16. doi: 10.1177/00258024211011387. Epub 2021 May 21.