PMID- 9504703
OWN - NLM
STAT- MEDLINE
DCOM- 19980428
LR  - 20190815
IS  - 0001-690X (Print)
IS  - 0001-690X (Linking)
VI  - 97
IP  - 1
DP  - 1998 Jan
TI  - Factors predictive of referral to psychiatric hospital among general hospital 
      psychiatric consultations.
PG  - 47-54
AB  - The aim of this paper was to explore the factors necessitating psychiatric 
      hospital care in a Finnish multi-centre study of general hospital in-patients 
      referred for psychiatric consultation. The study group consisted of 1251 patients 
      referred to psychiatric hospital (n = 181) and a comparison group (n = 1070) 
      consisting of subjects who were not referred. Differences between groups were 
      studied by univariate analysis. Logistic regression analysis was used both to 
      assess the factors contributing to referral to psychiatric hospital and to create 
      predictive models. The validity of the models was analysed by means of receiver 
      operating characteristic (ROC) curves in an independent sample. Psychiatric 
      hospital care during the previous 5 years was associated with a 3.7-fold (odds 
      ratio) increased risk of hospitalization. A diagnosis of psychosis was associated 
      with a 2.9-fold increased risk, and attempted suicide as a reason for 
      consultation was associated with a 2.1-fold increased risk. Not being married 
      doubled the risk, and the odds ratio was also high in cases of poor psychosocial 
      functioning (as assessed by Global Assessment of Functioning (GAF) score). The 
      predictive model differentiated reasonably well between those patients who were 
      hospitalized and the other patients. In conclusion, this multi-centre study of 
      factors predictive of referral to psychiatric hospital among general hospital 
      patients revealed that the most important determinants were previous psychiatric 
      care, diagnosis of psychosis or severe depression, attempted suicide, being 
      unmarried, and poor psychosocial functioning as assessed by GAF score.
FAU - Viinamaki, H
AU  - Viinamaki H
AD  - Department of Psychiatry, Kuopio University Hospital, Finland.
FAU - Tienari, P
AU  - Tienari P
FAU - Niskanen, L
AU  - Niskanen L
FAU - Niskanen, M
AU  - Niskanen M
FAU - Leppavuori, A
AU  - Leppavuori A
FAU - Hiltunen, P
AU  - Hiltunen P
FAU - Rahikkala, H
AU  - Rahikkala H
FAU - Herzog, T
AU  - Herzog T
FAU - Malt, U F
AU  - Malt UF
FAU - Lobo, A
AU  - Lobo A
FAU - Huyse, F J
AU  - Huyse FJ
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Acta Psychiatr Scand
JT  - Acta psychiatrica Scandinavica
JID - 0370364
SB  - IM
MH  - Adult
MH  - Dangerous Behavior
MH  - Factor Analysis, Statistical
MH  - Female
MH  - Finland/epidemiology
MH  - Hospitals, General/statistics & numerical data
MH  - Hospitals, Psychiatric/statistics & numerical data
MH  - Humans
MH  - Male
MH  - Mental Disorders/diagnosis/*epidemiology/psychology
MH  - Middle Aged
MH  - Models, Statistical
MH  - Odds Ratio
MH  - Patient Admission/*statistics & numerical data
MH  - Patient Care Team/*statistics & numerical data
MH  - Patient Readmission/statistics & numerical data
MH  - Psychiatric Status Rating Scales/statistics & numerical data
MH  - Psychometrics
MH  - ROC Curve
MH  - Referral and Consultation/*statistics & numerical data
MH  - Risk
EDAT- 1998/03/21 00:00
MHDA- 1998/03/21 00:01
CRDT- 1998/03/21 00:00
PHST- 1998/03/21 00:00 [pubmed]
PHST- 1998/03/21 00:01 [medline]
PHST- 1998/03/21 00:00 [entrez]
AID - 10.1111/j.1600-0447.1998.tb09962.x [doi]
PST - ppublish
SO  - Acta Psychiatr Scand. 1998 Jan;97(1):47-54. doi: 
      10.1111/j.1600-0447.1998.tb09962.x.