title: Diagnosis change, lithium use and admissions for mania in Edinburgh.
abstract: Admissions for mania have risen significantly in Edinburgh since 1970. Differencing was used to remove time trends; this showed that the rise was not accounted for by diagnosis change (from schizophrenia or personality disorder) or by lithium prescription. The contribution of non-specific factors such as admission policy and the experience of trainee psychiatrists deserves evaluation. If this rise continues there will be significant resource implications for the future.
authors.affiliation: University Department of Psychiatry, Royal Edinburgh Hospital, United Kingdom.
authors.forename: A J
authors.initials: AJ
authors.lastname: Mander
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001714:Bipolar Disorder / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D004363:Drug Utilization / Q000639:trends; D006801:Humans; D015994:Incidence; D008094:Lithium / Q000627:therapeutic use*; D008875:Middle Aged; D010343:Patient Admission / Q000639:trends*; D010554:Personality Disorders / Q000175:diagnosis / Q000453:epidemiology*; D012559:Schizophrenia / Q000175:diagnosis / Q000453:epidemiology*; D012606:Scotland / Q000453:epidemiology
chemical_list: D008094:Lithium