Predicting psychiatric admission from an emergency room. Psychiatric, psychosocial, and methodological factors.
The determinants of psychiatric hospitalization, especially nonspecific issues, have been studied extensively. The methodological problem of correlational non-cross-validated findings are seen as contributing to our uncertainties about the critical issues involved in the decision to admit. A cross-validated multiple regression analysis of determinants of hospitalization in an inner-city municipal hospital revealed two determinants of hospitalization: severity of schizophrenic symptoms and active suicidal and/or homicidal ideation. They accounted for one third of the variance without shrinkage. Quasi-experimental designs may be the most efficient means of studying the remaining unexplained variance.
D003134:Commitment of Persons with Psychiatric Disorders; D004637:Emergency Services, Psychiatric; D005260:Female; D006708:Homicide; D006760:Hospitalization; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology*; D008605:Mental Health Services; D011336:Probability; D012107:Research Design; D012559:Schizophrenia / Q000175:diagnosis / Q000628:therapy; D012565:Schizophrenic Psychology; D013405:Suicide / Q000523:psychology