Inpatient seclusion: description and causes.
A total of 114 (31%) of 370 acute admissions to an inpatient unit over a one-year interval had at least one episode of seclusion or restraint. Four variables were significant predictors of seclusion and restraint. They were young age, diagnosis of borderline personality disorder, and two scores (irritability and total assets) on the Nurses Observation Scale for Inpatient Evaluation (NOSIE). More than 81% of the predictions were correct (Kappa = .37, p < .001). The four predictive variables were used to predict seclusion and restraint in a new sample of 80 patients. More than 79% of the predictions were correct (Kappa = .40, p < .001).
Dartmouth Medical School, New Hamsphire Hospital, Concord 03301.
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Swett
D000328:Adult; D001883:Borderline Personality Disorder / Q000523:psychology / Q000534:rehabilitation; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence*; D003617:Dangerous Behavior; D005260:Female; D006801:Humans; D007902:Length of Stay / Q000331:legislation & jurisprudence; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000534:rehabilitation*; D008875:Middle Aged; D019965:Neurocognitive Disorders / Q000523:psychology / Q000534:rehabilitation; D010356:Patient Isolation / Q000331:legislation & jurisprudence* / Q000523:psychology; D011569:Psychiatric Status Rating Scales; D012149:Restraint, Physical / Q000331:legislation & jurisprudence / Q000523:psychology; D012307:Risk Factors; D014754:Violence