title: Changing patterns in emergency involuntary admissions in the Netherlands in the period 2000-2004.
abstract: BACKGROUND
  In England, rates of involuntary admissions increased in subgroups of patients. It is unknown whether this is true in other European countries.
  
  
  OBJECTIVE
  To establish whether the increase in emergency commitments was uniform across subgroups of patients and dangerousness criteria used to justify commitment in The Netherlands.
  
  
  METHODS
  National data on all commitments in the period 2000-2004.
  
  
  RESULTS
  Commitments increased from 40.2 to 46.5 (16%) per 100,000 inhabitants. Controlling for population changes in age and sex, relatively large increases were found in patients over 50 years (25-40% increase), in patients with dementia (59%), 'other organic mental disorders' (40%) and substance abuse (36%). 'Arousing aggression', increased most strongly as a dangerousness criterion for commitment (30%).
  
  
  CONCLUSIONS
  Changing patterns of commitments in The Netherlands and England might indicate a wider European shift in diagnoses and reasons for admission of committed patients.
authors.affiliation: Erasmus MC, University Medical Center Rotterdam, Department of Psychiatry and BavoEuropoort, Rotterdam, The Netherlands. c.l.mulder@erasmusmc.nl
authors.forename: C L
authors.initials: CL
authors.lastname: Mulder
authors.forename: D
authors.initials: D
authors.lastname: Uitenbroek
authors.forename: J
authors.initials: J
authors.lastname: Broer
authors.forename: B
authors.initials: B
authors.lastname: Lendemeijer
authors.forename: J R
authors.initials: JR
authors.lastname: van Veldhuizen
authors.forename: W
authors.initials: W
authors.lastname: van Tilburg
authors.forename: P
authors.initials: P
authors.lastname: Lelliott
authors.forename: A I
authors.initials: AI
authors.lastname: Wierdsma
mesh_terms: D000367:Age Factors; D000368:Aged; D003134:Commitment of Persons with Psychiatric Disorders / Q000706:statistics & numerical data*; D003431:Cross-Cultural Comparison; D003617:Dangerous Behavior; D003704:Dementia / Q000453:epidemiology / Q000523:psychology; D004637:Emergency Services, Psychiatric / Q000379:methods / Q000706:statistics & numerical data; D004739:England / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000523:psychology; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology; D019965:Neurocognitive Disorders / Q000453:epidemiology / Q000523:psychology; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology