Are female psychiatry residents better to propose in emergency a voluntary hospitalization?
This study analyses assessment, intervention and admission decisions made by emergency psychiatry residents, to determine whether these differ depending on the gender of the resident. Data from all patients presenting to a psychiatric emergency room were collected prospectively for a 3 months period as part of a local quality check project. A questionnaire was used to collect patient demographic data, diagnosis, treatment decisions and the personal and professional characteristics of the residents who performed the assessments. During the 3 months of the study period we obtained data on all 251 emergency assessments carried out by all six residents working in the service. These were 3 female and 3 male 3rd year residents in psychiatry. There was no difference between male and female residents concerning ICD-10 diagnostic assessment, adherence to local hospitalization criteria guidelines, psychotherapeutical and pharmacological treatments administered. A similar distribution between male and female residents was found for diagnoses. No difference was found in the rate of hospitalization decisions between male and female residents. However, surprisingly, there were more voluntary hospitalizations by the women residents (P = 0.035; χ2 = 4.443) and more involuntary admissions by the men residents (P = 0.005; χ2 = 7.643). There was no correlation between the gender of the patient and the assessment or hospitalization decision of either male or female residents. Although this study has methodological limitations, it suggests that female emergency psychiatry residents are more likely to propose voluntary hospitalizations.
Mihai
Adriana
A
University of Medicine and Pharmacy Tg Mures, Gh Marinescu 38, Tg Mures, 540139, Romania. ammihai2002@yahoo.com
Allen
Michael H
MH
Beezhold
Julian
J
Rosu
Codruta
C
Nirestean
Aurel
A
Damsa
Cristian
C
D000328:Adult; D016009:Chi-Square Distribution; D004637:Emergency Services, Psychiatric / Q000379:methods* / Q000706:statistics & numerical data; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D038801:International Classification of Diseases; D007396:Internship and Residency / Q000379:methods* / Q000706:statistics & numerical data; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000628:therapy*; D008875:Middle Aged; D012737:Sex Factors; D011795:Surveys and Questionnaires
Psychiatr Serv. 1998 Jul;49(7):941-5
9661230
Psychiatr Serv. 2005 Apr;56(4):452-7
15812096
Gen Hosp Psychiatry. 2007 Jan-Feb;29(1):42-4
17189744
Acad Psychiatry. 2008 Nov-Dec;32(6):525-30
19190303
Am J Psychother. 2006;60(4):323-34
17340944
Gen Hosp Psychiatry. 2007 Nov-Dec;29(6):481-8
18022040
Psychiatr Serv. 2002 Dec;53(12):1586-91
12461220
Gen Hosp Psychiatry. 2007 Jan-Feb;29(1):51-3
17189746
Eur Psychiatry. 2005 Dec;20(8):562-6
16140511
J Clin Psychiatry. 2007;68 Suppl 4:40-4
17539699
Acad Psychiatry. 2006 May-Jun;30(3):191-5
16728764
Psychiatr Serv. 2005 Jun;56(6):721-8
15939950