Frequency, Prevalence, Interaction, and Gender Differences of Six Psychosocial Factors in Patients Presenting to a Psychiatric Emergency Service

# INTRODUCTION The psychiatric emergency service (PES) has become an increasingly utilized patient care approach over the past 50 years. Psychosocial factors play an important role in PES utilization and disposition of patients in this environment. PES utilization in our region has increased 450% i...

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Main Authors: James C. Patterson II, Ovais Khalid, Sarah E. Wakefield, Justin K. Liegmann, Saima Maqsood, Rajeev Srivastava, Elizabeth Allen
Format: Article
Language:English
Published: Open Medical Publishing 2021-05-01
Series:Health Psychology Research
Online Access:https://doi.org/10.52965/001c.24445
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author James C. Patterson II
Ovais Khalid
Sarah E. Wakefield
Justin K. Liegmann
Saima Maqsood
Rajeev Srivastava
Elizabeth Allen
author_facet James C. Patterson II
Ovais Khalid
Sarah E. Wakefield
Justin K. Liegmann
Saima Maqsood
Rajeev Srivastava
Elizabeth Allen
author_sort James C. Patterson II
collection DOAJ
description # INTRODUCTION The psychiatric emergency service (PES) has become an increasingly utilized patient care approach over the past 50 years. Psychosocial factors play an important role in PES utilization and disposition of patients in this environment. PES utilization in our region has increased 450% in the past 18 years, while the population has changed \<1%. Our objective was to determine the frequency and relationship between six psychosocial factors in our patients, in comparison to the general population. # METHODS We completed a retrospective chart review of 160 patients selected at random who utilized the PES during 2009-2010. We looked for historical presence of a broken family, abuse or neglect, substance abuse, legal problems, violence, or incomplete education. We also looked at the relationship of these factors to race and gender. # RESULTS 75% had three or more of the factors measured. In our population, substance abuse and broken family were most prevalent. Females had significantly more abuse or neglect as compared to males, while male subjects had significantly more substance abuse and legal issues than females. The presence of a broken family was strongly associated with abuse or neglect, while violence was associated with incomplete education and legal issues. The prevalence of these factors in our patients was higher than the general population. # CONCLUSION The average patient presenting to the PES has multiple major psychosocial problems at higher frequencies than the general population. Understanding the relationship between multiple psychosocial factors and increasing PES utilization can direct us towards addressing the problems causing the increase in PES presentation. A planned future prospective study will examine the incidence of these psychosocial factors in patients presenting to the PES as compared to the general population.
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spelling doaj-art-5ff90824871a44698be97b180d5239dc2025-02-11T20:30:22ZengOpen Medical PublishingHealth Psychology Research2420-81242021-05-0191Frequency, Prevalence, Interaction, and Gender Differences of Six Psychosocial Factors in Patients Presenting to a Psychiatric Emergency ServiceJames C. Patterson IIOvais KhalidSarah E. WakefieldJustin K. LiegmannSaima MaqsoodRajeev SrivastavaElizabeth Allen# INTRODUCTION The psychiatric emergency service (PES) has become an increasingly utilized patient care approach over the past 50 years. Psychosocial factors play an important role in PES utilization and disposition of patients in this environment. PES utilization in our region has increased 450% in the past 18 years, while the population has changed \<1%. Our objective was to determine the frequency and relationship between six psychosocial factors in our patients, in comparison to the general population. # METHODS We completed a retrospective chart review of 160 patients selected at random who utilized the PES during 2009-2010. We looked for historical presence of a broken family, abuse or neglect, substance abuse, legal problems, violence, or incomplete education. We also looked at the relationship of these factors to race and gender. # RESULTS 75% had three or more of the factors measured. In our population, substance abuse and broken family were most prevalent. Females had significantly more abuse or neglect as compared to males, while male subjects had significantly more substance abuse and legal issues than females. The presence of a broken family was strongly associated with abuse or neglect, while violence was associated with incomplete education and legal issues. The prevalence of these factors in our patients was higher than the general population. # CONCLUSION The average patient presenting to the PES has multiple major psychosocial problems at higher frequencies than the general population. Understanding the relationship between multiple psychosocial factors and increasing PES utilization can direct us towards addressing the problems causing the increase in PES presentation. A planned future prospective study will examine the incidence of these psychosocial factors in patients presenting to the PES as compared to the general population.https://doi.org/10.52965/001c.24445
spellingShingle James C. Patterson II
Ovais Khalid
Sarah E. Wakefield
Justin K. Liegmann
Saima Maqsood
Rajeev Srivastava
Elizabeth Allen
Frequency, Prevalence, Interaction, and Gender Differences of Six Psychosocial Factors in Patients Presenting to a Psychiatric Emergency Service
Health Psychology Research
title Frequency, Prevalence, Interaction, and Gender Differences of Six Psychosocial Factors in Patients Presenting to a Psychiatric Emergency Service
title_full Frequency, Prevalence, Interaction, and Gender Differences of Six Psychosocial Factors in Patients Presenting to a Psychiatric Emergency Service
title_fullStr Frequency, Prevalence, Interaction, and Gender Differences of Six Psychosocial Factors in Patients Presenting to a Psychiatric Emergency Service
title_full_unstemmed Frequency, Prevalence, Interaction, and Gender Differences of Six Psychosocial Factors in Patients Presenting to a Psychiatric Emergency Service
title_short Frequency, Prevalence, Interaction, and Gender Differences of Six Psychosocial Factors in Patients Presenting to a Psychiatric Emergency Service
title_sort frequency prevalence interaction and gender differences of six psychosocial factors in patients presenting to a psychiatric emergency service
url https://doi.org/10.52965/001c.24445
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