The elderly in the psychiatric emergency service (PES); a descriptive study

BMC Psychiatry

Volumn 11, Issue , 2011, Pages

  Chaput, Yves ^a   Beaulieu, Lucie ^b   Paradis, Michel ^c   Labonté, Edith ^d  

^a Haut Richelieu Hospital ^*  (Canada)

^b Haut Richelieu Hospital   (Canada)

^c NOTRE DAME HOSPITAL   (Canada)

^d LAVAL UNIVERSITY   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

BENZODIAZEPINE;

ADJUSTMENT DISORDER; ADULT; AFFECTIVE PSYCHOSIS; AGED; ANXIETY DISORDER; ARTICLE; COGNITIVE DEFECT; COMORBIDITY; DEMOGRAPHY; DEPRESSION; DESCRIPTIVE RESEARCH; DIVORCE; ELDERLY CARE; EMERGENCY CARE; EMERGENCY HEALTH SERVICE; FEMALE; GERIATRIC DISORDER; HEALTH CARE UTILIZATION; HOSPITAL ADMISSION; HUMAN; HYPOMANIA; MAJOR CLINICAL STUDY; MALE; PATIENT REFERRAL; PERSONALITY DISORDER; PSYCHIATRIC TREATMENT; SCHIZOPHRENIA; STRESS; SUBSTANCE ABUSE; SUICIDAL IDEATION; SUICIDE ATTEMPT; VIOLENCE; WIDOW; CANADA; COMPARATIVE STUDY; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; MENTAL DISEASE; MIDDLE AGED; PATIENT ATTITUDE; PSYCHOLOGICAL ASPECT; STATISTICS; UTILIZATION REVIEW;

ADULT; AGED; AGED, 80 AND OVER; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; EMERGENCY SERVICES, PSYCHIATRIC; FEMALE; HUMANS; MALE; MENTAL DISORDERS; MIDDLE AGED; PATIENT ACCEPTANCE OF HEALTH CARE; QUEBEC;

EID: 79960556972     PISSN: None     EISSN: 1471244X     Source Type: Journal    
DOI: 10.1186/1471-244X-11-111     Document Type: Article

References (43)

1. Statistics Canada Portrait of the canadian population in 2006, by age and sex. Accessed at January 2008, Statistics Canada., http://www.statcan.gc.ca/bsolc/olc-cel/olc-cel?catno = 97-551-XWE2006001&lang=eng
2. Regier DA, Rae DS, Narrow WE, Kaelber CT, Schatzberg AF. Prevalence of anxiety disorders and their comorbidity with mood and addictive disorders. Br J Psychiatry Suppl 1998, 24-28.
3. Bland RC, Newman SC, Orn H. Prevalence of psychiatric disorders in the elderly in Edmonton. Acta Psychiatr Scand Suppl 1988, 338:57-63.
4. Streiner DL, Cairney J, Veldhuizen S. The epidemiology of psychological problems in the elderly. Can J Psychiatry 2006, 51:185-191.
5. Cainey J, Coma LM, Veldhuizen S, Kurdyak P, Streiner DL. The social epidemiology of affective and anxiety disorders in later life in Canada. Can J Psychiatry 2008, 52:104-111.
6. Wade TJ, Cairney J. Age and depression in a nationally representative sample of Canadians: a preliminary look at the National Population Health Survey. Can J Public Health 1997, 88:297-302.
7. Martens PJ, Fransoo R, Burland E, Burchill C, Prior HJ, Ekuma O. Prevalence of mental illness and its impact on the use of home care and nursing homes: a population-based study of older adults in Manitoba. Can J Psychiatry 2007, 52:581-590.
8. Sareen J, Cox BJ, Afifi TO, Yu BN, Stein MB. Mental health service use in a nationally representative Canadian survey. Can J Psychiatry 2005, 50:753-761.
9. Blixen C, Lion J. Psychiatric visits to general hospital clinics by elderly persons and younger adults. Psychiatr Serv 1991, 42:171-175.
10. Chaput Y, Lebel MJ. Demographic and clinical profiles of patients who make multiple visits to psychiatric ermegency services. Psychiatr Serv 2007, 58:335-341. 10.1176/appi.ps.58.3.335, 17325106.
11. Thienhaus OJ, Rowe C, Woellert P, Hillard JR. Geropsychiatric emergency services: utilization and outcome predictors. Hosp Community Psychiatry 1988, 39:1301-1305.
12. Cully JA, Molinari VA, Snow AL, Burruss J, Kotrla KJ, Kunik ME. Utilization of emergency center services by older adults with a psychiatric diagnosis. Aging Ment Health 2005, 9:172-176. 10.1080/13607860412331336779, 15804636.
13. Woo BK. Utilization patterns of psychiatric emergency services by elderly patients. J Am Geriatr Soc 2009, 57:182-183. 10.1111/j.1532-5415.2009.02061.x, 19170805.
14. Strathdee SA. Access to public mental health services among older adults with severe mental illness. Int J Geriatr Psychiatry 2009, 24:313-318. 10.1002/gps.2123, 2645478, 18759380.
15. Depp CA, Lindamer LA, Folsom DP, Gilmer T, Hough RL, Garcia P, Jeste DV. Differences in clinical features and mental health service use in bipolar disorder across the lifespan. Am J Geriatr Psychiatry 2005, 13:290-298.
16. Sewitch MJ, Cole M, McCusker J, Ciampi A, Dyachenko A. Medication use and nonadherence to psychoactive medication for mental health problems by community-living canadian seniors with depression. Can J Psychiatry 2008, 53:609-620.
17. Preville M, Boyer R, Grenier S, Dube M, Voyer P, Punti R, Baril MC, Streiner DL, Cairney J, Brassard J. The Epidemiology of Psychiatric Disorders in Quebec's Older Adult Population. Can J Psychiatry 2008, 53:822-832.
18. Weinberger MI, Mateo C, Sirey JA. Perceived barriers to mental health care and goal setting among depressed, community-dwelling older adults. Patient Prefrence and Adherence 2009, 3:145-149.
19. Preville M, Boyer R, Vasiliadis HM, Grenier S, Voyer P, Hudon C, Streiner DL, Cairney J, Brassard J. One-year incidence of psychiatric disorders in Quebec's older adult population. Can J Psychiatry 2010, 55:449-457.
20. Larkin GL, Claassen CA, Emond JA, Pelletier AJ, Camargo CA. Trends in U.S. emergency department visits for mental health conditions, 1992 to 2001. Psychiatr Serv 2005, 56:671-677. 10.1176/appi.ps.56.6.671, 15939942.
21. Currier GW, Allen MH. Organization and function of academic psychiatric emergency services. Gen Hosp Psychiatry 2003, 25:124-129. 10.1016/S0163-8343(02)00287-6, 12676426.
22. Sullivan PF, Bulik CM, Forman SD, Mezzich JE. Characteristics of repeat users of a psychiatric emergency service. Hosp Community Psychiatry 1993, 44:376-380.
23. Pasic J, Russo J, Roy-Byrne P. High utilizers of psychiatric emergency services. Psychiatric services (Washington, DC) 2005, 56:678-684.
24. Waxman HM, Carner EA, Dubin W, Klein M. Geriatric psychiatry in the emergency department: characteristics of geriatric and non-geriatric admissions. J Am Geriatr Soc 1982, 30:427-432.
25. Shulman RW, Marton P, Fisher A, Cohen C. Characteristics of psychogeriatric patient visits to a general hospital emergency room. Can J Psychiatry 1996, 41:175-180.
26. Coyne AC, Gjertsen R. Characteristics of older adults referred to a psychiatric emergency service. J Ment Health Adm 1993, 20:208-211. 10.1007/BF02518689, 10131296.
27. Perez EL, Blouin J. Psychiatric emergency consultations to elderly patients in a Canadian general hospital. J Am Geriatr Soc 1986, 34:91-94.
28. Puryear D, Lovitt R, Miller D. Characteristics of elderly persons seen in an urban psychiatric emergency room. Psychiatr Serv 1991, 42:802-807.
29. Chaput YJ, Lebel MJ. An examination of the temporal and geographical patterns of psychiatric emergency service use by multiple visit patients as a means for their early detection. BMC Psychiatry 2007, 7:60. 10.1186/1471-244X-7-60, 2190759, 17963530.
30. Chaput Y, Paradis M, Beaulieu L, Labonte E. A qualitative study of a psychiatric emergency. Int J Ment Health Syst 2008, 2:9. 10.1186/1752-4458-2-9, 2499986, 18590555.
31. Quebec Statistics Institute(1) [Administrative regions, population by age and sex]. Accessed at, January 2008, Quebec Statistics Institute(1)., http://www.stat.gouv.qc.ca/donstat/societe/demographie/dons_regnl/regional/index.htm
32. Quebec Statistics Institute [Demographic summary of Quebec, 2008 edition]. Accessed at January 2008, Quebec Statistics Institute., http://www.stat.gouv.qc.ca/publications/demograp/pdf2008/bilan2008.pdf
33. Claassen CA, Hughes CW, Gilfillan S, McIntire D, Roose A, Lumpkin M, Rush AJ. Toward a redefinition of psychiatric emergency. Health services research 2000, 35:735-754. 1089145, 10966093.
34. Surles RC, McGurrin MC. Increased use of psychiatric emergency services by young chronic mentally ill patients. Hosp Community Psychiatry 1987, 38:401-405.
35. Ledoux Y, Minner P. Occasional and frequent repeaters in a psychiatric emergency room. Social psychiatry and psychiatric epidemiology 2006, 41:115-121. 10.1007/s00127-005-0010-6, 16508721.
36. Walker Z, Leek CA, D'ath PJ, Katona CLE. Psychiatric morbidit in elderly attenders at an accident and emergency department. Int J Geriatr Psychiatry 1995, 10:951-957.
37. Woo BK, Chen W. Substance misuse among older patients in psychiatric emergency service. Gen Hosp Psychiatry 2010, 32:99-101. 10.1016/j.genhosppsych.2009.08.002, 20114135.
38. Arfken C, Zeman LL, Yeager L, Mischel E, Amirsadri A. Frequent visitors to psychiatric emergency services: staff attitudes and temporal patterns. J Behav Health Serv Res 2002, 29:490-496. 10.1007/BF02287355, 12404943.
39. Oyewumi LK, Odejide O, Kazarian SS. Psychiatric emergency services in a Canadian city: I. Prevalence and patterns of use. Can J Psychiatry 1992, 37:91-95.
40. Niizato K, Suzuki M, Kawada F, Oshima K, Matsushita M. Analysis of psychogeriatric patients in the psychiatric emergency system. Psychogeriatrics 2003, 3:109-114.
41. Sawayama E, Takahashi M, Arai H, Nakajima K, Kano A, Sawayama T, Miyaoka H. Characteristics of elderly people using the psychiatric emergency system. Psychiatry Clin Neurosci 2009, 63:577-579. 10.1111/j.1440-1819.2009.01975.x, 19457212.
42. Baca-Garcia E, Perez-Rodriguez MM, Basurte-Villamor I, Del Moral AL, Jimenez-Arriero MA, De Rivera JL, Saiz-Ruiz J, Oquendo MA. Diagnostic stability of psychiatric disorders in clinical practice. Br J Psychiatry 2007, 190:210-216. 10.1192/bjp.bp.106.024026, 17329740.
43. Folsom DP, Lindamer L, Montross LP, Hawthorne W, Golshan S, Hough R, Shale J, Jeste DV. Diagnostic variability for schizophrenia and major depression in a large public mental health care system dataset. Psychiatry Res 2006, 144:167-175. 10.1016/j.psychres.2005.12.002, 16979244.