Five-year outcomes following psychiatric consultation to a tertiary care emergency room

Michael T. Lambert, James P. LePage, Andrew L. Schmitt

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Objective: The authors prospectively examined inpatient psychiatric hospitalization and mortality rates of psychiatric patients seen in the emergency room of a large Department of Veterans Affairs medical center. Method: Charts of 504 patients receiving evening psychiatric consultation during a 13-month period were assessed 5 years after the consultation to determine rates of psychiatric hospitalization and mortality. Results: Patients with multiple psychiatric diagnoses, including comorbid addiction disorders, had significantly higher rates of psychiatric hospitalization 5 years after an emergency room visit. Comorbid psychiatric disorders increased the rate of inpatient psychiatric hospitalization across diagnoses. Seventy-eight patients died during the study period. Conclusions: These findings reveal relationships between diagnostic profiles and future psychiatric hospitalization and mortality rates. This information could focus psychiatric and medical interventions for high-risk patients.

Original languageEnglish (US)
Pages (from-to)1350-1353
Number of pages4
JournalAmerican Journal of Psychiatry
Volume160
Issue number7
DOIs
StatePublished - Jul 2003

Fingerprint

Tertiary Healthcare
Psychiatry
Hospital Emergency Service
Referral and Consultation
Hospitalization
Mortality
Inpatients
Veterans
Mental Disorders

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Five-year outcomes following psychiatric consultation to a tertiary care emergency room. / Lambert, Michael T.; LePage, James P.; Schmitt, Andrew L.

In: American Journal of Psychiatry, Vol. 160, No. 7, 07.2003, p. 1350-1353.

Research output: Contribution to journalArticle

@article{93762657851346c7be428d0079438532,
title = "Five-year outcomes following psychiatric consultation to a tertiary care emergency room",
abstract = "Objective: The authors prospectively examined inpatient psychiatric hospitalization and mortality rates of psychiatric patients seen in the emergency room of a large Department of Veterans Affairs medical center. Method: Charts of 504 patients receiving evening psychiatric consultation during a 13-month period were assessed 5 years after the consultation to determine rates of psychiatric hospitalization and mortality. Results: Patients with multiple psychiatric diagnoses, including comorbid addiction disorders, had significantly higher rates of psychiatric hospitalization 5 years after an emergency room visit. Comorbid psychiatric disorders increased the rate of inpatient psychiatric hospitalization across diagnoses. Seventy-eight patients died during the study period. Conclusions: These findings reveal relationships between diagnostic profiles and future psychiatric hospitalization and mortality rates. This information could focus psychiatric and medical interventions for high-risk patients.",
author = "Lambert, {Michael T.} and LePage, {James P.} and Schmitt, {Andrew L.}",
year = "2003",
month = "7",
doi = "10.1176/appi.ajp.160.7.1350",
language = "English (US)",
volume = "160",
pages = "1350--1353",
journal = "American Journal of Psychiatry",
issn = "0002-953X",
publisher = "American Psychiatric Association",
number = "7",

}

TY - JOUR

T1 - Five-year outcomes following psychiatric consultation to a tertiary care emergency room

AU - Lambert, Michael T.

AU - LePage, James P.

AU - Schmitt, Andrew L.

PY - 2003/7

Y1 - 2003/7

N2 - Objective: The authors prospectively examined inpatient psychiatric hospitalization and mortality rates of psychiatric patients seen in the emergency room of a large Department of Veterans Affairs medical center. Method: Charts of 504 patients receiving evening psychiatric consultation during a 13-month period were assessed 5 years after the consultation to determine rates of psychiatric hospitalization and mortality. Results: Patients with multiple psychiatric diagnoses, including comorbid addiction disorders, had significantly higher rates of psychiatric hospitalization 5 years after an emergency room visit. Comorbid psychiatric disorders increased the rate of inpatient psychiatric hospitalization across diagnoses. Seventy-eight patients died during the study period. Conclusions: These findings reveal relationships between diagnostic profiles and future psychiatric hospitalization and mortality rates. This information could focus psychiatric and medical interventions for high-risk patients.

AB - Objective: The authors prospectively examined inpatient psychiatric hospitalization and mortality rates of psychiatric patients seen in the emergency room of a large Department of Veterans Affairs medical center. Method: Charts of 504 patients receiving evening psychiatric consultation during a 13-month period were assessed 5 years after the consultation to determine rates of psychiatric hospitalization and mortality. Results: Patients with multiple psychiatric diagnoses, including comorbid addiction disorders, had significantly higher rates of psychiatric hospitalization 5 years after an emergency room visit. Comorbid psychiatric disorders increased the rate of inpatient psychiatric hospitalization across diagnoses. Seventy-eight patients died during the study period. Conclusions: These findings reveal relationships between diagnostic profiles and future psychiatric hospitalization and mortality rates. This information could focus psychiatric and medical interventions for high-risk patients.

UR - http://www.scopus.com/inward/record.url?scp=0042978649&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0042978649&partnerID=8YFLogxK

U2 - 10.1176/appi.ajp.160.7.1350

DO - 10.1176/appi.ajp.160.7.1350

M3 - Article

C2 - 12832256

AN - SCOPUS:0042978649

VL - 160

SP - 1350

EP - 1353

JO - American Journal of Psychiatry

JF - American Journal of Psychiatry

SN - 0002-953X

IS - 7

ER -