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Profiles of patients admitted to a psychiatric intensive care unit: secluded with or without restraint
Marie-Hélène Goulet1, Caroline Larue, Marie-Christine Stafford
1Student, Faculté des sciences infirmières, Université de Montréal, Montreal, Quebec; Research Coordinator, Centre de recherche de l'Institut universitaire en santé mentale de Montréal, Montreal, Quebec.
Objective:
To identify and describe the profiles of patients admitted to a psychiatric intensive care unit (PICU) as they relate to seclusion and restraint.
Method:
Multiple correspondence analysis (MCA) and cluster analysis were performed with data for 114 patients admitted to a PICU from June 8, 2010, to June 7, 2011.
Results:
The MCA revealed that the presence or absence of seclusion and restraint was the main factor explaining the variance. Admitted patients fall into 5 profiles, 2 of which are significantly associated with seclusion and restraint: young psychotic men and women with bipolar disorder.
Conclusions:
The differentiation of patient profiles as they relate to seclusion and restraint should lead to the development of profile-specific interventions before, during, and after seclusion and restraint.
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