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Related Experiment Videos

Geropsychiatric emergency services: utilization and outcome predictors.

O J Thienhaus1, C Rowe, P Woellert

  • 1Department of Psychiatry, University of Cincinnati College of Medicine, Ohio 45267.

Hospital & Community Psychiatry
|December 1, 1988
PubMed
Summary
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Elderly patients use psychiatric emergency services less but are more likely to be hospitalized. Dementia with another diagnosis predicts hospitalization, not medical issues.

Area of Science:

  • Geriatric Psychiatry
  • Emergency Medicine
  • Health Services Research

Background:

  • Elderly individuals exhibit distinct patterns in healthcare utilization compared to younger populations.
  • Understanding psychiatric emergency service use among older adults is crucial for targeted interventions.
  • Factors influencing inpatient psychiatric admission for the elderly require further investigation.

Purpose of the Study:

  • To explore the utilization of psychiatric emergency services by elderly patients.
  • To identify factors predicting subsequent psychiatric inpatient admission for elderly individuals.
  • To compare psychiatric service utilization between elderly patients and a younger control group.

Main Methods:

  • Retrospective chart review of emergency room visits.

Related Experiment Videos

  • Analysis of psychiatric emergency service utilization patterns.
  • Identification of diagnostic and demographic predictors of inpatient hospitalization.

    • Main Results:

    • Elderly patients showed lower overall utilization of psychiatric emergency services compared to younger controls.
    • Elderly patients were significantly more likely to be hospitalized after an emergency room visit.
    • Dementia increased hospitalization risk only when comorbid with another psychiatric diagnosis; medical comorbidity did not influence hospitalization.

    Conclusions:

    • Despite lower service use, elderly patients face higher inpatient admission rates from psychiatric emergency visits.
    • Comorbid psychiatric diagnoses, particularly with dementia, are key predictors of hospitalization in the elderly.
    • Current healthcare models may not adequately address the acute psychiatric needs of the elderly population.