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Characteristics of older patients in the largest French psychiatric emergency centre.
Pham-Scottez, Alexandra; Gallarda, Thierry; Calvez, Mathilde; Silva, Jérôme; Barruel, David; Masson, Valérie Dauriac-Le; Lahaye, Justine; Perquier, Florence; Sarazin, Marie; Gourevitch, Raphaël.
Afiliação
  • Pham-Scottez A; Centre Psychiatrique d'Orientation et d'Accueil (CPOA), GHU Paris Psychiatrie & Neurosciences, Hôpital Sainte Anne, Paris, France.
  • Gallarda T; Centre d'Evaluation des Troubles Psychiques et du Vieillissement (CETPV), GHU Paris Psychiatrie & Neurosciences, Hôpital Sainte Anne, Paris, France.
  • Calvez M; Hôpital Lariboisière, AP-HP, Paris, France.
  • Silva J; Centre Psychiatrique d'Orientation et d'Accueil (CPOA), GHU Paris Psychiatrie & Neurosciences, Hôpital Sainte Anne, Paris, France.
  • Barruel D; Département d'Information Médicale (DIM), GHU Paris Psychiatrie & Neurosciences, Hôpital Sainte Anne, Paris, France.
  • Masson VD; Département d'Information Médicale (DIM), GHU Paris Psychiatrie & Neurosciences, Hôpital Sainte Anne, Paris, France.
  • Lahaye J; Cellule Epidémiologie, GHU Paris Psychiatrie & Neurosciences, Hôpital Sainte Anne, Paris, France.
  • Perquier F; Centre for Addiction and Mental Health, Cundill Centre for Depression and Mental Health, Toronto, ON, Canada.
  • Sarazin M; Department of Neurology of Memory and Language, GHU Paris Psychiatrie & Neurosciences, Hôpital Sainte Anne, Paris, France.
  • Gourevitch R; Université Paris Cité, Paris, France.
Front Psychiatry ; 14: 1298497, 2023.
Article em En | MEDLINE | ID: mdl-38161722
ABSTRACT
Despite an increasing number of adults older than 60 years with psychiatric disorders, there are few studies on older patients in psychiatric emergencies and no European data. We aimed to describe the population of patients aged 60 years and older who presented to the main French psychiatric emergency centre and identify predictors of psychiatric hospitalization. This monocentric study included 300 consecutive patients aged 60 years and older. Patients presenting because of psychiatric emergencies were frequently female and lived autonomously. More than 40% had a history of at least one psychiatric hospitalization and 44% had consulted a psychiatrist in the previous 6 months. The most common reasons for consultation were depression, anxiety, sleep disorders and suicidal thoughts. Psychiatric disorders were mainly mood disorders; neurotic, stress-related and somatoform disorders; and schizophrenic, schizotypal and delusional disorders. Only 10% had a diagnosis of organic mental disorders. Overall, 39% of the patients were admitted to the psychiatric hospital. Factors predicting hospitalization were a history of psychiatric hospitalization, suicidal thoughts and a diagnosis of a mood disorder or schizophrenia/schizotypal/delusional disorder. In conclusion, among people aged 60 years and older who consulted for psychiatric emergencies, 39% had to be hospitalized in psychiatry and only psychiatric factors influenced the decision to hospitalize. Our study highlights the need for further studies of older people in psychiatric emergencies in Europe, to anticipate the needs of this specific population and adapt multidisciplinary mental health care.
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Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Prognostic_studies Idioma: En Revista: Front Psychiatry Ano de publicação: 2023 Tipo de documento: Article País de afiliação: França

Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Prognostic_studies Idioma: En Revista: Front Psychiatry Ano de publicação: 2023 Tipo de documento: Article País de afiliação: França