The probabilities of psychiatric hospitalization of mental health clinic patients / Probabilidades de internação psiquiátrica de pacientes de um ambulatório de saúde mental

ABSTRACT

The objective of this study is to evaluate the factors of prediction (diagnostic and socio-demographic characteristics) regarding psychiatric outpatient mental health among users. The study was conducted from secondary data, extracted from the charts and analyzed through logistic regression, to obtain the prediction equation of probability of psychiatric hospitalization. The diagnoses that showed statistical significance (p < 0.05) were bipolar affective disorder, schizophrenia, anxious disorders and depression, and the first two showed a high magnitude association with the need of hospitalization. The age was inversely proportional to the need of hospitalization. The results found may stimulate specific actions and the psychiatric prevention of younger patients with schizophrenia and bipolar affective disorder.(AU)

RESUMO

Objetivou-se avaliar fatores de predi‹o (diagn—sticos e caracter’sticas sociodemogr‡ficas) referentes ˆ interna‹o psiqui‡trica entre usu‡rios ambulatoriais de saœde mental. O estudo foi realizado a partir de dados secund‡rios, extra’dos dos prontu‡rios e analisados por regress‹o log’stica, para obten‹o da equa‹o de predi‹o da probabilidade de interna‹o psiqui‡trica. Os diagn—sticos que apresentaram signific‰ncia estat’stica (p<0,05) foram transtorno afetivo bipolar, esquizofrenia, distœrbios ansiosos e depress‹o, e os dois primeiros apresentaram associa‹o de alta magnitude com a necessidade de interna‹o. A idade foi inversamente proporcional ˆ necessidade de interna‹o. Os resultados encontrados podem incitar a›es espec’ficas substitutivas e de preven‹o ˆ interna‹o psiqui‡trica aos pacientes mais jovens com esquizofrenia e transtorno afetivo bipolar.(AU)