TY  - JOUR
PY  - 2023//
TI  - Clinical determinants of involuntary psychiatric hospitalization: a clinical profile approach
JO  - Journal of clinical psychology (Hoboken)
A1  - Georgaca, Eugenie
A1  - Machaira, Sofia
A1  - Stamovlasis, Dimitrios
A1  - Peppou, Lily Evangelia
A1  - Papachristou, Christina
A1  - Arvaniti, Aikaterini
A1  - Samakouri, Maria
A1  - Stylianidis, Stelios
A1  - Bozikas, Vasileios Panteleimon
A1  - Diakogiannis, Ioannis
A1  - Fokas, Konstantinos
A1  - Garyfallos, Georgios
A1  - Gkolia, Ioanna
A1  - Karpouza, Vassiliki
A1  - Nimatoudis, Ioannis
A1  - Patsinakidis, Georgios
A1  - Sevris, Dimitrios
A1  - Vlachaki, Aikaterini
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVES: The study examines the clinical determinants of involuntary psychiatric hospitalization. Specifically, it investigates whether distinct clinical profiles of hospitalized patients can be discerned, what other characteristics they are linked with, and which profiles predict involuntary admission. <br><br>METHODS: In this cross-sectional multicentre population study, data were collected for 1067 consecutive admissions in all public psychiatric clinics of Thessaloniki, Greece, during 12 months. Through Latent Class Analysis distinct patient clinical profiles were established based on Health of the Nation Outcome Scales ratings. The profiles were then correlated with sociodemographic, other clinical, and treatment-related factors as covariates and admission status as a distal outcome. <br><br>RESULTS: Three profiles emerged. The "Disorganized Psychotic Symptoms" profile, combining positive psychotic symptomatology and disorganization, included mainly men, with previous involuntary hospitalizations and poor contact with mental health services and adherence to medication, indicating a deteriorating condition and chronic course. Τhe "Active Psychotic Symptoms" profile included younger persons with positive psychotic symptomatology in the context of normal functioning. The "Depressive Symptoms" profile, characterized by depressed mood coupled with nonaccidental self-injury, included mainly older women in regular contact with mental health professionals and treatment. The first two profiles were associated with involuntary admission and the third with voluntary admission. <br><br>CONCLUSIONS: Identifying patient profiles allows the examination of the combined effect of clinical, sociodemographic, and treatment-related characteristics as risk factors for involuntary hospitalization, moving beyond the variable-centered approach mainly adopted to date. The identification of two profiles associated with involuntary admission necessitates the development of interventions tailored to chronic patients and younger persons suffering from psychosis respectively.<p />  <p>Language: en</p>
LA  - en
SN  - 0021-9762
UR  - http://dx.doi.org/10.1002/jclp.23528
ID  - ref1
ER  -