Evidence map›Paper›PMID 26774865›Full record

ArticleActa psychiatrica Scandinavica2016

Factors associated with disallowance of compulsory mental healthcare referrals.

N L D Fuglseth, R Gjestad, L Mellesdal, S Hunskaar, K J Oedegaard, I H Johansen

Open access · hybridAbstract read
In one paragraph

Article in Acta psychiatrica Scandinavica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.9field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

N L D FuglsethUni Research Health, National Centre for Emergency Primary Health Care, Bergen, Norway.
R GjestadDivision of Psychiatry, Haukeland University Hospital, Bergen, Norway.
L MellesdalDivision of Psychiatry, Haukeland University Hospital, Bergen, Norway.
S HunskaarUni Research Health, National Centre for Emergency Primary Health Care, Bergen, Norway.
K J OedegaardDivision of Psychiatry, Haukeland University Hospital, Bergen, Norway.
I H JohansenUni Research Health, National Centre for Emergency Primary Health Care, Bergen, Norway.
Haukeland University Hospital · NOPrimary Health Care · QAUni Research (Norway) · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveNorwegian studies report that a substantial amount of referrals for compulsory mental health care are disallowed at specialist assessment, at a rate that varies with referring agent. Knowledge on factors associated with disallowance could improve the practice of compulsory mental health care. This study aims to examine such factors, placing particular emphasis on the impact of referring agents.

methodThis study utilized data from the prospective, longitudinal cohort study 'Suicidality in Psychiatric Emergency Admissions' conducted at a Norwegian psychiatric emergency unit which served approximately 400 000 inhabitants. Data on referral, admission and patient characteristics were retrieved on compulsory admissions conducted between 1 May 2005 and 30 April 2008. Bivariate and logistic regression analyses and structural multilevel modelling were performed.

resultsAmong 2813 compulsory admissions, 764 were disallowed. Low competence in the referring agent, high GAF S score, observed alcohol or drug intoxication, reported suicide risk, and the presence of neurotic, stress-related and somatoform disorders, personality disorders and other non-specified diagnoses were associated with above average disallowance frequency. Non-Norwegian ethnicity and schizophrenia spectrum disorders were associated with below average disallowance rates.

conclusionAmong several factors associated with disallowance, low symptom load was the strongest, whilst referring agent competence modestly affected disallowance rate.

Indexed as

AdolescentAdultAgedAged, 80 and overCommitment of Persons with Psychiatric DisordersEmergency Service, HospitalFemaleHumansMaleMiddle AgedNorwayPatient AdmissionProspective StudiesPsychiatric Department, HospitalReferral and ConsultationSuicidecommitment of mentally illdelivery of health careemergenciespsychiatryreferral and consultation

Identifiers

PMID26774865
PMCPMC4849203
OpenAlexW2336384309

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.