Evidence map›Paper›PMID 38161722›Full record

ArticleFrontiers in psychiatry2023

Characteristics of older patients in the largest French psychiatric emergency centre.

Alexandra Pham-Scottez, Thierry Gallarda, Mathilde Calvez, Jérôme Silva, David Barruel, Valérie Dauriac-Le Masson, Justine Lahaye, Florence Perquier, Marie Sarazin, Raphaël Gourevitch

Open access · goldAbstract read
In one paragraph

Article in Frontiers in psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 35% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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

10 authors at 6 institutions in 2 countries.

Alexandra Pham-ScottezCentre Psychiatrique d'Orientation et d'Accueil (CPOA), GHU Paris Psychiatrie & Neurosciences, Hôpital Sainte Anne, Paris, France.
Thierry GallardaCentre d'Evaluation des Troubles Psychiques et du Vieillissement (CETPV), GHU Paris Psychiatrie & Neurosciences, Hôpital Sainte Anne, Paris, France.
Mathilde CalvezHôpital Lariboisière, AP-HP, Paris, France.
Jérôme SilvaCentre Psychiatrique d'Orientation et d'Accueil (CPOA), GHU Paris Psychiatrie & Neurosciences, Hôpital Sainte Anne, Paris, France.
David BarruelDépartement d'Information Médicale (DIM), GHU Paris Psychiatrie & Neurosciences, Hôpital Sainte Anne, Paris, France.
Valérie Dauriac-Le MassonDépartement d'Information Médicale (DIM), GHU Paris Psychiatrie & Neurosciences, Hôpital Sainte Anne, Paris, France.
Justine LahayeCellule Epidémiologie, GHU Paris Psychiatrie & Neurosciences, Hôpital Sainte Anne, Paris, France.
Florence PerquierCentre for Addiction and Mental Health, Cundill Centre for Depression and Mental Health, Toronto, ON, Canada.
Marie SarazinDepartment of Neurology of Memory and Language, GHU Paris Psychiatrie & Neurosciences, Hôpital Sainte Anne, Paris, France.
Raphaël GourevitchCentre Psychiatrique d'Orientation et d'Accueil (CPOA), GHU Paris Psychiatrie & Neurosciences, Hôpital Sainte Anne, Paris, France.
Centre Hospitalier Sainte-Anne · FRGHU Paris psychiatrie & neurosciencesCEA Paris-Saclay · FRCentre for Addiction and Mental Health · CAFHU Neurovasc · FRHôpital Lariboisière · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

gerontopsychiatryolder patientsolder peoplepsychiatric emergenciespsychiatric emergency department

Identifiers

PMID38161722
PMCPMC10756208
OpenAlexW4389615263

What OpenQuestion holds

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LicenceCC BY
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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.