Evidence map›Paper›PMID 40551636›Full record

ReviewInternal medicine journal2025

General medicine wards and the mental health crisis: invisible and unsafe.

Cindy Towns, Kay Hodgetts, Philippa Shirtcliffe, Christina Cameron, Vuk Sekicki, Cathal McCloy, Christopher Giedt, Nicolien Lourens, Tracey Putt

Abstract readReview
In one paragraph

Review in Internal medicine journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Cindy TownsDepartment of Medicine, University of Otago Wellington, University of Otago, Wellington, New Zealand.ORCID 0000-0003-2785-4623
Kay HodgettsDepartment of Medicine, University of Otago Wellington, University of Otago, Wellington, New Zealand.
Philippa ShirtcliffeDepartment of Medicine, University of Otago Wellington, University of Otago, Wellington, New Zealand.
Christina CameronDepartment of Medicine, University of Otago Wellington, University of Otago, Wellington, New Zealand.
Vuk SekickiDepartment of Medicine, University of Otago Wellington, University of Otago, Wellington, New Zealand.
Cathal McCloyDepartment of Medicine, University of Otago Wellington, University of Otago, Wellington, New Zealand.
Christopher GiedtAcute and General Medicine, Waikato Hospital, Hamilton, New Zealand.
Nicolien LourensDepartment of Medicine, University of Otago Wellington, University of Otago, Wellington, New Zealand.
Tracey PuttGeneral and Renal Medicine, Dunedin, New Zealand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The behavioural and psychological symptoms of dementia (BPSD) are common and include physical and sexual aggression. Unlike delirium, BPSD is a purely psychiatric presentation with no additional medical condition requiring treatment. New Zealand has a paucity of psychiatry beds for older adults, but despite the ageing population, limited attention has been given to this growing problem. BPSD patients present acutely to hospital when their behaviour becomes unmanageable. They need specialist attention and facilities. However, despite inappropriate design and no resourcing, hospitals routinely expect medical wards to accept these patients when no psychogeriatric bed is available even when the presentation is complicated by physical or sexual violence. The authors contend that this practice is unsafe and unethical. It breaches the Code of Rights for all patients and places physicians at medico-legal risk.

Indexed as

DementiaGeneral PracticeMental DisordersMental HealthAgedAggressionHumansNew Zealandbehavioural and psychological symptoms of dementiaethicsgeneral medicine

Identifiers

PMID40551636
PMCPMC12347300

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.