ABSTRACT

Introduction:

This study presents demographic and clinical profiles of adults with intellectual and developmental disabilities seen at a psychiatric emergency department (ED). Predictors of admission were also identified.

Methods:

A retrospective chart review conducted from Oct 2016 to Jan 2017.

Results:

A total of 73 patients representing 105 visits were identified with suicidality or self-harm being the most frequent presentation. Information from third party sources (collateral) was recorded in the hospital chart 43% of the time. Thirty-six percent of the 105 visits resulted in hospitalization. Patients who were admitted were more likely to have collateral obtained (RR = 2.0, p <.01), restraints used (RR = 2.5, p < .001), and friend/family (RR = 2.9, p < .01) or the police (RR = 2.3, p = .03) present.

Conclusion:

Study findings suggest that adults with intellectual and developmental disabilities commonly present to the specialized psychiatric emergency department setting. Many of these patients are inadequately supported and need stronger connections to community-based resources. Collateral information should more frequently be obtained and disability considerations could be better incorporated into management plans.

中文翻译：

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向精神病急诊科就诊的智障和发育障碍的成年人：描述性分析和入院预测

摘要

介绍：

这项研究介绍了在精神病急诊科（ED）所见的智力和发育障碍成年人的人口统计学和临床​​概况。还确定了入学的预测因素。

方法：

回顾性图表审查于2016年10月至2017年1月进行。

结果：

总共鉴定出代表105次就诊的73名患者，自杀或自残是最常见的表现。医院图表中有43％的时间记录了来自第三方（抵押品）的信息。105次就诊中有36％住院。入院的患者更有可能获得抵押品（RR = 2.0，p <.01），使用约束（RR = 2.5，p <.001）和朋友/家人（RR = 2.9，p <.01）或警察（RR = 2.3，p = .03）在场。

结论：

研究结果表明，智力和发育障碍的成年人通常会出现在精神科专门急诊室。这些患者中有许多没有得到足够的支持，需要与社区资源的更紧密联系。应更频繁地获取附带信息，并将残疾方面的考虑因素更好地纳入管理计划。