Document Detail


The evaluation of homicidal patients by psychiatric residents in the emergency room: a pilot study.
MedLine Citation:
PMID:  1809982     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors report the results of a preliminary prospective study involving 110 patients who were involuntarily committed from the emergency room. The study was designed to clarify the process of how psychiatric residents evaluate homicidal patients. Eighteen patients (16%) were committed for homicidal ideation, of whom 89% were psychotic. Surprisingly, for patients committed because of a risk of homicide, vital signs were obtained for only 11%, during a mean evaluation time of 2.5 hours. Aspects of an appropriate physical examination and laboratory studies that enable the clinician to distinguish organic from functional illness are described. The authors conclude that patients with homicidal ideation may receive inadequate assessment prior to their involuntary commitment. Possible explanations and solutions for this, and recommendations for further studies are offered.
Authors:
T A Stern; J H Schwartz; M C Cremens; A G Mulley
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Psychiatric quarterly     Volume:  62     ISSN:  0033-2720     ISO Abbreviation:  Psychiatr Q     Publication Date:  1991  
Date Detail:
Created Date:  1992-05-28     Completed Date:  1992-05-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376465     Medline TA:  Psychiatr Q     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  333-44     Citation Subset:  IM    
Affiliation:
Harvard Medical School, Massachusetts General Hospital, Boston 02114.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Commitment of Mentally Ill*
Dangerous Behavior
Delirium, Dementia, Amnestic, Cognitive Disorders / diagnosis,  psychology
Emergency Services, Psychiatric / manpower,  organization & administration*
Female
Homicide / psychology*
Humans
Internship and Residency*
Male
Massachusetts
Middle Aged
Patient Admission
Pilot Projects
Prospective Studies
Psychiatry / education*
Psychotic Disorders / diagnosis*,  psychology
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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