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경찰과 함께 응급실에 내원한 정신과 환자들의 특성

Characteristics of Psychiatric Patients Referred by Police to an Emergency Department

신경정신의학 2019년 58권 3호 p.230 ~ 237
금희연 ( Keum Hee-Yeon ) - 울산대학교 의과대학 울산대학교병원 정신건강의학교실

박장호 ( Park Jang-Ho ) - 울산대학교 의과대학 울산대학교병원 정신건강의학교실
권국주 ( Kweon Kuk-Ju ) - 울산대학교 의과대학 서울아산병원 정신건강의학교실
안준호 ( Ahn Joon-Ho ) - 울산대학교 의과대학 울산대학교병원 정신건강의학교실

Abstract


Objectives: This study compared the demographic and clinical characteristics of police referrals with referrals from other sources to a psychiatric emergency department.

Methods: A retrospective cross-sectional study was conducted on the data from the psychiatric emergency department of Ulsan University Hospital from January 2014 to October 2017. The study sample consisted of 79 psychiatric patients who were referred by police, and the characteristics of this group were compared with those of 240 psychiatric patients who were referred by other sources. The collected data were analyzed using a chi-square, Fisher’s exact test, and independent sample t-tests

Results : Among the 1768 psychiatric emergency visits, 89 (5.0%) were referred by police, and among the 79 referrals by police chosen as the study group, there were 4(5.1%) cases of emergent psychiatric admission. These patients referred by police were more likely to be male and in a lower socio-economic status. Police referrals were more likely to exhibit violent behavior, be restrained, and more likely to visit after working hours. They were notified more rapidly to the psychiatric department, less notified to other departments, and visited the psychiatric outpatient clinics less after discharge from the emergency department.

Conclusion: The study results highlight the importance of understanding the characteristics of psychiatric emergency patients referred by police and identifying the problems of the current psychiatric emergency services. Systems need to be developed that clarify the roles of police in psychiatric emergencies and facilitate collaboration between police and mental health institutions.

키워드

Police; Psychiatric emergency services; Emergent admission; Mental health law
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