Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1992-5-28
pubmed:abstractText
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.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0033-2720
pubmed:author
pubmed:issnType
Print
pubmed:volume
62
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
333-44
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:1809982-Adolescent, pubmed-meshheading:1809982-Adult, pubmed-meshheading:1809982-Commitment of Mentally Ill, pubmed-meshheading:1809982-Dangerous Behavior, pubmed-meshheading:1809982-Delirium, Dementia, Amnestic, Cognitive Disorders, pubmed-meshheading:1809982-Emergency Services, Psychiatric, pubmed-meshheading:1809982-Female, pubmed-meshheading:1809982-Homicide, pubmed-meshheading:1809982-Humans, pubmed-meshheading:1809982-Internship and Residency, pubmed-meshheading:1809982-Male, pubmed-meshheading:1809982-Massachusetts, pubmed-meshheading:1809982-Middle Aged, pubmed-meshheading:1809982-Patient Admission, pubmed-meshheading:1809982-Pilot Projects, pubmed-meshheading:1809982-Prospective Studies, pubmed-meshheading:1809982-Psychiatry, pubmed-meshheading:1809982-Psychotic Disorders, pubmed-meshheading:1809982-United States
pubmed:year
1991
pubmed:articleTitle
The evaluation of homicidal patients by psychiatric residents in the emergency room: a pilot study.
pubmed:affiliation
Harvard Medical School, Massachusetts General Hospital, Boston 02114.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't