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首页> 外文期刊>International journal of law and psychiatry >Gender, diagnosis and involuntary psychiatry admission in Ireland: A report from the Dublin Involuntary Admission Study (DIAS)
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Gender, diagnosis and involuntary psychiatry admission in Ireland: A report from the Dublin Involuntary Admission Study (DIAS)

机译：爱尔兰的性别，诊断和非自愿的精神病学录：都柏林非自愿入学研究（Dias）的报告

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Involuntary admission and treatment are common, long-standing features of psychiatry but the relationships between gender, diagnosis and other features of involuntary treatment are not clear. We studied all voluntary and involuntary psychiatry admissions at Tallaght University Hospital, Dublin over 2 years (n = 1230). Admission rates in Tallaght were lower than national rates for all admissions (224.9 admissions per 100,000 population per year in Tallaght versus 376.8 nationally), voluntary admissions (194.0 versus 328.4) and involuntary admissions (30.9 versus 48.4). Compared to men, proportionately fewer admissions of admissions of women were involuntary (11% versus 16%) and women were more commonly diagnosed with affective (mood) disorders (29.5% of women versus 22.6% of men), neuroses (anxiety disorders) (14.0% versus 8.8%) and personality and behavioural disorders (18.0% versus 9.2%), and less commonly diagnosed with schizophrenia group disorders (21.8% versus 32.0%), alcohol disorders (2.9% versus 4.3%) and drug disorders (3.6% versus 8.1%). Schizophrenia group disorders accounted for a greater proportion of male (63.2%) than female (55.6%) involuntary admissions, and affective disorders accounted for a greater proportion of female (17.5%) than male (12.3%) involuntary admissions. Duration of admission was independently associated with, in order of strength of association, involuntary status, schizophrenia group disorders and increasing age, but duration of involuntary care was not associated with any of these factors. The chief gender-related features of involuntary psychiatry admission are that (a) proportionately fewer admissions of admissions of women are involuntary compared to men, and (b) diagnoses of affective disorders are more common in women, and schizophrenia group diagnoses more common in men. Future research could usefully explore gender differences in grounds for involuntary detention and police involvement in the involuntary admission process. Future research is also warranted into whether gender associations differ in older compared to younger involuntary patients.
机译：无意识入院和治疗是常见的，长期的精神功能，但性别，诊断和非自愿治疗的其他特征之间的关系尚不清楚。我们研究了塔拉格特大学医院的所有自愿和不自主的精神病学院，超过2年，超过2年（n = 1230）。塔拉格特的入学率低于所有入院的国家税率（塔拉格特每年每10万人招生，每年塔拉格特（Tallaght），自愿招生（194.0与328.4）和非自愿招生（30.9与48.4）。与男性相比，较少的妇女入学录取额是非自愿的（11％对16％），女性更常用于情感（情绪）疾病（29.5％的女性与男性的22.6％），神经（焦虑症）（焦虑症）（焦虑症）（ 14.0％对8.8％）和人格和行为障碍（18.0％对9.2％），并且少常见于精神分裂症组疾病（21.8％对32.0％），酒精障碍（2.9％对4.3％）和药物疾病（3.6％与8.1％）。精神分裂症组疾病占男性（63.2％）比女性（55.6％）的不自主入学，情感障碍占比男性（17.5％）的更大比例（12.3％）的非自愿录取。入院持续时间与关联强度，无意识地位，精神分裂症组疾病和增加的年龄的持续时间与之相关，但是非自愿护理的持续时间与任何这些因素无关。非自愿精神病学录取的首席性别有关的特征是（a）与男性相比，妇女录取的录取比例较少，（b）情感障碍的诊断在女性中更为常见，并且精神分裂症组在男性中诊断更常见。未来的研究可以利用非自愿拘留和警察参与非自愿入学过程的理由探讨性别差异。与年轻的无意识患者相比，未来的研究也有助于性别协会是否与年龄较大。

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