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Psychiatric Emergency Care in Shiga Prefecture Tetsushi TSUJIMOTO 1 , Motohiro TSUJI 2 1Shiga Mental Health and Welfare Center, Kusatsu, Japan 2Shiga Mental Health Medical Center Keyword: Psychiatric emergency , Psychiatric emergency system , Emergency commitment , Commitment , Shiga prefecture pp.809-818
Published Date 2010/8/15
DOI https://doi.org/10.11477/mf.1405101684
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 Currently, there is no national medical service model for psychiatric emergency medical care. Therefore, each prefecture has its own medical care system, depending on its capacity.

 This article will report on the present situation, the role and the capacity of Shiga prefecture, and its prefectural public hospitals as an example of psychiatric emergency medical care in a non-urban setting.

 This article will deal with cases in which patients requiring psychiatric intervention benefitted from the government-regulated psychiatric emergency medical care system in hospitals or health centers while on duty. Our study period ranges from April 1, 2005 to March 31, 2008. Differences between gender, age, form of hospitalization, and psychiatric diagnosis and progress were analyzed at individual hospitals in Shiga prefecture, as well as at the Shiga Mental Health Medical Center. Within Shiga prefecture, there were 479 recorded cases, out of which 361 cases received emergency commitment consultation or commitment consultation. One hundred and sixty five patients were involuntarily hospitalized, 98 were hospitalized with their family's consent, and 18 were voluntarily hospitalized. One hundred and ninety four patients did not need hospitalization.

 The Mental Health Medical Center received 66 admission requests out of which 26 were involuntarily hospitalized, 17 were hospitalized with their family's consent, 5 were voluntarily hospitalized, and 18 did not require hospitalization. The cases admitted at the Mental Health Medical Center, as well as the other prefectural institutions comprised of 60% male patients, predominantly in their 30s. Of these, 30 to 40% were involuntarily hospitalized, and 70% were diagnosed as schizophrenic. At the Mental Health Medical Center, 70% were released from the hospital within 6 months, and 20% of those involuntarily hospitalized stayed for more than one year. Moreover, compared to the cases of hospitalization with the family's consent, cases of commitment hospitalization had a tendency to take longer before being released from physical restraint or other forms of confinement. Taking these cases into account, we therefore examined acute care and the psychiatric emergency care system.


Copyright © 2010, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-126X 印刷版ISSN 0488-1281 医学書院

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