Manic episode, aggressive behavior and poor insight are significantly associated with involuntary admission in patients with bipolar disorders

PeerJ

article

Chenyuli Luo¹  Hui Chen¹  Shaoling Zhong¹  Huijuan Guo¹  Qiguang Li¹  Weixiong Cai⁵  Giovanni de Girolamo⁶  Jiansong Zhou¹  Xiaoping Wang¹ 

[1] Department of Psychiatry, The Second Xiangya Hospital, Central South University;National Clinical Research Center on Mental Disorders;National Technology Institute on Mental Disorders;Hunan Key Laboratory of Psychiatry and Mental Health;Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai Key Laboratory of Forensic Medicine;IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli

关键词: Involuntary admission;    Bipolar disorder;    Aggressive behavior;   

DOI  :  10.7717/peerj.7339

学科分类：社会科学、人文和艺术（综合）

来源: Inra

【 摘 要 】

Objective(s) Serious mental illnesses, such as bipolar disorders and schizophrenia, are closely associated with involuntary admission. Many studies have focused on involuntary admission in people with schizophrenia, but little is known about the factors associated with involuntary admission in Chinese patients with bipolar disorders. This study aimed to investigate socio-demographic and clinical factors associated with involuntary admission in Chinese patients with bipolar disorders. Methods In this multi-center cross-sectional survey in China, a total of 155 newly admitted patients with bipolar disorders were consecutively recruited from 16 psychiatric institutions from 15 March to 14 April, 2013. Patients’ socio-demographic and clinical data were collected from their medical records. The Modified Overt Aggression Scale and the Insight and Treatment Attitudes Questionnaire were used to measure patients’ level of aggression and insight of current psychiatric illness. Results The prevalence of involuntary admission was 52% in this sample of Chinese inpatients with bipolar disorders. In multiple logistic regression, a high level of aggression (odds ratio (OR) = 2.48), diagnosis of manic episode (OR = 3.65), poor insight (OR = 7.52), and a low level of education (OR = 3.13) were significantly associated with involuntary admission. Conclusion Manic episode, aggressive behavior, and poor insight were the significant contributing factors to involuntary admission in Chinese patients with bipolar disorders.

【 授权许可】

CC BY