Agitation in the Acute Psychiatric Department
Agitation is frequent in acute psychiatric admissions. Agitation is associated to a number of acute psychiatric conditions. Agitation is associated to violence towards others. It is strongly associated to in-patient suicides.
The main aims of the study are to assess different clinical presentations of agitation at admittance, and to assess the consequences of these different clinical presentations during the first three days of the stay.
Acutely Admitted Psychiatric Patients
|Study Design:||Observational Model: Cohort
Time Perspective: Prospective
|Official Title:||Agitation in the Acute Psychiatric Department|
- the number of violent or threatening incidents the first three days of inpatient stay measured with The Staff Observation Aggression Scale - Revised (SOAS-R) with positive scorings of incidents with a severity score >8. [ Time Frame: Up to 4 years. ] [ Designated as safety issue: No ]
- the degree of suicidal intention the first three days of inpatient stay measured with the 10 item self-rating VAS-scale administered at discharge from the acute department. [ Time Frame: Up 4 years ] [ Designated as safety issue: No ]
Biospecimen Retention: Samples With DNA
Blood samples are collected for storage and analyses both at admittance and discharge from the psychiatric acute department.
|Study Start Date:||September 2011|
|Estimated Study Completion Date:||April 2020|
|Primary Completion Date:||April 2012 (Final data collection date for primary outcome measure)|
|Acutely admitted psychiatric in-patients|
The patients are assessed with three rating scales (Components of agitation, The PANSS-EC, The Brøset Violence Checklist) measuring agitation at admittance and day three thus providing a measurement of the differences during three days of in-patient stay. Therapeutic measures and interventions taken are assessed daily with a 18-item checklist. Threatening and violent incidents are recorded with The SOAS-R.
Blood samples for immunological parameters are taken at admittance and discharge giving opportunity to assess changes through the acute psychiatric condition. Urine and blood samples are taken at admittance to assess substance use and medications.
The patients are assess with two self-rating VAS-scales at discharge assessing the suicidal intentions they have had during the stay, aspects of clinical history and assessment for personality disorders.
|St Olavs University Hospital, Department of Acute Psychiatry Østmarka|
|Trondheim, Norway, 7441|
|Study Chair:||Arne E Vaaler, PhD, MD||Norwegian University of Science and Technology|