Mental Disorders
Conditions
Keywords
Emergency services, psychiatric, Intensive care units, Hospitals, psychiatric, Aggression, Violence
Brief summary
The purpose of the study is to compare the effects of using or not using a Psychiatric Intensive Care Unit (PICU) in an acute psychiatric department.
Detailed description
The main aim of the study is to compare the effects of using or not using a Psychiatric Intensive Care Unit (PICU) in an acute psychiatric department.The acute ward of Østmarka psychiatric department, St. Olavs Hospital has a PICU separated from the rest of the ward. The PICU is separated with a locked door. Under two different conditions at different times all patients evaluated to be in need of PICU were admitted to the PICU. In the first condition the doors inside the PICU and between the rest of the acute ward and PICU were closed or locked. In the second condition the doors inside the PICU and the door between the PICU and the rest of the acute ward were either removed or held permanently open. In the second condition the patients thus were admitted to a PICU unit not using PICU principles. The patients were evaluated with different rating scales at admittance, day three and at discharge from PICU.
Interventions
PROCEDUREPsychiatric Intensive Care Unit
PROCEDURECare in whole acute unit
psychiatric acute care as usual
Sponsors
St. Olavs Hospital
Norwegian University of Science and Technology
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 110 Years
Healthy volunteers
No
Inclusion criteria
* All patients admitted to Østmarka psychiatric department, St. Olavs Hospital in need of a PICU.
Exclusion criteria
* Patients with dementia or mental retardation to an extensive degree. * Patients not speaking Norwegian or English.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Length of stay in Psychiatric Intensive Care Unit (PICU) | 3 days | — |
| Symptoms of psychopathology | 3 days | assessed by Broset Violence Checklist (BVC), a six-item observer-rated scale scoring behaviours. Higher scores predict imminent violence in psychiatric inpatients |
| Violent or threatening incidents | 3 days | recorded with the Staff Observation Aggression Scale-Revised (SOAS-R), |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Therapeutic steps and nurses' interventions | 3 days | coded daily on a 23-item checklist |
Countries
Norway
Outcome results
None listed