A Statistical Study of the Influence of Marriage on the Hospital Care of the Mentally Sick

1956 ◽  
Vol 102 (428) ◽  
pp. 467-486 ◽  
Author(s):  
Vera Norris
Keyword(s):  
Hospital Care ◽  
Mental Hospital ◽  
Statistical Study ◽  
Hospital Admissions ◽  
Mental Disease ◽  
The United States ◽  
Admission Rates ◽  
Mental Hospitals ◽  
Sick Population ◽  
First Admission

The handicap of the single as compared with the married state in respect of the first admission rates to mental hospitals has been demonstrated by several workers. Dayton (1939), Malzberg (1940) and 0degaard (1946), to mention but a few, have all shown that the admission rates for single persons are greater than those for married persons of the same age. Hospital first admission rates for mental disorders are more likely to give reliable estimates of the incidence of mental disease than are hospital rates for other types of illness, nevertheless hospital admissions are but a sample of the sick population in the community and, generally speaking, there is no means of knowing whether or not it is a representative sample of the total sick population. For this reason, in this paper it is only the effect of marital status on the hospital care of the mentally sick that it is to be considered. This appears to be a necessary restriction in view of the fact that the data analysed here relate only to hospital admissions, but ⊘degaard (1946) categorically stated, although his data, too, were derived from mental hospitals:“It is shown beyond doubt that the incidence of mental disease is much higher in the single than in the married, and that this ‘predominance of the single’ among our insane is no statistical figment caused by such factors as differences in age distribution or in the tendency to hospitalize the insane.”The purpose of this paper is not to discuss differential admission rates between single and married, although some data will be presented to show that the difference exists here as well as in Scandinavia and the United States, for I have dealt with that problem elsewhere.∗ The very great differences between the first admission rates for single and married persons led me to ask the question: “What other differences arise between single and married persons with respect to mental hospital care?” The data of a statistical study of mental hospital admissions which I have already completed provide some information on this point.

High first admission rates for schizophrenia in the west of Ireland

1974 ◽  
Vol 4 (4) ◽  
pp. 460-462 ◽  
Author(s):  
M. J. Kelleher ◽  
J. R. M. Copeland ◽  
A. J. Smith
Keyword(s):  
Mental Hospital ◽  
Hospital Admissions ◽  
Consecutive Series ◽  
The West ◽  
Admission Rates ◽  
Two Samples ◽  
The U.S ◽  
First Admission ◽  
West Of Ireland

SYSNOPSISStandardized clinical instruments were used to examine a consecutive series of 89 mental hospital admissions in the west of Ireland and 174 admissions representative of mental hospital admissions in London. The diagnoses given to these patients by the U.S./U.K. Project psychiatrists were compared with diagnoses given the same patients by the hospital psychiatrists in the two countries. Similar levels of agreement were obtained between hospital and Project psychiatrists in the two countries and, where the alcoholic patients were removed, the proportion diagnosed as schizophrenic by the Project in the two samples was identical.

Recent Critical Trends in Mental Hospital Admissions in the Oxford Region

1962 ◽  
Vol 108 (452) ◽  
pp. 59-67 ◽  
Author(s):  
A. Barr ◽  
D. Golding ◽  
R. W. Parnell
Keyword(s):  
Mental Health ◽  
Length Of Stay ◽  
Mental Hospital ◽  
Hospital Admissions ◽  
Average Length ◽  
Time Study ◽  
Ministry Of Health ◽  
Mental Hospitals ◽  
Average Length Of Stay ◽  
One Year

The statistics on mental hospitals published by the Ministry of Health (1957) show that the average length of stay for admissions to mental hospitals decreased in the period 1952–1956. According to the Registrar-General's Mental Health Supplement (1961) there was an average saving, between 1951 and 1958, of sixteen days for men and thirteen days for women, among patients staying less than one year. But these figures for stay only relate to the patients discharged each year, irrespective of the year of their admission, and furthermore we do not know what happens to particular groups such, for example, as schizophrenics. Although remarkable changes are occurring at the present time, study of them is hampered by lack of appropriate and up-to-date information.

Decline in the Diagnosis of Schizophrenia among First Admissions to Scottish Mental Hospitals from 1969–78

1985 ◽  
Vol 146 (2) ◽  
pp. 151-154 ◽  
Author(s):  
John M. Eagles ◽  
Lawrence J. Whalley
Keyword(s):  
Affective Disorder ◽  
Community Based ◽  
Affective Psychoses ◽  
Admission Rates ◽  
Mental Hospitals ◽  
First Admission

SummaryAnnual age-standardised first admission rates from 1969–78 for Scottish mental hospitals were calculated for schizophrenia, paranoid states, reactive psychoses, all affective psychoses, mania, and depressive neuroses. Significant decreases were found in the diagnosis of schizophrenia (P <0.001) and, to a lesser extent, affective psychoses (P <0.01) and depressive neuroses (P <0.02). The incidence of paranoid states, reactive psychoses, and mania did not change significantly.Several factors possibly contributing to the decline in diagnoses of schizophrenia are discussed, but it is concluded that the figures probably reflect a genuine fall in incidence. The decline in the categories of affective disorder is likely to reflect trends towards increasing provision of community-based care.

A Statistical Study of Departures from a Mental Hospital

1970 ◽  
Vol 116 (530) ◽  
pp. 57-64 ◽  
Author(s):  
Edward S. Stern
Keyword(s):  
Natural Law ◽  
Older Patients ◽  
Mental Hospital ◽  
Statistical Study ◽  
Central Hospital ◽  
Registrar General ◽  
Mental Hospitals ◽  
Continuous Use

Various studies of the numbers of patients in mental hospitals have been made, e.g. Brooke (1963); General Register Office (1960); Gore and Jones (1961); Hassall, Spencer, and Cross (1965); Malzberg (1955); Norris (1959); Norton (1961); Registrar General (1958, 1960, 1961, 1962, 1964); Tooth and Brooke (1961), but little attempt has been made to find whether these numbers are subject to natural law. In this paper I have tried to establish this. These researches have been made on the patients of the Central Hospital, Warwick, which has been in continuous use since 30 June 1852. The case sheets of the older patients are accessible; the recent ones are also personally known.

Long-term Psychiatric Patients in the Community

1986 ◽  
Vol 149 (5) ◽  
pp. 537-540 ◽  
Author(s):  
K. Jones ◽  
M. Robinson ◽  
M. Goughtlev
Keyword(s):  
Mental Health ◽  
United States ◽  
Mental Hospital ◽  
Psychiatric Patients ◽  
The United States ◽  
Review Of The Literature ◽  
Mental Hospitals ◽  
Health Review

The reduction of mental hospital populations in Britain and the United States has generated a considerable amount of literature on policy, but detailed studies of the effects on patients and the conditions under which they live after discharge are rare. In the United States, a National Institute of Mental Health review of the literature commented that “the question of what actually happens to patients who leave mental hospitals and re-enter the community is largely unanswered” (Bachrach, 1976).

scholarly journals Suicide Deaths and Nonfatal Hospital Admissions for Deliberate Self-Harm in the United States

Crisis ◽  
2012 ◽  
Vol 33 (3) ◽  
pp. 169-177 ◽  
Author(s):  
Ted R. Miller ◽  
C. Debra Furr-Holden ◽  
Bruce A. Lawrence ◽  
Harold B. Weiss
Keyword(s):  
United States ◽  
Hospital Admissions ◽  
Multinomial Logistic Regression ◽  
The United States ◽  
Vital Statistics ◽  
Discharge Data ◽  
Deliberate Self Harm ◽  
Admission Rates ◽  
Specific Variation ◽  
Self Harm

Background: No one knows whether the temporality of nonfatal deliberate self-harm in the United States mirrors the temporality of suicide deaths. Aims: To analyze day- and month-specific variation in population rates for suicide fatalities and, separately, for hospital admissions for nonfatal deliberate self-harm. Methods: For 12 states, we extracted vital statistics data on all suicides (n = 11,429) and hospital discharge data on all nonfatal deliberate self-harm admissions (n = 60,870) occurring in 1997. We used multinomial logistic regression to analyze the significance of day-to-day and month-to-month variations in the occurrence of suicides and nonfatal deliberate self-harm admissions. Results: Both fatal and nonfatal events had a 6%–10% excess occurrence on Monday and Tuesday and were 5%–13% less likely to occur on Saturdays (p < .05). Males were more likely than females to act on Wednesdays and Saturdays. Nonfatal admission rates were 6% above the average in April and May (p < .05). In contrast, suicide rates were 6% above the average in February and March and 8% below it in November (p < .05). Conclusions: Suicides and nonfatal hospital admissions for deliberate self-harm have peaks and troughs on the same days in the United States. In contrast, the monthly patterns for these fatal and nonfatal events are not congruent.

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