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| Name | Class |
|---|---|
| St. Olavs Hospital | OTHER |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Psychiatric Intensive Care Unit | Experimental |
| |
| Whole acute unit | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Psychiatric Intensive Care Unit | Procedure |
| ||
| Care in whole acute unit |
| Measure | Description | Time Frame |
|---|---|---|
| Length of stay in Psychiatric Intensive Care Unit (PICU) | 3 days | |
| Symptoms of psychopathology | assessed by Broset Violence Checklist (BVC), a six-item observer-rated scale scoring behaviours. Higher scores predict imminent violence in psychiatric inpatients | 3 days |
| Violent or threatening incidents | recorded with the Staff Observation Aggression Scale-Revised (SOAS-R), | 3 days |
| Measure | Description | Time Frame |
|---|---|---|
| Therapeutic steps and nurses' interventions | coded daily on a 23-item checklist | 3 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Olav M Linaker, Professor | Norwegian University of Science and Technology | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Østmarka Psychiatric Department, St. Olavs Hospital | Trondheim | 7441 | Norway |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 16635934 | Result | Vaaler AE, Morken G, Flovig JC, Iversen VC, Linaker OM. Effects of a psychiatric intensive care unit in an acute psychiatric department. Nord J Psychiatry. 2006;60(2):144-9. doi: 10.1080/08039480600583472. | |
| 21418581 | Derived | Vaaler AE, Iversen VC, Morken G, Flovig JC, Palmstierna T, Linaker OM. Short-term prediction of threatening and violent behaviour in an Acute Psychiatric Intensive Care Unit based on patient and environment characteristics. BMC Psychiatry. 2011 Mar 18;11:44. doi: 10.1186/1471-244X-11-44. |
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| ID | Term |
|---|---|
| D001523 | Mental Disorders |
| D000374 | Aggression |
| ID | Term |
|---|---|
| D000096762 | Aberrant Motor Behavior in Dementia |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D012919 | Social Behavior |
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| Procedure |
psychiatric acute care as usual |
|