OBJECTIVE:This study tested the hypothesis that contraction of regional economies affects the incidence of involuntary admissions to psychiatric emergency services by reducing community tolerance for persons perceived as threatening to others. METHODS:This hypothesis was tested with time-series analyses of the relationship between initial claims for unemployment in Florida between July 4, 1999, and June 28, 2003, and the weekly number of men and women presented by police to be examined for involuntary psychiatric hospitalization because of danger to others. The analyses controlled for admissions presented by mental health professionals because of danger to others and for admissions presented by police because of neglect or disability. RESULTS:When the analyses controlled for autocorrelation and other covariates, claims for unemployment insurance were significantly associated with the number of men presented by police for danger to others. During the study period, police presented 5,897 men for examination because of danger to others. Increased unemployment claims were associated with approximately 309 more men being presented for examination than expected from prior presentation rates and from the number presented by mental health professionals for danger to others and by police for neglect or disability. No such association was found for women. CONCLUSIONS:Consistent with theory, this study found that presentations for involuntary admission to psychiatric services increased after contractions in the labor market. Combining the methods of this study with econometric forecasting may allow providers to anticipate better the need for psychiatric services.

译文

目的:本研究检验了以下假设,即区域经济收缩会通过降低社区对被视为威胁他人的人的容忍度而影响非自愿性入院精神科急诊服务的发生率。
方法:通过对佛罗里达州1999年7月4日至2003年6月28日期间首次提出失业申请与警察提出的每周男性和女性人数进行非自愿精神病学检查之间的关系的时间序列分析,检验了该假设。因为对他人的危险而住院。这些分析控制的是心理健康专业人士因为对他人的危险而提出的入场券,以及警察由于疏忽或残疾而提出的入场券。
结果:当分析控制了自相关和其他协变量时,失业保险索赔与警察为危害他人而提出的男性人数显着相关。在研究期间,警方对5 897名男子进行了检查,以防对他人造成危险。失业人数增加的原因是,应接受检查的男子人数比以前的出勤率,心理健康专业人员对他人的危险和警察对他人的疏忽或残障所提出的人数超出预期的人数多309人。没有发现与女性有这种关联。
结论:与理论一致,本研究发现在劳动力市场萎缩之后,自愿接受精神病服务的人数有所增加。将本研究的方法与计量经济学的预测相结合,可以使提供者更好地预期对精神病学服务的需求。

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