{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T06:20:38Z","timestamp":1762928438360},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2016,6,21]],"date-time":"2016-06-21T00:00:00Z","timestamp":1466467200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2016,6,21]],"date-time":"2016-06-21T00:00:00Z","timestamp":1466467200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Important discrepancies exist between physicians in deciding when to perform involuntary hospitalization measures (IHMs). The factors underlying these differences are poorly known.<\/jats:p><jats:p>We conducted a two-year single-center retrospective study in France on patients who were referred to the emergency department (ED) with an IHM certificate written by a private-practice General Practitioner (GP). For each consultation, the official IHM motive was categorized into four groups: Suicide; Psychosis, Mania, or Melancholia (PMM); Agitation; and Other. The alcohol status of the patient was also noted. The factors underlying the ED psychiatrists\u2019 confirmation of the use of IHMs were determined using a logistic regression model. One hundred eighty-nine cases were found (165 patients; 44.2\u2009\u00b1\u200916 years, 41.3% women). The ED psychiatrists confirmed the use of IHMs in 123 instances (65.1% agreement rate). Multivariate analyses found that IHM disagreement was significantly associated with patient alcohol status and the reason for referral. Specifically, there was an increased risk of IHM disagreement when the patient had an alcohol-positive status (OR\u2009=\u200915.80; 95% CI [6.45\u201338.67]; p\u2009&lt;\u20090.0001) and when the motive for IHM was \u201cagitation\u201d compared with \u201csuicide\u201d (OR\u2009=\u200911.44; 95%\u2009CI[3.38\u201338.78]; p\u2009&lt;\u20090.0001). These findings reflect significant disparities between GPs and ED psychiatrists regarding the decision to proceed to an IHM.<\/jats:p>","DOI":"10.1038\/srep28134","type":"journal-article","created":{"date-parts":[[2016,6,21]],"date-time":"2016-06-21T09:11:16Z","timestamp":1466500276000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Factors Affecting the Agreement Between Emergency Psychiatrists and General Practitioners Regarding Involuntary Psychiatric Hospitalizations"],"prefix":"10.1038","volume":"6","author":[{"given":"Pierre Alexis","family":"Geoffroy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alain","family":"Duhamel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00e9l\u00e8ne","family":"Behal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadia","family":"Zouitina-Lietaert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Duthilleul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louise","family":"Marquette","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fran\u00e7ois","family":"Ducrocq","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guillaume","family":"Vaiva","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Rolland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2016,6,21]]},"reference":[{"key":"BFsrep28134_CR1","unstructured":"Salize, H., Dressing, H. & Peitz, M. Compulsory Admission and Involuntary Treatment of Mentally Ill Patients \u2013 Legislation and Practice in EU Member States - Final Report. European Commission - Health & Consumer Protection Directorate \u2013 General. (2002) Available at: http:\/\/ec.europa.eu\/health\/ph_projects\/2000\/promotion\/fp_promotion_2000_frep_08_en.pdf (Accessed: 4th September 2015)."},{"key":"BFsrep28134_CR2","doi-asserted-by":"publisher","first-page":"1423","DOI":"10.1176\/ajp.155.10.1423","volume":"155","author":"BB Way","year":"1998","unstructured":"Way, B. B. et al. Interrater agreement among psychiatrist in psychiatric emergency assessments. Am J Psychiatry. 155, 1423\u20131428 (1998).","journal-title":"Am J Psychiatry."},{"key":"BFsrep28134_CR3","doi-asserted-by":"publisher","first-page":"1027","DOI":"10.1111\/j.1553-2712.1996.tb03348.x","volume":"3","author":"L Garbrick","year":"1996","unstructured":"Garbrick, L. et al. Agreement between emergency physicians and psychiatrists regarding admission decisions. Acad Emerg Med Med. 3, 1027\u20131030 (1996).","journal-title":"Acad Emerg Med Med."},{"key":"BFsrep28134_CR4","doi-asserted-by":"publisher","first-page":"368","DOI":"10.1111\/j.1553-2712.2011.01024.x","volume":"18","author":"AM Douglass","year":"2011","unstructured":"Douglass, A. M., Luo, J. & Baraff, L. J. Emergency medicine and psychiatry agreement on diagnosis and disposition of emergency department patients with behavioral emergencies. Acad Emerg Med. 18, 368\u2013373 (2011).","journal-title":"Acad Emerg Med."},{"key":"BFsrep28134_CR5","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1176\/appi.ps.52.2.214","volume":"52","author":"BB Way","year":"2001","unstructured":"Way, B. B. & Banks, S. Clinical factors related to admission and release decisions in psychiatric emergency services. Psychiatr Serv. 52, 214\u2013218 (2001).","journal-title":"Psychiatr Serv."},{"key":"BFsrep28134_CR6","doi-asserted-by":"publisher","first-page":"1777","DOI":"10.1080\/10826080500260891","volume":"40","author":"S Klag","year":"2005","unstructured":"Klag, S., O\u2019Callaghan, F. & Creed, P. The use of legal coercion in the treatment of substance abusers: an overview and critical analysis of thirty years of research. Subst Use Misuse. 40, 1777\u20131795 (2005).","journal-title":"Subst Use Misuse."},{"key":"BFsrep28134_CR7","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1111\/j.1360-0443.2005.01268.x","volume":"101","author":"TC Wild","year":"2006","unstructured":"Wild, T. C. Social control and coercion in addiction treatment: towards evidence-based policy and practice. Addiction. 101, 40\u201349 (2006).","journal-title":"Addiction."},{"key":"BFsrep28134_CR8","doi-asserted-by":"publisher","first-page":"634","DOI":"10.1176\/appi.ps.201300175","volume":"65","author":"AR Williams","year":"2014","unstructured":"Williams, A. R., Cohen, S. & Ford, E. B. Statutory definitions of mental illness for involuntary hospitalization as related to substance use disorders. Psychiatr Serv. 65, 634\u2013640 (2014).","journal-title":"Psychiatr Serv."}],"container-title":["Scientific Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/srep28134.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/srep28134","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/srep28134.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,5]],"date-time":"2023-01-05T04:43:11Z","timestamp":1672893791000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/srep28134"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,6,21]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2016,6,28]]}},"alternative-id":["BFsrep28134"],"URL":"https:\/\/doi.org\/10.1038\/srep28134","relation":{},"ISSN":["2045-2322"],"issn-type":[{"value":"2045-2322","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,6,21]]},"assertion":[{"value":"15 November 2015","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 May 2016","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 June 2016","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing financial interests.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"28134"}}