{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T06:18:42Z","timestamp":1781763522012,"version":"3.54.5"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,1,17]],"date-time":"2016-01-17T00:00:00Z","timestamp":1452988800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004257","name":"Helse Vest","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004257","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Psychiatr Scand"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Norwegian studies report that a substantial amount of referrals for compulsory mental health care are disallowed at specialist assessment, at a rate that varies with referring agent. Knowledge on factors associated with disallowance could improve the practice of compulsory mental health care. This study aims to examine such factors, placing particular emphasis on the impact of referring agents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This study utilized data from the prospective, longitudinal cohort study \u2018Suicidality in Psychiatric Emergency Admissions\u2019 conducted at a Norwegian psychiatric emergency unit which served approximately 400 000 inhabitants. Data on referral, admission and patient characteristics were retrieved on compulsory admissions conducted between 1 May 2005 and 30 April 2008. Bivariate and logistic regression analyses and structural multilevel modelling were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 2813 compulsory admissions, 764 were disallowed. Low competence in the referring agent, high <jats:styled-content style=\"fixed-case\">GAF<\/jats:styled-content> S score, observed alcohol or drug intoxication, reported suicide risk, and the presence of neurotic, stress\u2010related and somatoform disorders, personality disorders and other non\u2010specified diagnoses were associated with above average disallowance frequency. Non\u2010Norwegian ethnicity and schizophrenia spectrum disorders were associated with below average disallowance rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Among several factors associated with disallowance, low symptom load was the strongest, whilst referring agent competence modestly affected disallowance rate.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acps.12545","type":"journal-article","created":{"date-parts":[[2016,1,17]],"date-time":"2016-01-17T14:38:43Z","timestamp":1453041523000},"page":"410-418","source":"Crossref","is-referenced-by-count":10,"title":["Factors associated with disallowance of compulsory mental healthcare referrals"],"prefix":"10.1111","volume":"133","author":[{"given":"N. L. D.","family":"Fuglseth","sequence":"first","affiliation":[{"name":"Uni Research Health National Centre for Emergency Primary Health Care Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Gjestad","sequence":"additional","affiliation":[{"name":"Division of Psychiatry Haukeland University Hospital Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Mellesdal","sequence":"additional","affiliation":[{"name":"Division of Psychiatry Haukeland University Hospital Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Hunskaar","sequence":"additional","affiliation":[{"name":"Uni Research Health National Centre for Emergency Primary Health Care Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. J.","family":"Oedegaard","sequence":"additional","affiliation":[{"name":"Division of Psychiatry Haukeland University Hospital Bergen Norway"},{"name":"Department of Clinical Medicine and Global mental health research group GMHRG Centre for International Health Faculty of Medicine and Dentistry University of Bergen Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I. H.","family":"Johansen","sequence":"additional","affiliation":[{"name":"Uni Research Health National Centre for Emergency Primary Health Care Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,1,17]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/13651500600650026"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0902-4441.2000.007s020[dash]16.x"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2010.01.013"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-014-0500-x"},{"key":"e_1_2_10_6_1","unstructured":"Lov om etablering og gjennomforing av psykisk helsevern (psykisk helsevernloven) [Act relating to the provision and implementation of mental healthcare with later amendments (Mental Healthcare Act)]. 2 July 1999 No. 62. 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[Compulsory admissions for observation in acute psychiatric wards]","volume":"123","author":"Gjelstad K","year":"2003","journal-title":"Tidsskr Nor Laegeforen"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.12138"},{"key":"e_1_2_10_11_1","unstructured":"KarterudS PedersenG LovdahlH FriisS.Global funksjonsskaring \u2013 Splittet versjon: Bakgrunn og skaringsveiledning [Global Assessment of Functioning \u2013 split version (S\u2010GAF): Background and scoring manual] [Internet].Oslo (NO):Ulleval University Hospital Department of Psychiatry 1998; cited 2015 July 3. Available from:http:\/\/www.dagbehandlingsnettverk.no\/kvalsikr\/skjemaer\/Gafveil.pdf. 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