{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T02:35:31Z","timestamp":1770777331205,"version":"3.50.0"},"reference-count":38,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,6,23]],"date-time":"2015-06-23T00:00:00Z","timestamp":1435017600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Taipei City Hospital","award":["10201-62-050"],"award-info":[{"award-number":["10201-62-050"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asia-Pacific Psychiatry"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The police are the frontline workers in crisis situations involving patients with severe mental illness and act as a primary referral source for psychiatric emergency services (<jats:styled-content style=\"fixed-case\">PES<\/jats:styled-content>) in the community. The aims of this study were to investigate the distribution and characteristics of police referral among psychiatric patients in <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>aiwan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study cohort consisted of patients who visited the <jats:styled-content style=\"fixed-case\">PES<\/jats:styled-content> of <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>aipei <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ity <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>sychiatric <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>enter from <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2009 to <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>ecember 2010. The associations between the factors of demographics, clinical characteristics, and psychiatric service utilization and police referral were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the 7656 psychiatric emergency visits, 3029 (39.6%) were referred by the police. These patients referred by police were more likely to be male and aged between 30 to 49 years. Clinical factors related to police referrals including a higher triage assessment level, chief problems included violence, disturbance, substance use, less anxiety, and a diagnosis of unspecified psychosis. The triage assessment level and chief problems assessed by nurses were major predictors. These patients tended to be referred from the catchment area and during the nighttime shift, were discharged during the daytime shift, and stayed longer in the <jats:styled-content style=\"fixed-case\">PES<\/jats:styled-content>. Disposition arrangements such as discharge against medical advice and involuntary admission were also associated with police referrals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Patients referred by the police to the <jats:styled-content style=\"fixed-case\">PES<\/jats:styled-content> were those with more severe psychiatric problems and illnesses assessed by psychiatric nurses and psychiatrists. They tended to have more complex service utilization at the <jats:styled-content style=\"fixed-case\">PES<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/appy.12195","type":"journal-article","created":{"date-parts":[[2015,6,23]],"date-time":"2015-06-23T09:39:49Z","timestamp":1435052389000},"page":"436-444","source":"Crossref","is-referenced-by-count":11,"title":["Police referrals at the psychiatric emergency service in <scp>T<\/scp>aiwan"],"prefix":"10.1111","volume":"7","author":[{"given":"Jen\u2010Pang","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Psychiatry Taipei City Psychiatric Center Taipei City Hospital  Taipei City Taiwan"},{"name":"Institute of Public Health and Community Medicine Research Center National Yang\u2010Ming University  Taipei City Taiwan"},{"name":"Department of Healthcare Management National Taipei University of Nursing and Health Sciences  Taipei City Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chia\u2010Yi","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Nursing College of Medicine National Taiwan University  Taipei City Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chih\u2010Chiang","family":"Chiu","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Taipei City Psychiatric Center Taipei City Hospital  Taipei City Taiwan"},{"name":"Department of Psychiatry School of Medicine Taipei Medical University  Taipei City Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsu\u2010Hui","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Taipei City Psychiatric Center Taipei City Hospital  Taipei City Taiwan"},{"name":"Medical Affairs Division Department of Health Taipei City Government  Taipei City Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tzong\u2010Hsien","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Taipei City Psychiatric Center Taipei City Hospital  Taipei City Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pesus","family":"Chou","sequence":"additional","affiliation":[{"name":"Institute of Public Health and Community Medicine Research Center National Yang\u2010Ming University  Taipei City Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,6,23]]},"reference":[{"issue":"3","key":"e_1_2_5_2_1","first-page":"s1","article-title":"Canadian emergency department triage and acuity scale implementation guidelines","volume":"1","author":"Beveridge R.","year":"1999","journal-title":"CJEM"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1099-0798(199823)16:4<393::AID-BSL317>3.0.CO;2-4"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-010-9295-3"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.108.053728"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)61679-7"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/epirev\/mxr025"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201200566"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1176\/ps.50.1.99"},{"key":"e_1_2_5_10_1","unstructured":"Department of Health Great Britain(2008)Code of Practice: Mental Health Act 1983. 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