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By studying those who visit the busiest Psychiatric Emergency Services (PES) in France, our primary objective was to describe the \u201coldest old\u201d seeking psychiatric care and, secondly, to identify predictive factors of hospitalization. We chose a cut-off age of 80\u00a0years and recruited all patients who visited our monocentric PES over a five-year period between 2018 and 2022. This retrospective observational study relied on clinical assessments and medical records. A total of 306 visits from 274 distinct patients were analyzed. Patients were mostly women, living alone at home, with a psychiatric history and using psychotropic medications. The majority were diagnosed with mood disorders and did not appear to have cognitive impairment. Patients were primarily referred to either inpatient or outpatient psychiatric care. These results enhance our understanding of the psychiatric needs of the \u201coldest-old\u201d.<\/jats:p>","DOI":"10.1177\/08919887251334992","type":"journal-article","created":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T09:52:22Z","timestamp":1744797142000},"page":"498-506","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cOldest Old\u201d Attending Psychiatric Emergency Services: A Monocentric Retrospective Study"],"prefix":"10.1177","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-2301-977X","authenticated-orcid":false,"given":"Hugo","family":"Tiercelin","sequence":"first","affiliation":[{"name":"Secteur 75G13, H\u00f4pital Sainte Anne, GHU Paris Psychiatrie &amp; Neurosciences, Paris, France"},{"name":"H\u00f4pital Corentin-Celton, D\u00e9partement M\u00e9dico-Universitaire de Psychiatrie et Addictologie, AP-HP Centre - Universit\u00e9 de Paris, Issy-les-Moulineaux, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2376-8026","authenticated-orcid":false,"given":"Mathilde","family":"Gras","sequence":"additional","affiliation":[{"name":"Facult\u00e9 de M\u00e9decine, Universit\u00e9 Paris-Saclay, Le Kremlin-Bic\u00eatre, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00e9r\u00f4me","family":"Silva","sequence":"additional","affiliation":[{"name":"Centre Psychiatrique d\u2019Orientation et d\u2019Accueil (CPOA), H\u00f4pital Sainte Anne, GHU Paris Psychiatrie &amp; Neurosciences, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Barruel","sequence":"additional","affiliation":[{"name":"D\u00e9partement d\u2019Information M\u00e9dicale (DIM), H\u00f4pital Sainte Anne, GHU Paris Psychiatrie &amp; Neurosciences, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6603-5519","authenticated-orcid":false,"given":"Rapha\u00ebl","family":"Gourevitch","sequence":"additional","affiliation":[{"name":"Centre Psychiatrique d\u2019Orientation et d\u2019Accueil (CPOA), H\u00f4pital Sainte Anne, GHU Paris Psychiatrie &amp; Neurosciences, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Hoertel","sequence":"additional","affiliation":[{"name":"H\u00f4pital Corentin-Celton, D\u00e9partement M\u00e9dico-Universitaire de Psychiatrie et Addictologie, AP-HP Centre - Universit\u00e9 de Paris, Issy-les-Moulineaux, France"},{"name":"Facult\u00e9 de Sant\u00e9, UFR de M\u00e9decine, Universit\u00e9 de Paris, Paris, France"},{"name":"Institut de Psychiatrie et Neurosciences de Paris, UMR_S1266, INSERM, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Pham-Scottez","sequence":"additional","affiliation":[{"name":"Centre Psychiatrique d\u2019Orientation et d\u2019Accueil (CPOA), H\u00f4pital Sainte Anne, GHU Paris Psychiatrie &amp; Neurosciences, Paris, France"},{"name":"Universit\u00e9 Paris-Saclay, Inserm U1018, CESP, Team DevPsy, Universit\u00e9 Versailles Saint-Quentin, Villejuif, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,4,16]]},"reference":[{"key":"e_1_3_6_2_2","unstructured":"Mental health of older adults [World Health Organization website]. 2023. 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