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Aggressive behaviour (35.4%), suicidal behaviour (23.9%), fears of harm to self (19.9%) and alcohol issues (13.7%) were identified. Physical health factors (35.8%), functional impairment (18.6%) and poor nourishment (8.8%) were noted. Common diagnoses were mania (36.7%), dementia (31.9%) and melancholia (17.7%). Twenty-first-century diagnoses were assigned in nearly 94 per cent of cases with concordance that varied by diagnosis. The majority of admissions had serious mental disorders, with only 29.6 per cent being discharged.<\/jats:p>","DOI":"10.1177\/0957154x211029479","type":"journal-article","created":{"date-parts":[[2021,7,16]],"date-time":"2021-07-16T06:29:01Z","timestamp":1626416941000},"page":"436-448","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Older people in hospitals for the insane in New South Wales, Australia, 1849\u20131905"],"prefix":"10.1177","volume":"32","author":[{"given":"Brian","family":"Draper","sequence":"first","affiliation":[{"name":"School of Psychiatry, University of NSW, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,7,16]]},"reference":[{"key":"bibr1-0957154X211029479","unstructured":"(a) Archives"},{"key":"bibr2-0957154X211029479","unstructured":"NSW State Archives and Records Authority, 161 O\u2019Connell Street, Kingswood, NSW: medical casebooks from Gladesville Hospital Series NRS-5031 and Callan Park Hospital Series NRS-4994."},{"key":"bibr3-0957154X211029479","unstructured":"(b) Publications"},{"key":"bibr4-0957154X211029479","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"bibr5-0957154X211029479","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.12452."},{"key":"bibr6-0957154X211029479","unstructured":"Anonymous (1882) Melbourne Hospital Committee. 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