{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T04:58:31Z","timestamp":1769749111462,"version":"3.49.0"},"reference-count":19,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,12,12]],"date-time":"2023-12-12T00:00:00Z","timestamp":1702339200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:p>Despite an increasing number of adults older than 60\u2009years with psychiatric disorders, there are few studies on older patients in psychiatric emergencies and no European data. We aimed to describe the population of patients aged 60\u2009years and older who presented to the main French psychiatric emergency centre and identify predictors of psychiatric hospitalization. This monocentric study included 300 consecutive patients aged 60\u2009years and older. Patients presenting because of psychiatric emergencies were frequently female and lived autonomously. More than 40% had a history of at least one psychiatric hospitalization and 44% had consulted a psychiatrist in the previous 6\u2009months. The most common reasons for consultation were depression, anxiety, sleep disorders and suicidal thoughts. Psychiatric disorders were mainly mood disorders; neurotic, stress-related and somatoform disorders; and schizophrenic, schizotypal and delusional disorders. Only 10% had a diagnosis of organic mental disorders. Overall, 39% of the patients were admitted to the psychiatric hospital. Factors predicting hospitalization were a history of psychiatric hospitalization, suicidal thoughts and a diagnosis of a mood disorder or schizophrenia\/schizotypal\/delusional disorder. In conclusion, among people aged 60\u2009years and older who consulted for psychiatric emergencies, 39% had to be hospitalized in psychiatry and only psychiatric factors influenced the decision to hospitalize. Our study highlights the need for further studies of older people in psychiatric emergencies in Europe, to anticipate the needs of this specific population and adapt multidisciplinary mental health care.<\/jats:p>","DOI":"10.3389\/fpsyt.2023.1298497","type":"journal-article","created":{"date-parts":[[2023,12,12]],"date-time":"2023-12-12T14:34:25Z","timestamp":1702391665000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Characteristics of older patients in the largest French psychiatric emergency centre"],"prefix":"10.3389","volume":"14","author":[{"given":"Alexandra","family":"Pham-Scottez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thierry","family":"Gallarda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathilde","family":"Calvez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00e9r\u00f4me","family":"Silva","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Barruel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Val\u00e9rie Dauriac-Le","family":"Masson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justine","family":"Lahaye","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florence","family":"Perquier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie","family":"Sarazin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rapha\u00ebl","family":"Gourevitch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2023,12,12]]},"reference":[{"key":"ref1","volume-title":"Mental health action plan 2013\u20132020","year":"2013"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"706","DOI":"10.1097\/JGP.0b013e31817e73c7","article-title":"Psychiatric emergency services for the U.S. elderly: 2008 and beyond","volume":"16","author":"Walsh","year":"2008","journal-title":"Am J Geriatr Psychiatry"},{"key":"ref3","first-page":"1089","article-title":"Projections de population pour la France m\u00e9tropolitaine \u00e0 l\u2019horizon 2050","author":"Robert-Bob\u00e9e","year":"2006","journal-title":"INSEE premi\u00e8re"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1111\/j.1532-5415.1982.tb03377.x","article-title":"Geriatric psychiatry in the emergency department: characteristics of geriatric and non-geriatric admissions","volume":"30","author":"Waxman","year":"1982","journal-title":"J Am Geriatrics Soc"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"833","DOI":"10.1176\/ps.33.10.833","article-title":"Meeting the mental health needs of the aged: the role of psychiatric emergency services","volume":"33","author":"Simson","year":"1982","journal-title":"Hosp Comm Psychiatry"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1301","DOI":"10.1176\/ps.39.12.1301","article-title":"Geropsychiatric emergency services: utilization and outcome predictors","volume":"39","author":"Thienhaus","year":"1988","journal-title":"Hosp Comm Psychiatry"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"802","DOI":"10.1176\/ps.42.8.802","article-title":"Characteristics of elderly persons seen in an urban psychiatric emergency room","volume":"42","author":"Puryear","year":"1991","journal-title":"Hosp Comm Psychiatry"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1007\/BF02518689","article-title":"Characteristics of older adults referred to a psychiatric emergency outreach service","volume":"20","author":"Coyne","year":"1993","journal-title":"J Ment Health Adm"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"680","DOI":"10.1016\/j.jagp.2017.02.003","article-title":"Increased elderly utilization of psychiatric emergency resources as a reflection of the growing mental health crisis facing our aging population","volume":"25","author":"Lu","year":"2017","journal-title":"Am J Geriatr Psychiatry"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1186\/1471-244X-11-111","article-title":"The elderly in the psychiatric emergency service (PES); 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