Profiles of Patients Admitted to a Psychiatric Intensive Care Unit: Secluded with or without Restraint

Author:

Goulet Marie-Hélène1,Larue Caroline2,Stafford Marie-Christine3,Dumais Alexandre4

Affiliation:

1. Student, Faculté des sciences infirmières, Université de Montréal, Montreal, Quebec; Research Coordinator, Centre de recherche de l'Institut universitaire en santé mentale de Montréal, Montreal, Quebec

2. Professor, Faculté des sciences infirmières, Université de Montréal, Montreal, Quebec; Researcher, Centre de recherche de l'Institut universitaire en santé mentale de Montréal, Montreal, Quebec

3. Statistician, Philippe-Pinel Institute, Montreal, Quebec

4. Psychiatrist and Researcher, Centre de recherche de l'Institut universitaire en santé mentale de Montréal, Montreal, Quebec; Psychiatrist, Philippe-Pinel Institute, Montreal, Quebec

Abstract

Objective: To identify and describe the profiles of patients admitted to a psychiatric intensive care unit (PICU) as they relate to seclusion and restraint. Method: Multiple correspondence analysis (MCA) and cluster analysis were performed with data for 114 patients admitted to a PICU from June 8, 2010, to June 7, 2011. Results: The MCA revealed that the presence or absence of seclusion and restraint was the main factor explaining the variance. Admitted patients fall into 5 profiles, 2 of which are significantly associated with seclusion and restraint: young psychotic men and women with bipolar disorder. Conclusions: The differentiation of patient profiles as they relate to seclusion and restraint should lead to the development of profile-specific interventions before, during, and after seclusion and restraint.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health

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