Journal of Psychiatry

Management and treatment of Personality disorders in the emergency department

Euro Global Summit and Medicare Expo on Psychiatry

July 20-22, 2015 Barcelona, Spain

Tusconi M1, Oppes MC2, Mele MI2 and Melis G3

Posters-Accepted Abstracts: J Psychiatry

Abstract:

Objective: Personality Disorders tend to be underdiagnosed in clinical settings, and their contributions to functional impairment and treatment are underappreciated despite the documented co-occurrence of personality disorders with other mental disorders. This retrospective study aims to evaluate the management and treatment of this type of patients, admitted to an Emergency Department of Sardinia, Italy. Method: The cohort has been selected from triage with a retrospective evaluation of comorbidity with personality disorders as stated in the clinical general, and drug history. From an initial sample of 89156 consecutive patients, in two years, 2013 (n=44075) and 2014 (n=45081), we?ve identified a sub-cohort of 203 cases with clinical history of Personality Disorder. Statistical analyses were done using IBM SPSS� 22.0. Results: The admission rate to the various departments is 31.0%, with a non-uniform distribution among PD (p=0.009). Regarding psychopharmacological treatment, drug history in the various PDs revealed an equally divided use of drugs, with no relevant differences regarding various psychopharmacological treatments, except for Antipsychotics (p<0.001). The management of this particular kind of patient is influenced by their great complexity, this could benefit from the enhancement of a professional such as the Emergency Psychologist as an integrative support to the ER team and to the Department of Psychiatry, general reference in the management of these cases. Conclusions: This work highlights the importance of an appropriate management for patients with PD; furthermore a more personalized treatment should be the implemented in the EDs to improve the outcome and reduce the risk of complications.