Accuracy of diagnosis at routine psychiatric assessment in patients presenting to an accident and emergency department

Taggart, Catherine; O’Grady, John; Stevenson, Mike; Hand, Elaine; Clelland, Roy Mc; Kelly, Chris

doi:10.1016/j.genhosppsych.2006.05.002

Cited by 47 publications

(41 citation statements)

References 13 publications

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“…27 Poor agreement between clinical and structured interview diagnosis was also identified in a study of those presenting to the ED with suicidal behaviour, and as in this study when a structured diagnostic instrument was used DE predominated. 28 This is likely to be due to structured interviews regarding AD as a sub-threshold condition, trumped by DE once the symptom criteria are met. A criticism voiced by many is that the diagnostic instruments used in epidemiological research only measure symptoms and ignore context.…”

Section: Discussionmentioning

confidence: 99%

Suicidal behaviours in adjustment disorder and depressive episode

Casey

Jabbar

O’Leary³

et al. 2015

Journal of Affective Disorders

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Publication informationJournal of Affective Disorders, Publisher Elsevier Item record/more information http://hdl.handle.net/10197/6642 Publisher's statementThis is the author's version of a work that was accepted for publication in Journal of Affective Disorders. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Affective Disorders (VOL 174, ISSUE 2015, (2015 AbstractBackground: Little is known about suicidal ideation and behaviours in adjustment disorder (AD). In

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Section: Discussionmentioning

confidence: 99%

Suicidal behaviours in adjustment disorder and depressive episode

Casey

Jabbar

O’Leary³

et al. 2015

Journal of Affective Disorders

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“…Consistent with Shear et al (2000) and Taggart et al (2006), we used Cohen's kappa to assess concordance between clinical and SCAN diagnoses. Kappa values greater than 0.8 are considered almost perfect agreement; values between 0.4 and 0.7 are considered moderate to good agreement; and values below 0.4 are considered fair to poor (Fayers and MacHin, 2000).…”

Section: Discussionmentioning

confidence: 99%

Distinguishing between adjustment disorder and depressive episode in clinical practice: The role of personality disorder

Doherty

Jabbar

Kelly

et al. 2014

Journal of Affective Disorders

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“…Deliberate self harm: Turning to those who engage in deliberate self harm, a clinical diagnosis of AD is commonly made, and this was confirmed in an emergency department study where AD was diagnosed in 31.8% of those interviewed while major depression was less common at 19.5% 25 . These proportions changed to 7.8% and 36.4% respectively when a structured interview (SCID) was used.…”

Section: Consultation Liaison Psychiatrymentioning

confidence: 94%

Adjustment Disorder

Casey

2009

CNS Drugs

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Adjustment disorder (AD) was introduced into the psychiatric classification systems almost thirty years ago although the concept was recognised for many years before that. Six subtypes are described based on the predominant symptoms but no further diagnostic criteria are offered to assist the clinician. These are common conditions especially in primary care and in consultation liaison psychiatry where the prevalence ranges from 11-18% and 10-35% respectively. Yet they are under-researched, possibly due to the failure of some of the common diagnostic tools to allow for the diagnosis of AD. Among those to incorporate AD, the concordance between the clinical and interview diagnosis is very poor with the diagnosis being made more commonly in clinical practice than the diagnostic tools allow for. AD is found in all cultures and in all age groups.

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Accuracy of diagnosis at routine psychiatric assessment in patients presenting to an accident and emergency department

Cited by 47 publications

References 13 publications

Suicidal behaviours in adjustment disorder and depressive episode

Suicidal behaviours in adjustment disorder and depressive episode

Distinguishing between adjustment disorder and depressive episode in clinical practice: The role of personality disorder

Adjustment Disorder

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