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Effects of a Psychiatric Intensive Care Unit

This study has been completed.
Sponsor:
Collaborator:
St. Olavs Hospital
Information provided by (Responsible Party):
Norwegian University of Science and Technology
ClinicalTrials.gov Identifier:
NCT00184119
First received: September 9, 2005
Last updated: March 10, 2017
Last verified: March 2017
  Purpose
The purpose of the study is to compare the effects of using or not using a Psychiatric Intensive Care Unit (PICU) in an acute psychiatric department.

Condition Intervention
Mental Disorders Procedure: Psychiatric Intensive Care Unit Procedure: Care in whole acute unit

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: No masking
Primary Purpose: Treatment
Official Title: Effects of a Psychiatric Intensive Care Unit in an Acute Psychiatric Department.

Resource links provided by NLM:


Further study details as provided by Norwegian University of Science and Technology:

Primary Outcome Measures:
  • Length of stay in Psychiatric Intensive Care Unit (PICU) [ Time Frame: 3 days ]
  • Symptoms of psychopathology [ Time Frame: 3 days ]
    assessed by Broset Violence Checklist (BVC), a six-item observer-rated scale scoring behaviours. Higher scores predict imminent violence in psychiatric inpatients

  • Violent or threatening incidents [ Time Frame: 3 days ]
    recorded with the Staff Observation Aggression Scale-Revised (SOAS-R),


Secondary Outcome Measures:
  • Therapeutic steps and nurses' interventions [ Time Frame: 3 days ]
    coded daily on a 23-item checklist


Enrollment: 118
Study Start Date: October 2001
Study Completion Date: June 2010
Primary Completion Date: June 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Psychiatric Intensive Care Unit Procedure: Psychiatric Intensive Care Unit
Active Comparator: Whole acute unit Procedure: Care in whole acute unit
psychiatric acute care as usual

Detailed Description:

The main aim of the study is to compare the effects of using or not using a Psychiatric Intensive Care Unit (PICU) in an acute psychiatric department.The acute ward of Østmarka psychiatric department, St. Olavs Hospital has a PICU separated from the rest of the ward. The PICU is separated with a locked door. Under two different conditions at different times all patients evaluated to be in need of PICU were admitted to the PICU. In the first condition the doors inside the PICU and between the rest of the acute ward and PICU were closed or locked. In the second condition the doors inside the PICU and the door between the PICU and the rest of the acute ward were either removed or held permanently open. In the second condition the patients thus were admitted to a PICU unit not using PICU principles.

The patients were evaluated with different rating scales at admittance, day three and at discharge from PICU.

  Eligibility

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • All patients admitted to Østmarka psychiatric department, St. Olavs Hospital in need of a PICU.

Exclusion Criteria:

  • Patients with dementia or mental retardation to an extensive degree.
  • Patients not speaking Norwegian or English.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00184119

Locations
Norway
Østmarka Psychiatric Department, St. Olavs Hospital
Trondheim, Norway, 7441
Sponsors and Collaborators
Norwegian University of Science and Technology
St. Olavs Hospital
Investigators
Study Chair: Olav M Linaker, Professor Norwegian University of Science and Technology
  More Information

Publications:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Norwegian University of Science and Technology
ClinicalTrials.gov Identifier: NCT00184119     History of Changes
Other Study ID Numbers: AEV-01
Study First Received: September 9, 2005
Last Updated: March 10, 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Norwegian University of Science and Technology:
Emergency services, psychiatric
Intensive care units
Hospitals, psychiatric
Aggression
Violence

Additional relevant MeSH terms:
Mental Disorders
Psychotic Disorders
Schizophrenia Spectrum and Other Psychotic Disorders

ClinicalTrials.gov processed this record on July 27, 2017