Effects of a Psychiatric Intensive Care Unit

Mental Disorders Clinical Trial

Official title:

Effects of a Psychiatric Intensive Care Unit in an Acute Psychiatric Department.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00184119
• Other study ID #: AEV-01
• Status: Completed
• Phase: N/A
• Start date: October 2001
• Est. completion date: June 2010

Study information

• Verified date: November 2023
• Source: Norwegian University of Science and Technology
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 118
• Est. completion date: June 2010
• Est. primary completion date: June 2010
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 110 Years

Eligibility

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.

Related Conditions & MeSH terms

• Mental Disorders

Intervention

Procedure:
• Psychiatric Intensive Care Unit

• Care in whole acute unit
psychiatric acute care as usual

Locations

Country	Name	City	State
Norway	Østmarka Psychiatric Department, St. Olavs Hospital	Trondheim

Sponsors (2)

Lead Sponsor	Collaborator
Norwegian University of Science and Technology	St. Olavs Hospital

Country where clinical trial is conducted

Norway, 

References & Publications (1)

Vaaler AE, Morken G, Flovig JC, Iversen VC, Linaker OM. Effects of a psychiatric intensive care unit in an acute psychiatric department. Nord J Psychiatry. 2006;60(2):144-9. doi: 10.1080/08039480600583472. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Length of stay in Psychiatric Intensive Care Unit (PICU)		3 days
Primary	Symptoms of psychopathology	assessed by Broset Violence Checklist (BVC), a six-item observer-rated scale scoring behaviours. Higher scores predict imminent violence in psychiatric inpatients	3 days
Primary	Violent or threatening incidents	recorded with the Staff Observation Aggression Scale-Revised (SOAS-R),	3 days
Secondary	Therapeutic steps and nurses' interventions	coded daily on a 23-item checklist	3 days