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This dissertation, Emergency Psychiatric Attendance in a Hong Kong Hospital: a Local Experience in Understanding Factors Associated With Re-attendance by Kin-ming, Mak, 麥健銘, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Abstract of thesis entitled Emergency psychiatric attendance in a Hong Kong hospital: a local experience in understanding factors associated with re-attendance Submitted by MAK Kin Ming for the degree of Master of Public Health at The University of Hong Kong in August 2006 Background: Re-attendance in psychiatric emergencies posed a severe burden worldwidely. This constituted serious problem towards health care staff and other health seekers. Efforts have been made to identify those risk factors associated with, and specific recommendations were suggested in foreign countries. The situation in Chinese population was uncertain, but psychiatric illness was in prevalent. Early understanding the circumstance could aid in establishing primary and secondary preventive measures Objectives: The purpose of this study was to examine the sociodemographic and clinical characteristics of repeat visitors of psychiatric emergencies in Chinese community. It was also to investigate the pattern of psychiatric emergencies among culture in the Chinese ethnicity. Design: Data were collected over a year period from a local accident and emergency department through record extraction. Psychiatric attendance patterns were illustrated and identified. 1021 case episodes were reported, in which 200 patients were defined as repeat visitors who visited more than once a year, whilst the remaining 600 patients served as comparison. Univariate analysis and logistic regression model were used to evaluate independent predisposing factors. Results: About 30% of patients returned according to our criteria, which was similar to that of oversea findings. The likelihood of re-attendance was reduced when patients were accompanied by their family and friends; or when they were being discharged with referred to further follow-up action; or discharge against medical advice; or hospitalization involuntarily upon first time attendance. Conclusions: Some of the predictors could be also observed in Western studies, which served as indicators for future attendance pattern. Further investigation was suggested and invention of assessment tools was recommended. Re-attendance of psychiatric emergencies in Hong Kong was as serious as other countries, and effective service arrangement has to be considered to prevent service mismatch to be happened. DOI: 10.5353/th_b3972489 Subjects: Psychiatric hospitals - China - Hong Kong - Emergency serviceMental illness - Risk factors - China - Hong Kong

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