Phiphopthatsanee, Nacharin
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Preferred name
Phiphopthatsanee, Nacharin
Main Affiliation
Email
nacharin.ph@kmitl.ac.th
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Item type:Publication, Treatment with medication for patients with psychosis within 2 days during waiting in the accident and emergency department and its correlation with length of in-patient stay: retrospective database study(2024-11-11); Hampsey, ElliotBackground One of the ‘critical goals’ for psychiatric liaison services is reducing hospitalisation. Psychotropic medication is a treatment for psychosis, although research determining the efficacy of early medication administration is lacking. Aims To determine whether commencing psychotropic medication within 2 days of psychiatric liaison input in the accident and emergency (A&E) department is correlated with length of inpatient psychiatric admissions for patients with psychosis. Method We gathered data on patients presenting to A&E sites covered by South London and Maudsley (SLaM) National Health Service Trust, who were subsequently admitted to and discharged from SLaM psychiatric in-patient wards with discharge diagnosis of psychosis between 2015 and 2020. The analysis set comprised 228 patients waiting in the A&E department under psychiatric liaison care for ≥2 days, of which 140 were started on medication within those 2 days (group A) and 88 were not (group B). Group A was divided into A1 (patients restarted on previous psychotropic medication taken within 1 week) and A2 (others, including those new to psychotropic medication or with past usage). Results Although Kaplan–Meier survival curves with log-rank tests demonstrated no statistically significant difference of in-patient admission duration between groups A and B or groups B1 and B2, further analysis revealed that subgroup A1 had statistically significant shorter admissions than group B (P = 0.05). Conclusions Restarting patients with psychosis on medication they were taking within the week before A&E department attendance, within 2 days of arrival at the A&E department, is associated with statistically significant shorter admissions. The limitation is a relatively small sample size. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Mental health law in Thailand(2025-11-01)Thailand’s first Mental Health Act was enacted on 20 February 2008, with an amendment enforced on 15 July 2019. The Act provides a framework for mental health professionals, aiming to protect patient rights and promote societal safety by minimising the risks associated with mental illness. This article highlights key practical aspects of the legislation and discusses issues regarding its real-life application.