The Chinese Mandarin Version of the Crisis Triage Rating Scale for Taiwanese with Mental Illness to Compulsory Hospitalization

Shuo-Yen Ting, Tsuo-Hung Lan, Lih-Jong Shen, Chun-Yuan Lin, Shih-Kai Lee and Wei-Fen Ma
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Shuo-Yen Ting: Department of General Psychiatry, Tsaotun Psychiatric Center, Ministry of Health and Welfare, Nantou 54249, Taiwan
Tsuo-Hung Lan: Department of General Psychiatry, Tsaotun Psychiatric Center, Ministry of Health and Welfare, Nantou 54249, Taiwan
Lih-Jong Shen: Department of Mental and Oral Health, Ministry of Health and Welfare, Taipei 115204, Taiwan
Chun-Yuan Lin: Department of General Psychiatry, Tsaotun Psychiatric Center, Ministry of Health and Welfare, Nantou 54249, Taiwan
Shih-Kai Lee: Department of Nursing, Tsaotun Psychiatric Center, Ministry of Health and Welfare, Nantou 54249, Taiwan
Wei-Fen Ma: PhD Program for Health Science and Industry, China Medical University, Taichung 406040, Taiwan

IJERPH, 2021, vol. 18, issue 24, 1-12

Abstract: Background: A controversial issue of the need to protect human rights and ensure public safety still remains a conflict in Taiwan. The purpose of this study was to translate the Crisis Triage Rating Scale to Chinese Mandarin (CMCTRS). Method: A cross-sectional design with convenient sampling was employed in this study. The CMCTRS was tested on 302 Taiwanese individuals with mental illness who were admitted to the emergency room (ER) of a psychiatric center. A higher score indicated a greater need for mandatory psychiatric admission. Psychiatrists rated the patients’ status according to three scale criteria and six action plans of recommendations. Results: Five specialists evaluated the content validity index to be 0.8. A total of 210 participants (69.5%) were deemed suitable for compulsory hospitalization or admission for observation in ER. The optimal cut-off score was 8, with a Youden Index of 1.46, a sensitivity of 0.748, and a specificity of 0.712 in deciding the need for hospitalization or observation. Conclusions: The CMCTRS exhibited an acceptable criterion validity with psychiatrists in a population of 302 patients at the ER of a psychiatric center. A cut-off point of 8 is recommended for determining hospitalization or a minimum 24 h stay at emergency for observation.

Keywords: psychiatry; instrument; compulsory hospitalization; Chinese Mandarin version of crisis triage rating scale (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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