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

Author

Listed:
  • Shuo-Yen Ting

    (Department of General Psychiatry, Tsaotun Psychiatric Center, Ministry of Health and Welfare, Nantou 54249, Taiwan
    School of Nursing, Asia University, Taichung 41354, Taiwan
    Institute of Brain Science, National Yang Ming Chiao Tung University, Taipei 112304, Taiwan)

  • Tsuo-Hung Lan

    (Department of General Psychiatry, Tsaotun Psychiatric Center, Ministry of Health and Welfare, Nantou 54249, Taiwan
    Department of Medicine, National Yang Ming Chiao Tung University, Taipei 112304, Taiwan
    Center for Neuropsychiatric Research, National Health Research Institutes, Miaoli 35053, Taiwan
    Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei 112304, 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
    Department of Sport, National Changhua University of Education, Taichung 41354, 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
    School of Nursing, China Medical University, Taichung 406040, Taiwan
    Department of Nursing, China Medical University Hospital, Taichung 404332, Taiwan)

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.

Suggested Citation

  • Shuo-Yen Ting & Tsuo-Hung Lan & Lih-Jong Shen & Chun-Yuan Lin & Shih-Kai Lee & Wei-Fen Ma, 2021. "The Chinese Mandarin Version of the Crisis Triage Rating Scale for Taiwanese with Mental Illness to Compulsory Hospitalization," IJERPH, MDPI, vol. 18(24), pages 1-12, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:24:p:13392-:d:706298
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