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; Wei-Fen Ma

doi:10.3390/ijerph182413392

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

Int J Environ Res Public Health. 2021 Dec 20;18(24):13392. doi: 10.3390/ijerph182413392.

Authors

Shuo-Yen Ting^{1

2

3}, Tsuo-Hung Lan^{1

4

5

6}, Lih-Jong Shen⁷, Chun-Yuan Lin^{1

8}, Shih-Kai Lee⁹, Wei-Fen Ma^{10

11

12}

Affiliations

¹ Department of General Psychiatry, Tsaotun Psychiatric Center, Ministry of Health and Welfare, Nantou 54249, Taiwan.
² School of Nursing, Asia University, Taichung 41354, Taiwan.
³ Institute of Brain Science, National Yang Ming Chiao Tung University, Taipei 112304, Taiwan.
⁴ Department of Medicine, National Yang Ming Chiao Tung University, Taipei 112304, Taiwan.
⁵ Center for Neuropsychiatric Research, National Health Research Institutes, Miaoli 35053, Taiwan.
⁶ Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei 112304, Taiwan.
⁷ Department of Mental and Oral Health, Ministry of Health and Welfare, Taipei 115204, Taiwan.
⁸ Department of Sport, National Changhua University of Education, Taichung 41354, Taiwan.
⁹ Department of Nursing, Tsaotun Psychiatric Center, Ministry of Health and Welfare, Nantou 54249, Taiwan.
¹⁰ PhD Program for Health Science and Industry, China Medical University, Taichung 406040, Taiwan.
¹¹ School of Nursing, China Medical University, Taichung 406040, Taiwan.
¹² 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.

Keywords: Chinese Mandarin version of crisis triage rating scale; compulsory hospitalization; instrument; psychiatry.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

China
Cross-Sectional Studies
Hospitalization
Humans
Mental Disorders* / epidemiology
Triage*