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Psychiatric Emergency Associated with Family Crisis

To determine the role of family crisis in the development of psychiatric emergency and to find the clinical characteristics of the patients, the author reviewed hospital records of 422 psychiatric patients who visited the emergency room of Kyungpook University Hospital during the past two years from June 1，1986 to May 31，1988 The results were summarized as follows ; Among the total 422 patients, 139 cases(31.4%) proved to have a history of family crisis，Most frequent problems were marital conflict(52.6 %) and about two thirds of the cases were female in their thirties and twenties. Most of the patients were diagnosed as conversion disorder with characteristic somatization problem. Symptoms of parahysis or paresthesia, altered consciousness and emotional excitement with aggressiveness were commonly found. Only 12.9% of the patients could be treated through hospitalization, 7.2% of the patients visited out-patient department and the rest refused the medical advice of follow up visit as out-patient cunic basis. Chinical vignetle of 5 typical cases were also presented. Finally, the author discussed the family crisis of the patients in relation to the Korean cultural value systems in transition and stressed the need for intensive study in this field.