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Abstract During a 28‐day period, 469 patients attending a psychiatric emergency clinic were studied. The diagnoses made were compared to the severity of psychosocial stressors according to the DSM III axis IV. The largest diagnostic subgroup comprised alcohol problems (29.8 per cent), followed by psychosis (18.6 per cent), depression (12.9 per cent), neurotic (10.1 per cent) and acute breakdown due to external crisis (9.9 per cent). It was found that the more ‘endogenous’ the psychiatric illness, the lower were the ratings of stressful life events. DSM III does not contain sufficiently detailed information concerning axis IV to enable it to be used for research purposes and for clinical use it gives the clinician very little new information.
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