Race, health, and socioeconomic disparities associated with malingering in psychiatric patients at an urban emergency department.

Objective: To examine clinical and sociodemographic differences between psychiatric patients suspected of malingering and non-malingering controls in an urban emergency department (ED) setting.

Methods: We used retrospective chart review to compare 57 psychiatric patients suspected of malingering with 195 date-matched controls. We examined evidence used for malingering and documented secondary gains.