The Characteristics of People with Serious Mental Illness Who are at High Risk for Hospitalization or Death.
| Autor: | Young, Alexander S., Skela, Jessica, Siddarth, Prabha |
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| Předmět: |
DISEASE risk factors
MORTALITY risk factors RISK assessment PSYCHOTHERAPY patients MEDICAL care of veterans RESEARCH funding MENTAL illness HOSPITAL care EMERGENCY room visits STATISTICAL sampling SEX distribution SYMPTOMS MULTIVARIATE analysis ODDS ratio PEOPLE with mental illness HEALTH behavior MARITAL status QUALITY of life ELECTRONIC health records SOCIODEMOGRAPHIC factors CONFIDENCE intervals PSYCHOSOCIAL factors REGRESSION analysis |
| Zdroj: | Community Mental Health Journal; Oct2024, Vol. 60 Issue 7, p1243-1246, 4p |
| Abstrakt: | Many individuals with serious mental illness are at high risk for hospitalization or death due to inadequate treatment of medical conditions or unhealthy behaviors. The authors describe demographic and clinical characteristics associated with increased risk in this population. Electronic data were obtained for individuals in treatment at a large Veterans' healthcare system who were at high risk according to a validated model. A random sample of these individuals was assessed in person. Multivariable regressions estimated the effect of numerous demographic, health, and clinical characteristics on risk. Emergency visits and hospitalizations were common. Greater risk was associated with being male, not married, and having more diagnoses. While risk varied by race, this effect was no longer significant after controlling for other factors. Health-related quality of life worsened with increasing risk. Routine data identify a large population of high-risk individuals who may benefit from outreach to provide healthcare services. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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