Risk factors for repeated emergency compulsory psychiatric admissions
| Autor: | Cornelis L. Mulder, André I. Wierdsma, Arthur R. Van Gool, Jeroen Zoeteman, Mark H. de Jong, Christina A van Boeijen |
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| Přispěvatelé: | Psychiatry |
| Rok vydání: | 2020 |
| Předmět: |
Mental Health Services
coercion medicine.medical_specialty Global Assessment of Functioning Psychological intervention Ethnic group compulsory admission functioning Mental healthcare 03 medical and health sciences 0302 clinical medicine self-neglect Medicine 030212 general & internal medicine Psychiatry Adult patients Descriptive statistics Emergency psychiatry business.industry medicine.disease 030227 psychiatry Psychiatry and Mental health Papers business Self-neglect |
| Zdroj: | BJPsych Open BJPsych Open, 7(1):e19. Cambridge University Press |
| ISSN: | 2056-4724 |
| Popis: | Background The characteristics of patients who have repeated compulsory psychiatric admissions are largely unknown. Aims To investigate the frequency and risk factors for repeated emergency compulsory psychiatric admission (ECPA); and to identify targets for interventions to reduce repeated ECPA. Method Data were collected from a database of electronic patient files (EPFs) held by three psychiatric emergency services (PES) in the Netherlands. Analyses were based on the data for adult patients (aged 18–75 years) with a first PES contact in 2010–2015. Using descriptive statistics and regression analysis, we studied the associations between baseline patient factors and repeated ECPA and time to readmission, within a 2-year follow-up period. Results We included 6059 patients: 15.6% had two or more ECPAs. In total, 66% of second ECPAs had occurred within 6 months of the first. About 30% of all ECPAs were repeated ECPAs. Two baseline factors were associated with a higher frequency of a second ECPA: history of receiving any mental healthcare treatment, whether in-patient or out-patient or both, and a lower level of self-care. Three were associated with a lower frequency: ethnicity (other than Dutch), older age and suicidality. Lower Global Assessment of Functioning (GAF) scores and housing problems were associated with a shorter time to compulsory readmission and persistent psychiatric problems with a longer time to compulsory readmission. Conclusions We found that 15.6% of patients had two or more ECPAs. Two-thirds of the second ECPAs had occurred within 6 months of the first. Like earlier studies, the risk factors we identified suggest that interventions to reduce the risk of repeated compulsory psychiatric admission should seek to improve self-care, general daily functioning and homelessness. |
| Databáze: | OpenAIRE |
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