Risk of readmission in compulsorily and voluntarily admitted patients
Abstract
Objectives The aim of this study is to examine relationships between hospital admission legal status (voluntary, psychiatrist-ordered, and court ordered), length of stay and risk of hospital readmission.Methods The records (1994-2005) of all consecutive admissions (n = 16,016) to one inpatient mental health facility were reviewed. Patients (n = 6,656) were classified into 3 groups at first admission: voluntary (n = 5,442), psychiatrist-ordered (n = 1,067) and court ordered (n = 147).Results The probability of readmission of the court-ordered and psychiatrist-ordered groups were significantly lower than that of voluntarily admitted patients (P < 0.05). The length of stay at first admission was significantly longer for the court-ordered group than for the others (P < 0.001). As compared with the other groups, court ordered-patients were significantly younger (P < 0.001), had attained fewer years of education (P < 0.001) and included a lower percentage of immigrants (P < 0.05). Significant differences were found in the mean morality age of the three groups (P < 0.005).Conclusions As compared with psychiatrist-ordered and voluntarily admitted patients, court ordered patients have a lower probability for hospital readmission, possibly related to longer length of stay.
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Five studies found no difference in the risk of suicide or all-cause mortality among involuntarily and voluntarily admitted patients.
“Five studies found no difference in the risk of suicide or all-cause mortality among involuntarily and voluntarily admitted patients (71,96,97,100).”
From The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review (2025) · cites this paper as [71]
There was an association with involuntary readmission.
“By contrast, two studies found that overall readmission was not higher following involuntary admission (69,70) although there was an association with involuntary readmission, possibly indicating less therapeutic engagement (71–75).”
From The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review (2025) · cites this paper as [71]
The association with involuntary readmission possibly indicates less therapeutic engagement.
“By contrast, two studies found that overall readmission was not higher following involuntary admission (69,70) although there was an association with involuntary readmission, possibly indicating less therapeutic engagement (71–75).”
From The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review (2025) · cites this paper as [71]
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- Authors
- Valevski, A., Olfson, M., Weizman, A., & Shiloh, R.
- Affiliations
- Tel Aviv University (IL)
- Columbia University Irving Medical Center (US)
- Corresponding author
- Valevski, Avi
- Venue
- Social Psychiatry and Psychiatric Epidemiology
- Published
- 2007-08-21
- Volume
- 42
- Issue
- 11
- Pages
- 916-922
- ISSN
- 0933-7954 (ISSN-L)
- 1433-9285
- OpenAlex
- W1974620953
- Cited by
- 21
- References
- 29
- Citations by year
- 2024: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 4 · 2018: 1 · 2017: 3 · 2015: 3 · 2014: 2 · 2013: 2 · 2012: 1
- FWCI
- 0.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Social Psychiatry and Psychiatric Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Keywords
- hospital readmission, involuntary psychiatric admission, voluntary admission, length of hospital stay, psychiatric inpatient care, patient characteristics, immigrants
- MeSH terms
- Adult, Analysis of Variance, Commitment of Persons with Psychiatric Disorders, Female, Hospitals, Psychiatric, Humans, Israel, Length of Stay, Male, Middle Aged, Patient Admission, Patient Readmission, Regression Analysis, Risk Factors, Severity of Illness Index, Utilization Review, Medical Records Systems, Computerized, Risk Assessment, Persons with Psychiatric Disorders
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