Predictors of Length of Stay in an Inpatient Psychiatric Unit of a General Hospital in Perugia, Italy
Abstract
The aim of this study was to understand which of a number of factors are most associated with psychiatric inpatient length of stay (LoS). We hypothesized that a longer LoS would be predicted by: older age, male gender, unmarried marital status, foreign nationality, more than one hospitalization, being hospitalized involuntarily, psychotic symptoms and behavioral dyscontrol at admission, discharge diagnosis of psychotic and personality disorders, not having a substance use disorder, treatment with more than one class of medications, and being discharged to a community residential facility. All admissions to the Psychiatric Inpatient Unit of Santa Maria della Misericordia, Perugia Hospital, Umbria, Italy, from June 2011 to June 2014, were included in a medical record review. Bivariate analyses were performed and a multiple linear regression model was built using variables that were associated (p < .05) with LoS in bivariate tests. The study sample included 1236 patients. In the final, most parsimonious regression model, five variables independently explained 18 % of variance in LoS: being admitted involuntarily, being admitted for thought disorders, not having a substance-related disorder, having had more than one hospitalization, and being discharged to a community residential facility. LoS on this inpatient psychiatric unit in Umbria was associated with a number of sociodemographic and clinical characteristics. Knowledge of these and other predictors of LoS will be increasingly important to, when possible, reduce the length of restrictive, costly hospitalizations and embrace community-based services.
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As a result of the longer lengths of stay, involuntary hospitalisation has been associated with increased costs.
“As a result of the longer lengths of stay, involuntary hospitalisation has been associated with increased costs (123), which has implications for distributive justice in service planning and provision.”
From The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review (2025) · cites this paper as [123]
Cites
DE HERT, M., CORRELL, C. U., BOBES, J., CETKOVICH‐BAKMAS, M., COHEN, D., ASAI, I., DETRAUX, J., GAUTAM, S., MÖLLER, H., NDETEI, D. M., et al. (2011) · World Psychiatry · doi:10.1002/j.2051-5545.2011.tb00014.x · Cited by 2,488 · see citing works
Drug abuse in schizophrenic patients: clinical correlates and reasons for use
(1991) · American Journal of Psychiatry · doi:10.1176/ajp.148.2.224 · Cited by 547 · see citing works
Prevalence of substance misuse in first-episode psychosis
Cantwell, R., Brewin, J., Glazebrook, C., Dalkin, T., Fox, R., Medley, I., & Harrison, G. L. (1999) · The British Journal of Psychiatry · doi:10.1192/bjp.174.2.150 · Cited by 233 · see citing works
Length of Stay of General Psychiatric Inpatients in the United States: Systematic Review
Tulloch, A. D., Fearon, P., & David, A. S. (2010) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-010-0310-3 · Cited by 176 · see citing works
Substance Abuse in an Inpatient Psychiatric Sample
Brady, K. T., Casto, S., Lydiarcl, R. B., Malcolm, R. J., & Arana, G. W. (1991) · The American Journal of Drug and Alcohol Abuse · doi:10.3109/00952999109001598 · Cited by 141 · see citing works
Prevalence and patterns of “dual diagnosis” among psychiatric inpatients
Lehman, A. F., Myers, C. P., Corty, E. W., & Thompson, J. W. (1994) · Comprehensive Psychiatry · doi:10.1016/0010-440x(94)90054-l · Cited by 98 · see citing works
Shepherd, G., Beadsmoore, A., Moore, C. L., Hardy, P., & Muijen, M. (1997) · BMJ · doi:10.1136/bmj.314.7076.262 · Cited by 84 · see citing works
Factors affecting hospital stay in psychiatric patients: the role of active comorbidity
Douzenis, A., Seretis, D., Nika, S., Nikolaidou, P., Papadopoulou, A., Rizos, E. N., Christodoulou, C., Tsopelas, C., Mitchell, D., & Lykouras, L. (2012) · BMC Health Services Research · doi:10.1186/1472-6963-12-166 · Cited by 74 · see citing works
DETERMINANTS OF INPATIENT PSYCHIATRIC LENGTH OF STAY IN AN URBAN COUNTY HOSPITAL
Compton, M. T., Craw, J. A., & Rudisch, B. E. (2006) · Psychiatric Quarterly · doi:10.1007/s11126-006-9005-z · Cited by 68 · see citing works
Self-citationLin, C.-H., Chen, W., Lin, C., Lee, M., Ko, M.-C., & Li, C. (2010) · Clinics · doi:10.1590/s1807-59322010000500005 · Cited by 67 · see citing works
Factors associated with length of psychiatric hospitalization
Masters, G. A., Baldessarini, R. J., Öngür, D., & Centorrino, F. (2013) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2013.11.004 · Cited by 64 · see citing works
Havassy, B. E., & Arns, P. G. (1998) · Psychiatric Services · doi:10.1176/ps.49.7.935 · Cited by 61 · see citing works
The severely mentally ill in residential facilities: a national survey in Italy
de Girolamo, G., Picardi, A., Santone, G., Falloon, I. R. H., Morosini, P., Fioritti, A., & Micciolo, R. (2004) · Psychological Medicine · doi:10.1017/s0033291704003502 · Cited by 57 · see citing works
Pertile, R., Donisi, V., Grigoletti, L., Angelozzi, A., Zamengo, G., Zulian, G., & Amaddeo, F. (2010) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-010-0231-1 · Cited by 39 · see citing works
Rocca, P., Mingrone, C., Mongini, T., Montemagni, C., Pulvirenti, L., Rocca, G., & Bogetto, F. (2009) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-009-0091-8 · Cited by 35 · see citing works
Patterns of care in patients discharged from acute psychiatric inpatient facilities
The PROGRES-Acute Group, Preti, A., Rucci, P., Gigantesco, A., Santone, G., Picardi, A., Miglio, R., & de Girolamo, G. (2009) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-009-0498-2 · Cited by 29 · see citing works
Indicators predicting use of mental health services in Piedmont, Italy.
Tibaldi, G., Munizza, C., Pasian, S., et al. (2005) · PubMed · Cited by 24 · see citing works
Predictors of Length of Stay in an Acute Psychiatric Hospital
Ithman, M. (2014) · Journal of Biosafety & Health Education · doi:10.4172/2332-0893.1000119 · Cited by 21 · see citing works
Levine, S. Z. (2008) · Psychiatric Services · doi:10.1176/ps.2008.59.12.1470 · Cited by 19 · see citing works
Clinical outcome and length of stay in an Italian Psychiatric Emergency Service
Frieri, T., Montemagni, C., Rocca, G., Rocca, P., & Villari, V. (2012) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-012-0607-5 · Cited by 16 · see citing works
Levine, S. Z. (2008) · Psychiatric Services · doi:10.1176/appi.ps.59.12.1470 · Cited by 13 · see citing works
Mental Health Care Financing in Italy
Amaddeo, F., Grigoletti, L., & Montagni, I. (2014) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000000146 · Cited by 6 · see citing works
Frieri, T., Montemagni, C., Crivelli, B., Scalese, M., Villari, V., & Rocca, P. (2014) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2014.03.018 · Cited by 5 · see citing works
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Jim, J., Mann, Dagfinn, et al. (2011) · Acta Scientiarum Naturalium Universitatis Sunyatseni · Cited by 1 · see citing works
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Shinjo, D., Tachimori, H., Sakurai, K., Ohnuma, T., Fujimori, K., & Fushimi, K. (2017) · Psychiatry and Clinical Neurosciences · doi:10.1111/pcn.12521 · Cited by 30 · see citing works
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The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review
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- Authors
- Pauselli, L., Verdolini, N., Bernardini, F., Compton, M. T., & Quartesan, R.
- Affiliations
- University of Perugia (IT)
- Hofstra University (US)
- Corresponding author
- Pauselli, Luca
- Venue
- Psychiatric Quarterly
- Published
- 2016-05-11
- Volume
- 88
- Issue
- 1
- Pages
- 129-140
- ISSN
- 0033-2720 (ISSN-L)
- 1573-6709
- OpenAlex
- W2384205531
- Cited by
- 49
- References
- 24
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 5 · 2023: 4 · 2022: 15 · 2021: 2 · 2020: 9 · 2019: 3 · 2018: 3 · 2017: 3
- FWCI
- 4.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Psychiatric Quarterly (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Social Sciences › Psychology › Clinical Psychology › Historical Psychiatry and Medical Practices
- Keywords
- length of hospital stay, psychiatric inpatients, involuntary admission, thought disorder, substance use disorders, prior hospitalization, general hospital psychiatric unit, community mental health services
- MeSH terms
- Adult, Age Factors, Mental Disorders, Commitment of Persons with Psychiatric Disorders, Commitment of Mentally Ill, Ethnicity, Female, Hospital Units, Hospitalization, Hospitals, General, Humans, Italy, Length of Stay, Male, Middle Aged, Patient Discharge, Personality Disorders, Psychiatric Department, Hospital, Psychotic Disorders, Residential Facilities, Sex Factors, Marital Status, Mood Disorders, Substance-Related Disorders
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