Factors associated with 30-days and 180-days psychiatric readmissions: A snapshot of a metropolitan area
Abstract
Psychiatric re-hospitalization rate is a widely used quality indicator within mental health care. This study aims to investigate which variables are implied in determining readmissions over two intervals after the index event, 30 days and 6 months. The study sample included 798 inpatients, it was divided into two groups: not readmitted patients (NRP) and readmitted patients (RP), which has been further split into: Readmitted within 30 days (RP30dd) and Readmitted during the 150-day period (between 31 and 180 days) after the index discharge (RP150). A multivariate logistic regression with backward selection method was performed in order to find variables independently associated with readmission. The overall incidence of readmissions was 16.04%. Discharge to a Psychiatric Nursing Home was found to be a protective factor for all the groups. In adds, for the overall readmission, compulsory index admission and higher education (this lasts as in RP30dd group) were protective factors; whereas higher length of stay (as for readmission within 31-180 days) and a diagnosis of Personality Disorder were risk factors. The patient-specific factors significantly associated with likelihood of rehospitalization in the final model do identify some high-risk groups toward to whom possibly address prevention strategies.
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Overall readmission was not higher following involuntary admission.
“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 [70]
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- Authors
- Del Favero, E., Montemagni, C., Villari, V., & Rocca, P.
- Affiliations
- University of Turin (IT)
- Azienda Ospedaliera Citta' della Salute e della Scienza di Torino (IT)
- Corresponding author
- Rocca, Paola
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2020-10
- Volume
- 292
- Pages
- 113309
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W3043658130
- Cited by
- 18
- References
- 77
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 3 · 2023: 4 · 2022: 2 · 2021: 4
- FWCI
- 0.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Institutional Research Information System University of Turin (University of Turin) (submittedVersion)
- Funders
- Ministero dell'Istruzione, dell'Università e della Ricerca – MIUR
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Keywords
- psychiatric readmission, hospital readmission, risk factors, length of hospital stay, psychiatric nursing homes, involuntary admission, personality disorders, higher education, discharge disposition, hospitalized patients
- MeSH terms
- Adult, Aged, Female, Hospitalization, Humans, Male, Middle Aged, Patient Discharge, Patient Readmission, Personality Disorders, Psychiatric Department, Hospital, Retrospective Studies, Risk Factors, Time Factors, Urban Health
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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