Cited by 16Psychiatric care and mental health servicesHealthcare Decision-Making and RestraintsSchizophrenia research and treatment

Factors associated with frequent psychiatric admissions in a general hospital in Spain

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Martínez-Ortega, José M., Gutiérrez-Rojas, Luis, Jurado, Dolores, Higueras, Antonio, Diaz, Francisco J., Gurpegui, Manuel·2012·International Journal of Social Psychiatry

Abstract

Objectives: To identify demographic or clinical factors associated with frequent admissions in a sample of patients admitted to an acute psychiatric hospitalization unit, controlling for potentially confounding factors. Methods: Socio-demographic variables, diagnosis, and the legal status, date and length of admission were collected for 1,722 consecutively admitted psychiatric patients during a period of up to eight years (1998–2005). Frequently admitted patients were defined as undergoing one or more admissions per year on average. Results: After controlling for potential confounding factors, logistic regression showed that being a frequently admitted patient was significantly associated with diagnoses of schizoaffective disorder, personality disorder or schizophrenia; an involuntary commitment at first admission; and younger age. Conclusions: Factors associated with frequently admitted patients should be identified in order to establish more effective strategies for preventing relapse.

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  • Some studies found that following an involuntary admission people were more likely to be re-hospitalised than following voluntary admissions, over a wide range of time-periods.

    “Some studies found that following an involuntary admission people were more likely to be re-hospitalised than following voluntary admissions, over a wide range of time-periods (58–68).”
  • Other factors such as logistical and bureaucratic issues or bed availability may also affect length of stay for involuntary patients.

    “This may be in part because involuntary treatment is often used for people with more severe illness or with conditions such as psychosis that take a greater period of time to resolve (89,118,119), although other factors such as logistical and bureaucratic issues or bed availability may also affect length of stay for involuntary patients (64,68,120).”

    From The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review (2025) · cites this paper as [64]

    The Results report lengths of stay, and the Discussion addresses involuntary commitment and readmission, but neither links length of stay to logistical or bureaucratic issues or bed availability. Searches for those factors and for administrative discharge issues found no passage addressing the claim. (LLM, conf=0.74)

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Research works printed but not linked: 2

  1. Hosmer, D. W. and Lemeshow, S. (2000). Applied logistic regres- sion (2nd edn). New York, NY: John Wiley & Sons.
  2. Mahendran, R., Mythil, Y., Chong, S. A. and Chan, Y. H. (2005). Factors affecting rehospitalization in psychiatric patients in Singapore. International Journal of Social Psychiatry, 51, 101-105.

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Authors
Martínez-Ortega, J. M., Gutiérrez-Rojas, L., Jurado, D., Higueras, A., Diaz, F. J., & Gurpegui, M.
Affiliations
  • Department of Psychiatry and Medical Psychology, University of Granada, Granada, Spain
  • CTS-549 Research Group, Institute of Neurosciences, Centre for Biomedical Research, University of Granada, Spain
  • Universidad de Granada (ES)
  • Department of Biostatistics, The University of Kansas Medical Center, Kansas City, USA
Venue
International Journal of Social Psychiatry
Published
2011-07-01
Volume
58
Issue
5
Pages
532-535
ISSN
  • 0020-7640 (ISSN-L)
  • 1741-2854
OpenAlex
W2036422922
Cited by
16
References
12
Citations by year
2024: 1 · 2023: 1 · 2020: 1 · 2019: 2 · 2018: 4 · 2017: 3 · 2016: 1 · 2015: 1 · 2014: 1 · 2013: 1
FWCI
0.69
Type
journal article
Language
en
Open access
Locations
  • International Journal of Social Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Keywords
psychiatric hospitalization, relapse prevention, schizoaffective disorder, personality disorders, schizophrenia, involuntary admission, young age, risk factors, general hospital psychiatric unit
MeSH terms
Adult, Mental Disorders, Female, Hospitals, General, Humans, Male, Medical Audit, Patient Readmission, Risk Factors, Spain

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