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Risk factors for acute psychiatric readmission

Published online by Cambridge University Press:  02 January 2018

Mandy Dixon ,
Emma Robertson ,
Mohan George  and
Femi Oyebode
Mandy Dixon
Affiliation:
Queen Elizabeth Psychiatric Hospital, Mindelsohn Way, Edgbaston, Birmingham B15 2QZ
Emma Robertson
Affiliation:
Queen Elizabeth Psychiatric Hospital, Mindelsohn Way, Edgbaston, Birmingham B15 2QZ
Mohan George
Affiliation:
Queen Elizabeth Psychiatric Hospital, Mindelsohn Way, Edgbaston, Birmingham B15 2QZ
Femi Oyebode*
Affiliation:
Queen Elizabeth Psychiatric Hospital, Mindelsohn Way, Edgbaston, Birmingham B15 2QZ
*
∗Correspondence
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Abstract

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A retrospective case note study explored readmissions to an acute psychiatric in-patient unit within six months of discharge. The study aimed to calculate a hospital readmission rate, to investigate the timing of readmissions, and to identify risk factors associated with readmission. The readmission rate was 27% with the majority of readmissions occurring within three months after discharge, suggesting the need for investigation of such early readmissions. The three factors found to predict readmission were: discharge against medical advice, number of previous admissions, and living alone or with family rather than in care. Implications for hospital service planning are considered.

Information

Type
Original Papers
Information
Psychiatric Bulletin , Volume 21 , Issue 10 , October 1997 , pp. 600 - 603
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1997 The Royal College of Psychiatrists

References

Avison, W. R. & Speechley, K. N. (1987) The discharged psychiatric patient: a review of social, social-psychological, and psychiatric correlates of outcome. American Journal of Psychiatry, 144, 10–18.Google Scholar
Boydel, K. M., Malcolmson, S. A. & Sikerbol, K. (1991) Early rehospitalization. Canadian Journal of Psychiatry, 36, 743–745.Google Scholar
Dalrymple, A. J. & Fata, M. (1993) Cross validating factors associated with discharges against medical advice. Canadian Journal of Psychiatry, 38, 285–259.CrossRefGoogle ScholarPubMed
Evans, M., Rice, D. & Routh, C. (1992) Patients repeatedly admitted to psychiatric wards. Psychiatric Bulletin, 16, 157–158.Google Scholar
Falloon, R. H., Marshall, G. N., Boyd, J. L., et al (1983) Relapse in schizophrenia: a review of the concept and its definitions. Psychological Medicine, 13, 469–477.Google Scholar
Gillis, L. S., Sandler, R., Jakoet, A., et al (1985) Outcome after discharge from a psychiatric hospital. South African Medical Journal, 68, 470–472.Google Scholar
Holmes-Eber, P. & Riger, S. (1990) Hospitalization and the composition of mental patients' social networks. Schizophrenia Bulletin, 16, 157–164.CrossRefGoogle ScholarPubMed
Jones, E. (1991) Audit in psychiatry: failed discharges. Psychiatric Bulletin, 15, 26–27.Google Scholar
Rosenblatt, A. & Mayer, J. E. (1974) The recidivism of mental patients: a review of past studies. American Journal of Orthopsychiatry, 44, 697–705.CrossRefGoogle ScholarPubMed
Solomon, P. & Doll, W. (1979) The varieties of readmission: The case against the use of recidivism rates as a measure of program effectiveness. American Journal of Orthopsychiatry, 49, 230–239.CrossRefGoogle Scholar
Solomon, P., Gordon, B. & Davis, J. (1984) Differentiating psychiatric readmissions from nonreadmissions. American Journal of Orthopsychiatry, 54, 426–435.Google Scholar
Thornicroft, G. & Bebbington, P. (1989) Deinstitutionalisation – from hospital closure to service development. British Journal of Psychiatry, 155, 739–753.Google Scholar
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