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Erschienen in: Community Mental Health Journal 3/2020

25.10.2019 | Original Paper

Retrospective Chart Review of Voluntary Admissions to an Inpatient Psychiatric Hospital in New York City: A Demographic Breakdown

verfasst von: Amir Garakani, Brianna M. Cerrito, Amy S. Aloysi, Jose M. Martinez, Frank D. Buono

Erschienen in: Community Mental Health Journal | Ausgabe 3/2020

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Abstract

The current paper evaluates psychiatric needs of voluntary admissions in a large urban psychiatric hospital through a retrospective chart review, as this research is limited within the United States. A total of 581 voluntary adult psychiatric admission charts were reviewed. Continuous variables were evaluated using an ANOVA while associations between variables were examined by an unadjusted Pearson correlation coefficient a stepwise linear regression analysis. Men were significantly more likely to have a past admission for psychiatric services (p = .016), suicidal ideation (p < .001) and test positive for substances (p < .001) than women, and were more likely to be unemployed, homeless and without insurance. Women were more likely to have a past suicide attempt and a depressive disorder. A significant relationship between gender and rationale for seeking voluntary admission (p < .001) was found. This study offers understanding of male and female voluntary admissions, and a foundation for improving treatment interventions to reduce recurrent readmissions.
Literatur
Zurück zum Zitat Akerele, F., Al Faleh, O., Aluri, L. T. A., Asparelli, A., Brenner, R. (2018). State of New York city’s housing and neighborhoods in 2018. New York University. Akerele, F., Al Faleh, O., Aluri, L. T. A., Asparelli, A., Brenner, R. (2018). State of New York city’s housing and neighborhoods in 2018. New York University.
Zurück zum Zitat Appelbaum, P. S. (2002). Privacy in psychiatric treatment: Threats and responses. American Journal of Psychiatry,159(11), 1809–1818.CrossRefPubMed Appelbaum, P. S. (2002). Privacy in psychiatric treatment: Threats and responses. American Journal of Psychiatry,159(11), 1809–1818.CrossRefPubMed
Zurück zum Zitat Armstrong, A., Been, V., Bhalla, C. A., et al. (2008). State of New York city’s housing and neighborhoods. Furman Center for Real Estate and Urban Policy. New York University. Armstrong, A., Been, V., Bhalla, C. A., et al. (2008). State of New York city’s housing and neighborhoods. Furman Center for Real Estate and Urban Policy. New York University.
Zurück zum Zitat Bird, M., Rhoades, H., Lahey, J., Cederbaum, J., & Wenzel, S. (2017). Life goals and gender differences among chronically homeless individuals entering permanent supportive housing. Journal of Social Distress and the Homeless.,26(1), 9–15.CrossRefPubMedPubMedCentral Bird, M., Rhoades, H., Lahey, J., Cederbaum, J., & Wenzel, S. (2017). Life goals and gender differences among chronically homeless individuals entering permanent supportive housing. Journal of Social Distress and the Homeless.,26(1), 9–15.CrossRefPubMedPubMedCentral
Zurück zum Zitat Chang, T. M. M., Ferreira, L. K., Ferreira, M. P., & Hirata, E. S. (2013). Clinical and demographic differences between voluntary and involuntary psychiatric admissions in a university hospital in Brazil. Cadernos de Saúde Pública,29(11), 2347–2352.CrossRefPubMed Chang, T. M. M., Ferreira, L. K., Ferreira, M. P., & Hirata, E. S. (2013). Clinical and demographic differences between voluntary and involuntary psychiatric admissions in a university hospital in Brazil. Cadernos de Saúde Pública,29(11), 2347–2352.CrossRefPubMed
Zurück zum Zitat Chaput, Y. J., & Lebel, M. J. (2007). Demographic and clinical profiles of patients who make multiple visits to psychiatric emergency services. Psychiatric Services,58(3), 335–341.CrossRefPubMed Chaput, Y. J., & Lebel, M. J. (2007). Demographic and clinical profiles of patients who make multiple visits to psychiatric emergency services. Psychiatric Services,58(3), 335–341.CrossRefPubMed
Zurück zum Zitat Cook, B. L., Trinh, N. H., Li, Z., Hou, S. S., & Progovac, A. M. (2017). Trends in racial-ethnic disparities in access to mental health care, 2004–2012. Psychiatric Services,68(1), 9–16.CrossRefPubMed Cook, B. L., Trinh, N. H., Li, Z., Hou, S. S., & Progovac, A. M. (2017). Trends in racial-ethnic disparities in access to mental health care, 2004–2012. Psychiatric Services,68(1), 9–16.CrossRefPubMed
Zurück zum Zitat Cooper, J. O., Heron, T. E., & Heward, W. L. (2007). Applied behavior analysis (2nd ed.). Upper Saddle River, NJ: Pearson. Cooper, J. O., Heron, T. E., & Heward, W. L. (2007). Applied behavior analysis (2nd ed.). Upper Saddle River, NJ: Pearson.
Zurück zum Zitat Craw, J., & Compton, M. T. (2006). Characteristics associated with involuntary versus voluntary legal status at admission and discharge among psychiatric inpatients. Social Psychiatry and Psychiatric Epidemiology,41(12), 981–988.CrossRefPubMedPubMedCentral Craw, J., & Compton, M. T. (2006). Characteristics associated with involuntary versus voluntary legal status at admission and discharge among psychiatric inpatients. Social Psychiatry and Psychiatric Epidemiology,41(12), 981–988.CrossRefPubMedPubMedCentral
Zurück zum Zitat Darvishi, N., Farhadi, M., Haghtalab, T., & Poorolajal, J. (2015). Alcohol-related risk of suicidal ideation, suicide attempt, and completed suicide: A meta-analysis. PLoS ONE,10(5), e0126870.CrossRefPubMedPubMedCentral Darvishi, N., Farhadi, M., Haghtalab, T., & Poorolajal, J. (2015). Alcohol-related risk of suicidal ideation, suicide attempt, and completed suicide: A meta-analysis. PLoS ONE,10(5), e0126870.CrossRefPubMedPubMedCentral
Zurück zum Zitat Dawson, N. L., Lachner, C., Vadeboncoeur, T. F., et al. (2018). Violent behavior by emergency department patients with an involuntary hold status. American Journal of Emergency Medicine,36(3), 392–395.CrossRefPubMed Dawson, N. L., Lachner, C., Vadeboncoeur, T. F., et al. (2018). Violent behavior by emergency department patients with an involuntary hold status. American Journal of Emergency Medicine,36(3), 392–395.CrossRefPubMed
Zurück zum Zitat Feiring, E., & Ugstad, K. N. (2014). Interpretations of legal criteria for involuntary psychiatric admission: A qualitative analysis. BMC Health Services Research,14, 500.CrossRefPubMedPubMedCentral Feiring, E., & Ugstad, K. N. (2014). Interpretations of legal criteria for involuntary psychiatric admission: A qualitative analysis. BMC Health Services Research,14, 500.CrossRefPubMedPubMedCentral
Zurück zum Zitat Ferguson, K. M., Bender, K., & Thompson, S. J. (2015). Gender, coping strategies, homelessness stressors, and income generation among homeless young adults in three cities. Social Science and Medicine,135, 47–55.CrossRefPubMed Ferguson, K. M., Bender, K., & Thompson, S. J. (2015). Gender, coping strategies, homelessness stressors, and income generation among homeless young adults in three cities. Social Science and Medicine,135, 47–55.CrossRefPubMed
Zurück zum Zitat Goldberg, J. F., Ernst, C. L., & Bird, S. (2007). Predicting hospitalization versus discharge of suicidal patients presenting to a psychiatric emergency service. Psychiatric Services,58(4), 561–565.CrossRefPubMed Goldberg, J. F., Ernst, C. L., & Bird, S. (2007). Predicting hospitalization versus discharge of suicidal patients presenting to a psychiatric emergency service. Psychiatric Services,58(4), 561–565.CrossRefPubMed
Zurück zum Zitat Gramaglia, C., Bert, F., Lombardi, A., et al. (2014). Sex differences in first-admission psychiatric inpatients with and without a comorbid substance use disorder. Journal of Addiction Medicine,8(5), 351–358.CrossRefPubMed Gramaglia, C., Bert, F., Lombardi, A., et al. (2014). Sex differences in first-admission psychiatric inpatients with and without a comorbid substance use disorder. Journal of Addiction Medicine,8(5), 351–358.CrossRefPubMed
Zurück zum Zitat Hacker, K., Anies, M., Folb, B. L., & Zallman, L. (2015). Barriers to health care for undocumented immigrants: A literature review. Risk Management and Healthcare Policy,8, 175–183.CrossRefPubMedPubMedCentral Hacker, K., Anies, M., Folb, B. L., & Zallman, L. (2015). Barriers to health care for undocumented immigrants: A literature review. Risk Management and Healthcare Policy,8, 175–183.CrossRefPubMedPubMedCentral
Zurück zum Zitat Houston, K. G., & Mariotto, M. (2001). Outcomes for psychiatric patients following first admission: Relationships with voluntary and involuntary treatment and ethnicity. Psychological Reports,88(3 Pt 2), 1012–1014.CrossRefPubMed Houston, K. G., & Mariotto, M. (2001). Outcomes for psychiatric patients following first admission: Relationships with voluntary and involuntary treatment and ethnicity. Psychological Reports,88(3 Pt 2), 1012–1014.CrossRefPubMed
Zurück zum Zitat Iozzino, L., Ferrari, C., Large, M., Nielssen, O., & de Girolamo, G. (2015). Prevalence and risk factors of violence by psychiatric acute inpatients: A systematic review and meta-analysis. PLoS ONE,10(6), e0128536.CrossRefPubMedPubMedCentral Iozzino, L., Ferrari, C., Large, M., Nielssen, O., & de Girolamo, G. (2015). Prevalence and risk factors of violence by psychiatric acute inpatients: A systematic review and meta-analysis. PLoS ONE,10(6), e0128536.CrossRefPubMedPubMedCentral
Zurück zum Zitat King, C. S. T., Bivens, K. M., Pumroy, E., Rauch, S., & Koerber, A. (2018). IRB problems and solutions in health communication research. Health Communication,33(7), 907–916.CrossRefPubMed King, C. S. T., Bivens, K. M., Pumroy, E., Rauch, S., & Koerber, A. (2018). IRB problems and solutions in health communication research. Health Communication,33(7), 907–916.CrossRefPubMed
Zurück zum Zitat Kirshner, L. A., & Johnston, L. E. E. (1983). Effects of gender on inpatient psychiatric hospitalization. The Journal of Nervous and Mental Disease,171(11), 651–657.CrossRefPubMed Kirshner, L. A., & Johnston, L. E. E. (1983). Effects of gender on inpatient psychiatric hospitalization. The Journal of Nervous and Mental Disease,171(11), 651–657.CrossRefPubMed
Zurück zum Zitat Ku, L., & Matani, S. (2001). Left out: Immigrants’ access to health care and insurance. Health Affairs,20(1), 247–256.CrossRefPubMed Ku, L., & Matani, S. (2001). Left out: Immigrants’ access to health care and insurance. Health Affairs,20(1), 247–256.CrossRefPubMed
Zurück zum Zitat Larkin, G. L., Claassen, C. A., Emond, J. A., Pelletier, A. J., & Camargo, C. A. (2005). Trends in U.S. emergency department visits for mental health conditions, 1992 to 2001. Psychiatric Services,56(6), 671–677.CrossRefPubMed Larkin, G. L., Claassen, C. A., Emond, J. A., Pelletier, A. J., & Camargo, C. A. (2005). Trends in U.S. emergency department visits for mental health conditions, 1992 to 2001. Psychiatric Services,56(6), 671–677.CrossRefPubMed
Zurück zum Zitat Lee, W. J., Ong, L. Y., Koay, S. N., & Kwan, Z. E. (2017). Early readmissions and associated socio-demographic, clinical factors in a psychiatric hospital, Malaysia. ASEAN Journal of Psychiatry,18(1), 1–9. Lee, W. J., Ong, L. Y., Koay, S. N., & Kwan, Z. E. (2017). Early readmissions and associated socio-demographic, clinical factors in a psychiatric hospital, Malaysia. ASEAN Journal of Psychiatry,18(1), 1–9.
Zurück zum Zitat Mandarelli, G., Tarsitani, L., Parmigiani, G., et al. (2014). Mental capacity in patients involuntarily or voluntarily receiving psychiatric treatment for an acute mental disorder. Journal of Forensic Sciences,59(4), 1002–1007.CrossRefPubMed Mandarelli, G., Tarsitani, L., Parmigiani, G., et al. (2014). Mental capacity in patients involuntarily or voluntarily receiving psychiatric treatment for an acute mental disorder. Journal of Forensic Sciences,59(4), 1002–1007.CrossRefPubMed
Zurück zum Zitat Moe, J., Kirkland, S., Ospina, M. B., et al. (2016). Mortality, admission rates and outpatient use among frequent users of emergency departments: A systematic review. Emergency Medicine Journal,33(3), 230–236.CrossRefPubMed Moe, J., Kirkland, S., Ospina, M. B., et al. (2016). Mortality, admission rates and outpatient use among frequent users of emergency departments: A systematic review. Emergency Medicine Journal,33(3), 230–236.CrossRefPubMed
Zurück zum Zitat Montemagni, C., Frieri, T., Villari, V., & Rocca, P. (2018). Associations between functional milestones and psychiatric admissions in an urban area: Utility of a cluster-analytical approach. Psychiatria Danubina,30(2), 207–215.CrossRefPubMed Montemagni, C., Frieri, T., Villari, V., & Rocca, P. (2018). Associations between functional milestones and psychiatric admissions in an urban area: Utility of a cluster-analytical approach. Psychiatria Danubina,30(2), 207–215.CrossRefPubMed
Zurück zum Zitat Moore, B. A., Buono, F. D., Printz, D. M. B., et al. (2017). Customized recommendations and reminder text messages for automated, computer-based treatment during methadone. Experimental and Clinical Psychopharmacology,25(6), 485–495.CrossRefPubMedPubMedCentral Moore, B. A., Buono, F. D., Printz, D. M. B., et al. (2017). Customized recommendations and reminder text messages for automated, computer-based treatment during methadone. Experimental and Clinical Psychopharmacology,25(6), 485–495.CrossRefPubMedPubMedCentral
Zurück zum Zitat Nordentoft, M., & Branner, J. (2008). Gender differences in suicidal intent and choice of method among suicide attempters. Crisis,29(4), 209–212.CrossRefPubMed Nordentoft, M., & Branner, J. (2008). Gender differences in suicidal intent and choice of method among suicide attempters. Crisis,29(4), 209–212.CrossRefPubMed
Zurück zum Zitat O’Donoghue, B., Roche, E., Shannon, S., Lyne, J., Madigan, K., & Feeney, L. (2014). Perceived coercion in voluntary hospital admission. Psychiatry Research,215(1), 120–126.CrossRefPubMed O’Donoghue, B., Roche, E., Shannon, S., Lyne, J., Madigan, K., & Feeney, L. (2014). Perceived coercion in voluntary hospital admission. Psychiatry Research,215(1), 120–126.CrossRefPubMed
Zurück zum Zitat Polak, K., Haug, N. A., Drachenberg, H. E., & Svikis, D. S. (2015). Gender considerations in addiction: Implications for treatment. Current Treatment Options in Psychiatry,2(3), 326–338.CrossRefPubMedPubMedCentral Polak, K., Haug, N. A., Drachenberg, H. E., & Svikis, D. S. (2015). Gender considerations in addiction: Implications for treatment. Current Treatment Options in Psychiatry,2(3), 326–338.CrossRefPubMedPubMedCentral
Zurück zum Zitat Richard-Lepouriel, H., Weber, K., Baertschi, M., DiGiorgio, S., Sarasin, F., & Canuto, A. (2015). Predictors of recurrent use of psychiatric emergency services. Psychiatric Services,66(5), 521–526.CrossRefPubMed Richard-Lepouriel, H., Weber, K., Baertschi, M., DiGiorgio, S., Sarasin, F., & Canuto, A. (2015). Predictors of recurrent use of psychiatric emergency services. Psychiatric Services,66(5), 521–526.CrossRefPubMed
Zurück zum Zitat Saxena, P., Messina, N., & Grella, C. E. (2014). Who benefits from gender responsive treatment? Accounting for abuse history on longitudinal outcomes for women in prison. Criminal Justice and Behavior,41(4), 417–432.CrossRefPubMedPubMedCentral Saxena, P., Messina, N., & Grella, C. E. (2014). Who benefits from gender responsive treatment? Accounting for abuse history on longitudinal outcomes for women in prison. Criminal Justice and Behavior,41(4), 417–432.CrossRefPubMedPubMedCentral
Zurück zum Zitat Schuepbach, D., Goetz, I., Boeker, H., & Hell, D. (2006). Voluntary vs. involuntary hospital admission in acute mania of bipolar disorder: Results from the Swiss sample of the EMBLEM study. Journal of Affective Disorders,90(1), 57–61.CrossRefPubMed Schuepbach, D., Goetz, I., Boeker, H., & Hell, D. (2006). Voluntary vs. involuntary hospital admission in acute mania of bipolar disorder: Results from the Swiss sample of the EMBLEM study. Journal of Affective Disorders,90(1), 57–61.CrossRefPubMed
Zurück zum Zitat Sheehan, A. E., Walsh, R. F. L., & Liu, R. T. (2018). Racial and ethnic differences in mental health service utilization in suicidal adults: A nationally representative study. Journal of Psychiatric Research,107, 114–119.CrossRefPubMedPubMedCentral Sheehan, A. E., Walsh, R. F. L., & Liu, R. T. (2018). Racial and ethnic differences in mental health service utilization in suicidal adults: A nationally representative study. Journal of Psychiatric Research,107, 114–119.CrossRefPubMedPubMedCentral
Zurück zum Zitat Tremblay, P. F., King, P. R., & Baines, G. R. (2017). Clinical and demographic characteristics of voluntary and involuntary psychiatric inpatients. The Canadian Journal of Psychiatry,39(5), 297–299.CrossRef Tremblay, P. F., King, P. R., & Baines, G. R. (2017). Clinical and demographic characteristics of voluntary and involuntary psychiatric inpatients. The Canadian Journal of Psychiatry,39(5), 297–299.CrossRef
Zurück zum Zitat Unick, G. J., Kessell, E., Woodard, E. K., Leary, M., Dilley, J. W., & Shumway, M. (2011). Factors affecting psychiatric inpatient hospitalization from a psychiatric emergency service. General Hospital Psychiatry,33(6), 618–625.CrossRefPubMed Unick, G. J., Kessell, E., Woodard, E. K., Leary, M., Dilley, J. W., & Shumway, M. (2011). Factors affecting psychiatric inpatient hospitalization from a psychiatric emergency service. General Hospital Psychiatry,33(6), 618–625.CrossRefPubMed
Zurück zum Zitat Vigod, S. N., Kurdyak, P., Fung, K., et al. (2016). Psychiatric hospitalizations: A comparison by gender, sociodemographics, clinical profile, and postdischarge outcomes. Psychiatric Services,67(12), 1376–1379.CrossRefPubMed Vigod, S. N., Kurdyak, P., Fung, K., et al. (2016). Psychiatric hospitalizations: A comparison by gender, sociodemographics, clinical profile, and postdischarge outcomes. Psychiatric Services,67(12), 1376–1379.CrossRefPubMed
Zurück zum Zitat Way, B. B., & Banks, S. (2001). Clinical factors related to admission and release decisions in psychiatric emergency services. Psychiatric Services,52(2), 214–218.CrossRefPubMed Way, B. B., & Banks, S. (2001). Clinical factors related to admission and release decisions in psychiatric emergency services. Psychiatric Services,52(2), 214–218.CrossRefPubMed
Zurück zum Zitat Wilsnack, R. W., Vogeltanz, N. D., Wilsnack, S. C., & Harris, T. R. (2000). Gender differences in alcohol consumption and adverse drinking consequences: Cross-cultural patterns. Addiction,95(2), 251–265.CrossRefPubMed Wilsnack, R. W., Vogeltanz, N. D., Wilsnack, S. C., & Harris, T. R. (2000). Gender differences in alcohol consumption and adverse drinking consequences: Cross-cultural patterns. Addiction,95(2), 251–265.CrossRefPubMed
Zurück zum Zitat Zhang, S., Mellsop, G., Brink, J., & Wang, X. (2015). Involuntary admission and treatment of patients with mental disorder. Neuroscience Bulletin,31(1), 99–112.CrossRefPubMedPubMedCentral Zhang, S., Mellsop, G., Brink, J., & Wang, X. (2015). Involuntary admission and treatment of patients with mental disorder. Neuroscience Bulletin,31(1), 99–112.CrossRefPubMedPubMedCentral
Zurück zum Zitat Zhou, J. S., Xiang, Y. T., Zhu, X. M., et al. (2015). Voluntary and involuntary psychiatric admissions in China. Psychiatric Services,66(12), 1341–1346.CrossRefPubMed Zhou, J. S., Xiang, Y. T., Zhu, X. M., et al. (2015). Voluntary and involuntary psychiatric admissions in China. Psychiatric Services,66(12), 1341–1346.CrossRefPubMed
Metadaten
Titel
Retrospective Chart Review of Voluntary Admissions to an Inpatient Psychiatric Hospital in New York City: A Demographic Breakdown
verfasst von
Amir Garakani
Brianna M. Cerrito
Amy S. Aloysi
Jose M. Martinez
Frank D. Buono
Publikationsdatum
25.10.2019
Verlag
Springer US
Erschienen in
Community Mental Health Journal / Ausgabe 3/2020
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-019-00498-2

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