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Community Mental Health Journal

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25.08.2015 | Original Paper

Risk Factors for Inpatient Psychiatric Readmission: Are There Gender Differences?

verfasst von: Katherine Rieke, Corey McGeary, Kendra K. Schmid, Shinobu Watanabe-Galloway

Erschienen in: Community Mental Health Journal | Ausgabe 6/2016

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Abstract

The objectives of the study were to compare characteristics of women and men discharged from an inpatient psychiatric facility and to identify gender-specific risk factors associated with 30-day and 1-year readmission using administrative data. The sample included adults discharged from an inpatient psychiatric facility in a Midwestern city (N = 1853). The analysis showed that the 30-day readmission rate was significantly lower among women, but there was no difference in the 1-year readmission rate. Risk factors for readmission differed by gender. For example, for 30-day readmission, being on Medicare versus commercial insurance increased the odds for women (OR 3.08; 95 % CI 1.35–7.04) and taking first-generation antipsychotics versus no antipsychotics increased the odds for men (OR 2.09; 95 % CI 1.26–3.48). These findings suggest there are important differences between women and men readmitted to an inpatient psychiatric facility. Future strategies need to take into account gender-specific risk factors in order to improve long-term patient outcomes.

Afifi, M. (2007). Gender differences in mental health. Singapore Medical Journal, 48(5), 385.PubMed

Andersen, R. M. (1995). Revisiting the behavioural model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36, 1–10.CrossRefPubMed

Bernardo, A. C., & Forchuk, C. (2001). Factors associated with readmission to a psychiatric facility. Psychiatric Services, 52(8), 1100–1102.CrossRefPubMed

Bramness, J. G., Walby, F. A., Hjellvik, V., Selmer, R., & Tverdal, A. (2010). Self-reported mental health and its gender differences as a predictor of suicide in the middle-aged. American Journal of Epidemiology, 172(2), 160–166.CrossRefPubMed

Bridge, J. A., & Barbe, R. P. (2004). Reducing hospital readmission in depression and schizophrenia: Current evidence. Current Opinion in Psychiatry, 17(6), 505–511.CrossRef

Chan, M. F., Wong, F. K. Y., Chang, K. K. P., Chow, S. K. Y., Chung, L. Y. F., Lee, R. P. L., & Lee, W. M. (2008). A study on investigating unplanned readmission patterns. Journal of Clinical Nursing, 17(16), 2164–2173.CrossRefPubMed

Frese, F. J., Knight, E. L., & Saks, E. (2009). Recovery from schizophrenia: With views of psychiatrists, psychologists, and others diagnosed with this disorder. Schizophrenia Bulletin, 35(2), 370–380.CrossRefPubMedPubMedCentral

Grant, B. F., Dawson, D. A., Stinson, F. S., Chou, S. P., Dufour, M. C., & Pickering, R. P. (2004). The 12-month prevalence and trends in DSM-IV alcohol abuse and dependence: United States, 1991–1992 and 2001–2002. Drug and Alcohol Dependence, 74(3), 223–234.CrossRefPubMed

Hendryx, M. S., Russo, J. E., Stegner, B., Dyck, D. G., Ries, R. K., & Roy-Byrne, P. (2003). Predicting rehospitalization and outpatient services from administration and clinical databases. The Journal of Behavioral Health Services & Research, 30(3), 342–351.CrossRef

Howell, S., Silberberg, M., Quinn, W. V., & Lucas, J. A. (2007). Determinants of remaining in the community after discharge: Results from New Jersey’s nursing home transition program. The Gerontologist, 47(4), 535–547.CrossRefPubMed

Junghan, U. M., & Brenner, H. D. (2006). Heavy use of acute in-patient psychiatric services: The challenge to translate a utilization pattern into service provision. Acta Psychiatrica Scandinavica, 113(s429), 24–32.CrossRef

Kaiser Family Foundation (2015). State health facts: Medicaid enrollment by gender. http://kff.org/medicaid/state-indicator/medicaid-enrollment-by-gender/

Kolbasovsky, A., Reich, L., & Futterman, R. (2007). Predicting future hospital utilization for mental health conditions. The Journal of Behavioral Health Services & Research, 34(1), 34–42.CrossRef

Korkeila, J. A., Lehtinen, V., Tuori, T., & Helenius, H. (1998). Frequently hospitalised psychiatric patients: A study of predictive factors. Social Psychiatry and Psychiatric Epidemiology, 33(11), 528–534.CrossRefPubMed

Lien, L. (2002). Are readmission rates influenced by how psychiatric services are organized? Nordic Journal of Psychiatry, 56(1), 23–28.CrossRefPubMed

Lin, C. H., Chen, Y. S., Lin, C. H., & Lin, K. S. (2007). Factors affecting time to rehospitalization for patients with major depressive disorder. Psychiatry and Clinical Neurosciences, 61(3), 249–254.CrossRefPubMed

Madi, N., Zhao, H., Li, J. (2007). Hospital readmissions for patients with mental illness in Canada. Healthcare Quarterly, 10(2), 30–32.CrossRefPubMed

Mark, T. L., & Buck, J. A. (2005). Datapoints: Components of spending for medicaid mental health services, 2001. Psychiatric Services, 56(6), 648.CrossRefPubMed

Matheson, F. I., Smith, K. L., Moineddin, R., Dunn, J. R., & Glazier, R. H. (2014). Mental health status and gender as risk factors for onset of physical illness over 10 years. Journal of Epidemiology and Community Health, 68(1), 64–70.CrossRefPubMed

McLean, C. P., Asnaani, A., Litz, B. T., & Hofmann, S. G. (2011). Gender differences in anxiety disorders: prevalence, course of illness, comorbidity and burden of illness. Journal of Psychiatric Research, 45(8), 1027–1035.CrossRefPubMedPubMedCentral

Monnelly, E. P. (1997). Instability before discharge and previous psychiatric admissions as predictors of early readmission. Psychiatric Services, 48(12), 1584–1586.CrossRefPubMed

Morlino, M., Calento, A., Schiavone, V., Santone, G., Picardi, A., & de Girolamo, G. (2011). Use of psychiatric inpatient services by heavy users: findings from a national survey in Italy. European Psychiatry, 26(4), 252–259.CrossRefPubMed

Moss, J., Li, A., Tobin, J., Weinstein, I. S., Harimoto, T., & Lanctôt, K. L. (2014). Predictors of readmission to a psychiatry inpatient unit. Comprehensive Psychiatry, 55(3), 426–430.CrossRefPubMed

National Alliance on Mental Illness. (2014). Policymakers toolkit: Commonly prescribed psychotropic medications. Accessed July 13, 2014. http://www2.nami.org/Template.cfm?Section=Policymakers_Toolkit&Template=/ContentManagement/HTMLDisplay.cfm&ContentID=18971

Nelson, E. A., Maruish, M. E., & Axler, J. L. (2000). Effects of discharge planning and compliance with outpatient appointments on readmission rates. Psychiatric Services, 51(7), 885–889.CrossRefPubMed

Olfson, M., Mechanic, D., Boyer, C. A., Hansell, S., Walkup, J., & Weiden, P. J. (1999). Assessing clinical predictions of early rehospitalization in schizophrenia. The Journal of Nervous and Mental Disease, 187(12), 721–729.CrossRefPubMed

Price, L. M. (2007). Transition to community: a program to help clients with schizophrenia move from inpatient to community care; a pilot study. Archives of Psychiatric Nursing, 21(6), 336–344.CrossRefPubMed

Prince, J. D., Akincigil, A., Hoover, D. R., Walkup, J. T., Bilder, S., & Crystal, S. (2009). Substance abuse and hospitalization for mood disorder among Medicaid beneficiaries. American Journal of Public Health, 99(1), 160.CrossRefPubMedPubMedCentral

Raven, M. C., Billings, J. C., Goldfrank, L. R., Manheimer, E. D., & Gourevitch, M. N. (2009). Medicaid patients at high risk for frequent hospital admission: Real-time identification and remediable risks. Journal of Urban Health, 86(2), 230–241.CrossRefPubMed

Read, S., & Grundy, E. (2011). Mental health among older married couples: The role of gender and family life. Social Psychiatry and Psychiatric Epidemiology, 46(4), 331–341.CrossRefPubMed

Roick, C., Gärtner, A., Heider, D., Dietrich, S., & Angermeyer, M. C. (2006). Heavy use of psychiatric inpatient care from the perspective of the patients affected. International Journal of Social Psychiatry, 52(5), 432–446.CrossRefPubMed

Schmutte, T., Dunn, C. L., & Sledge, W. H. (2010). Predicting time to readmission in patients with recent histories of recurrent psychiatric hospitalization: A matched-control survival analysis. The Journal of Nervous and Mental Disease, 198(12), 860–863.CrossRefPubMed

Thompson, E. E., Neighbors, H. W., Munday, C., & Trierweiler, S. (2003). Length of stay, referral to aftercare, and rehospitalization among psychiatric inpatients. Psychiatric Services, 54(9), 1271–1276.CrossRefPubMed

Üçok, A., Polat, A., Çakır, S., & Genç, A. (2006). One year outcome in first episode schizophrenia. European Archives of Psychiatry and Clinical Neuroscience, 256(1), 37–43.CrossRefPubMed

Verdoux, H., Tournier, M., & Bégaud, B. (2010). Antipsychotic prescribing trends: a review of pharmaco-epidemiological studies. Acta Psychiatrica Scand., 121, 4–10.CrossRef

Vigod, S. N., Kurdyak, P. A., Dennis, C. L., Leszcz, T., Taylor, V. H., Blumberger, D. M., & Seitz, D. P. (2013). Transitional interventions to reduce early psychiatric readmissions in adults: systematic review. The British Journal of Psychiatry, 202(3), 187–194.CrossRefPubMed

Werneck, A. P., Hallak, J. C., Nakano, E., & Elkis, H. (2011). Time to rehospitalization in patients with schizophrenia discharged on first generation antipsychotics, non-clozapine second generation antipsychotics, or clozapine. Psychiatry Research, 188(3), 315–319.CrossRefPubMed

Titel: Risk Factors for Inpatient Psychiatric Readmission: Are There Gender Differences?
verfasst von: Katherine Rieke
Corey McGeary
Kendra K. Schmid
Shinobu Watanabe-Galloway
Publikationsdatum: 25.08.2015
Verlag: Springer US
Erschienen in: Community Mental Health Journal / Ausgabe 6/2016
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-015-9921-1

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