PMID- 33349278
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210116
IS  - 2056-4724 (Print)
IS  - 2056-4724 (Electronic)
IS  - 2056-4724 (Linking)
VI  - 7
IP  - 1
DP  - 2020 Dec 22
TI  - Risk factors for repeated emergency compulsory psychiatric admissions.
PG  - e19
LID - 10.1192/bjo.2020.153 [doi]
LID - e19
AB  - BACKGROUND: The characteristics of patients who have repeated compulsory 
      psychiatric admissions are largely unknown. AIMS: To investigate the frequency 
      and risk factors for repeated emergency compulsory psychiatric admission (ECPA); 
      and to identify targets for interventions to reduce repeated ECPA. METHOD: Data 
      were collected from a database of electronic patient files (EPFs) held by three 
      psychiatric emergency services (PES) in the Netherlands. Analyses were based on 
      the data for adult patients (aged 18-75 years) with a first PES contact in 
      2010-2015. Using descriptive statistics and regression analysis, we studied the 
      associations between baseline patient factors and repeated ECPA and time to 
      readmission, within a 2-year follow-up period. RESULTS: We included 6059 
      patients: 15.6% had two or more ECPAs. In total, 66% of second ECPAs had occurred 
      within 6 months of the first. About 30% of all ECPAs were repeated ECPAs. Two 
      baseline factors were associated with a higher frequency of a second ECPA: 
      history of receiving any mental healthcare treatment, whether in-patient or 
      out-patient or both, and a lower level of self-care. Three were associated with a 
      lower frequency: ethnicity (other than Dutch), older age and suicidality. Lower 
      Global Assessment of Functioning (GAF) scores and housing problems were 
      associated with a shorter time to compulsory readmission and persistent 
      psychiatric problems with a longer time to compulsory readmission. CONCLUSIONS: 
      We found that 15.6% of patients had two or more ECPAs. Two-thirds of the second 
      ECPAs had occurred within 6 months of the first. Like earlier studies, the risk 
      factors we identified suggest that interventions to reduce the risk of repeated 
      compulsory psychiatric admission should seek to improve self-care, general daily 
      functioning and homelessness.
FAU - de Jong, Mark H
AU  - de Jong MH
AUID- ORCID: 0000-0002-9719-5697
AD  - Yulius Mental Health, the Netherlands.
FAU - Wierdsma, Andre I
AU  - Wierdsma AI
AD  - Epidemiological and Social Psychiatric Research Institute (ESPRi), Department of 
      Psychiatry, Erasmus University Medical Centre, the Netherlands.
FAU - Zoeteman, Jeroen
AU  - Zoeteman J
AD  - Spoedeisende Psychiatrie Amsterdam, the Netherlands.
FAU - van Boeijen, Christina A
AU  - van Boeijen CA
AD  - GGNet, the Netherlands.
FAU - Van Gool, Arthur R
AU  - Van Gool AR
AD  - Emergis, the Netherlands.
FAU - Mulder, Cornelis L
AU  - Mulder CL
AD  - Epidemiological and Social Psychiatric Research Institute (ESPRi), Department of 
      Psychiatry, Erasmus University Medical Centre, the Netherlands.
LA  - eng
PT  - Journal Article
DEP - 20201222
PL  - England
TA  - BJPsych Open
JT  - BJPsych open
JID - 101667931
PMC - PMC7791558
OTO - NOTNLM
OT  - Emergency psychiatry
OT  - coercion
OT  - compulsory admission
OT  - functioning
OT  - self-neglect
COIS- None.
EDAT- 2020/12/23 06:00
MHDA- 2020/12/23 06:01
PMCR- 2020/12/22
CRDT- 2020/12/22 05:33
PHST- 2020/12/22 05:33 [entrez]
PHST- 2020/12/23 06:00 [pubmed]
PHST- 2020/12/23 06:01 [medline]
PHST- 2020/12/22 00:00 [pmc-release]
AID - S2056472420001532 [pii]
AID - 10.1192/bjo.2020.153 [doi]
PST - epublish
SO  - BJPsych Open. 2020 Dec 22;7(1):e19. doi: 10.1192/bjo.2020.153.