Predictors of civil and forensic inpatient psychiatric readmissions at a Public Mental Health Hospital

Akram, Faisal; Rosales, Marianela; Chaudhuri, Sanjay; Mansouripour, Seyed Mostafa; Sharif, U.; Maqsood, Anum; Wadhawan, Abhishek; Mohyuddin, Farooq; Mukhtar, Fahad

doi:10.1016/j.psychres.2020.113447

Cited by 2 publications

(1 citation statement)

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“…Prior research has identified some psychiatric diagnoses as determinants of psychiatric readmission. For instance, having a psychotic disorder diagnosis has been identified as a strong predictor of increased readmission risk (Akram et al, 2020; Rylander et al, 2016). Our finding that negative affectivity predicted increased readmission likelihood remained robust when accounting for psychiatric diagnostic controls.…”

Section: Discussionmentioning

confidence: 99%

Personality predictors of 6‐month readmission in adult psychiatric inpatients

et al. 2022

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Readmission of psychiatric inpatients is highly prevalent and places a significant financial burden on the healthcare system. Rehospitalisation is often used as a metric of quality of care in psychiatric settings, but little is known about how specific personality traits impact readmission in adult psychiatric inpatients. A convenience sample of 94 adults (mean age = 36.8 years; female = 54.3%; European American = 76.6%) at an inpatient psychiatric hospital completed the Personality Inventory for DSM‐5‐Brief Form (PID‐5‐BF; American Psychiatric Association, 2013); demographic and medical information and readmission data were extracted via chart review. Poisson regression was used to predict number of readmissions at 6 months after discharge from PID‐5‐BF domain scores of Negative Affectivity, Detachment, Antagonism, Disinhibition and Psychoticism. Twenty‐three patients (24.5%) were readmitted at least once by 6‐month follow‐up. Higher PID‐5‐BF Negative Affectivity domain scores predicted greater number of readmissions at 6 months (incidence rate ratio (IRR) = 1.14, robust standard error (RSE) = 0.05, p < .01, 95% confidence interval [1.04, 1.25]). The other PID‐5‐BF domain scores were not significantly related to number of readmissions. Thus, greater negative affect, indicative of higher trait neuroticism, heightened experience of negative emotions and poor self‐concept, was a significant personality predictor of readmission in the study. These results suggest that assessing this trait domain might help to identify psychiatric inpatients at greater risk for readmission and determine those most in need of enhanced services to reduce rehospitalisation.

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Section: Discussionmentioning

confidence: 99%

Personality predictors of 6‐month readmission in adult psychiatric inpatients

et al. 2022

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Association of Long-acting Injectable Antipsychotics with Inpatient Seclusion and Restraint Events at a Public Psychiatric Hospital

Akram¹,

Rosales²,

Safdar³

et al. 2023

j psych intensive care

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Objective: Seclusion and restraint (S/R) are emergency safety measures to manage aggressive behaviour and prevent physical harm to self and others during psychiatric hospitalisations. Antipsychotics have been reported to reduce theincidence of S/R events during psychiatric hospitalisation. This study explores factors associated with inpatient S/R events and investigates whether long-acting injectable (LAI) antipsychotic prescription is associated with a reduction of S/R events.Method: Data on the number of S/R events during hospital stay were collected from the medical records of 741 psychiatric inpatients admitted between 2012 and 2017, and categorised into groups of 0, 1–2 and recurrent (≥3) S/R. Multinomial logistic regression analysis was performed to find the association between S/R events and several demographic and clinical variables, including the time to initiation of LAI (TLAI).Results: TLAI was not significantly associated with S/R events. Antipsychotic medication prescription was associated with a decreased risk of recurrent S/R events (OR = 0.47; 95% Cl = 0.24–0.92), however, it was not significant for the group having 1–2 S/R events (OR = 0.74; 95% Cl = 0.37–1.49). Individuals withrecurrent S/R events were more likely to have forensic admission, transfer from jail or supervised facility, higher psychiatric comorbidity, and higher inpatient medications and prescription changes.Conclusion: Early initiation of LAI antipsychotics was not associated with S/R events; however, routine oral antipsychotic medication prescription was associated with decreased risk of S/R events. Specific predictors of S/R episodesmay be used in preventative efforts aimed at decreasing S/R events.

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Predictors of civil and forensic inpatient psychiatric readmissions at a Public Mental Health Hospital

Cited by 2 publications

References 57 publications

Personality predictors of 6‐month readmission in adult psychiatric inpatients

Personality predictors of 6‐month readmission in adult psychiatric inpatients

Association of Long-acting Injectable Antipsychotics with Inpatient Seclusion and Restraint Events at a Public Psychiatric Hospital

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