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Published on: September 30, 2020
Effect of conditional release from hospitalization on mortality risk
Steven P Segal1, Philip M Burgess
1Mental Health and Social Welfare Research Group, School of Social Welfare, University of California-Berkeley, 120 Haviland Hall (MC 7400), Berkeley, CA 94720, USA. spsegal@berkeley.edu
Psychiatric Services (Washington, D.C.)
|November 7, 2006
Summary
Conditional release significantly reduces mortality risk for individuals with severe mental disorders requiring hospitalization. This oversight offers protection, lowering death probabilities from both injury and non-injury causes.
Area of Science:
- Mental Health Services Research
- Public Health
- Forensic Psychiatry
Background:
- Individuals with severe mental disorders requiring psychiatric hospitalization face elevated mortality risks compared to the general population.
- Conditional release is a legal mechanism used to manage patients deemed a risk to themselves or others during community care.
- Understanding the impact of conditional release on patient outcomes is crucial for optimizing mental health treatment and public safety.
Purpose of the Study:
- To evaluate the protective value of conditional release in reducing mortality risk.
- To assess the contribution of conditional release to mortality among patients with severe mental disorders.
- To analyze the impact of conditional release on mortality over a 13.5-year period in Victoria, Australia.
Main Methods:
- A cohort of 24,973 patients from the Victorian Psychiatric Case Register with a history of psychiatric hospitalization was analyzed.
- Death records were obtained from the Australian National Death Index.
- Logistic regression was used to compute relative risks of death, controlling for factors like community care use, age, gender, inpatient history, and diagnosis.
Main Results:
- Patients with a history of hospitalization exhibited higher mortality rates than the general population.
- Conditional release was associated with a 14% reduction in the probability of non-injury-related death.
- Conditional release was linked to a 24% per day reduction in the probability of death from injury.
Conclusions:
- Conditional release provides a protective oversight for individuals with severe mental disorders who pose a risk to themselves or others.
- The findings suggest that conditional release is associated with a reduced mortality risk in this patient population.
- Conditional release may be a valuable tool in mitigating mortality among individuals with severe mental illness requiring psychiatric hospitalization.
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