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Rapid and frequent psychiatric readmissions: associated factors
Lauren Jayne Evans1, Victoria Harris2, Loveday Newman1
1a South London and Maudsley NHS Foundation Trust, Maudsley Hospital , London , UK.
Summary
This study identified key factors influencing mental health inpatient readmissions. Unemployed individuals, those with more care coordinators, and specific diagnoses were more likely to be readmitted frequently.
Area of Science:
- Mental Health Research
- Clinical Psychology
- Healthcare Management
Background:
- Patient readmission to mental health services presents a significant challenge.
- Understanding predictors of readmission is crucial for improving patient care and resource allocation.
Purpose of the Study:
- To investigate clinical and demographic factors associated with rapid (within 30 days) and frequent (three or more admissions) readmissions in a London mental health trust.
- To identify potential predictors for both types of readmission.
Main Methods:
- A retrospective analysis of 7648 inpatients over a four-year period.
- Statistical analyses including chi-square tests, Mann-Whitney U tests, and binary logistic regressions were employed.
- Examined associations between patient characteristics and readmission patterns.
Main Results:
- Frequent readmissions were linked to unemployment, increased care coordinators, supported accommodation, Black or Black British ethnicity, and specific diagnoses.
- Predictors explained 36.1-60.9% of variation in the number of readmissions (±3 admissions).
- Predictors explained 3.7-4.2% of variation in time to readmission (±30 days).
Conclusions:
- Identifying factors associated with rehospitalisation is essential for reducing readmission rates.
- Demographic, clinical, and treatment factors require careful consideration to address the multifaceted nature of inpatient readmission.
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