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Characterization of mental health discharges at J. M. Ramos Mejía General Hospital in the Autonomous City of Buenos
María Laura Scévola1, Gabriel Hagman2, Aldana Lorena Cantero3
1Doctora en Medicina. Psiquiatra de planta. Hospital General de Agudos "Dr. José María Ramos Mejía", Ciudad Autónoma de Buenos Aires, Argentina. melinarosales@psi.uba.ar.
Vertex (Buenos Aires, Argentina)
|July 14, 2025
Summary
Mental health hospitalizations in general hospitals are rising in Argentina, with psychotic decompensations and suicide attempts being leading reasons. Longer stays (90+ days) were linked to older age and specific diagnoses.
Area of Science:
- Psychiatry
- Public Health
- Health Services Research
Context:
- Increasing mental health inpatient stays in general hospitals in Argentina.
- Implementation of the National Mental Health Law necessitates monitoring transformation.
- Mental health admissions occur in non-specialized wards within a general public hospital.
Purpose:
- To characterize mental health inpatient admissions in a general public hospital in Buenos Aires.
- To analyze sociodemographic, clinical, and care process variables of these admissions.
Summary:
- Analysis of 412 inpatient discharges from 2018-2023.
- Psychotic decompensations and suicide attempts were primary admission reasons.
- 74% of admissions lasted under 30 days; 9% lasted 90 days or more.
Impact:
- Identified factors associated with prolonged mental health inpatient stays (≥90 days): age (≥60), psychotic decompensation, specific ICD-10 diagnoses (F20-29), and health coverage type.
- Provides evidence for monitoring mental health care transformation in general hospitals.
- Informs service planning and resource allocation for mental health inpatient care.
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