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Psychosocial Factors Associated with Psychiatric Readmission Following Inpatient Discharge: A Systematic Review
Guillermo Francisco Martínez-Montás1,2, Girsy Esther Moreta-Manzueta3,4, Orquiria Rafaela Colón-Santana5
1Health Sciences PhD Program, Universidad Católica San Antonio de Murcia, Murcia, Spain. gmartinez160@alu.ucam.edu.
Community Mental Health Journal
|June 29, 2026
Summary
Psychiatric readmissions are linked to social vulnerability, not just clinical relapse. Addressing housing instability and outpatient follow-up barriers during discharge planning can improve care and reduce readmissions.
Area of Science:
- Psychiatry
- Mental Health Services Research
- Public Health
Background:
- Psychiatric readmission after inpatient care is a common metric for mental health service quality.
- While often seen as clinical relapse, psychosocial factors increasingly influence post-discharge outcomes.
- Existing evidence on these factors is fragmented across different contexts.
Purpose of the Study:
- To systematically review quantitative observational studies on psychosocial factors associated with psychiatric readmission.
- To synthesize evidence on how social determinants impact outcomes after acute inpatient mental health care.
Main Methods:
- Systematic literature search across major databases (PubMed, Scopus, Web of Science, APA PsycINFO) following PRISMA 2020 guidelines.
- Inclusion of studies on adult psychiatric inpatients examining psychosocial factors and readmission.
- Narrative synthesis of findings due to clinical and methodological heterogeneity.
Main Results:
- Fifteen studies from diverse international settings were included.
- Housing instability, homelessness, and unstable housing consistently correlated with psychiatric readmission.
- Evidence for socioeconomic disadvantage, employment, social integration, and support was more varied.
Conclusions:
- Psychiatric readmission reflects both clinical factors and social vulnerability during care transitions.
- Integrating psychosocial assessments, especially housing, into discharge planning is crucial.
- Improving continuity of care and reducing readmissions requires addressing social determinants.
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