Skip to main content
Top
Published in: Community Mental Health Journal 3/2020

01-04-2020 | Suicide | Original Paper

Retrospective Chart Review of Voluntary Admissions to an Inpatient Psychiatric Hospital in New York City: A Demographic Breakdown

Authors: Amir Garakani, Brianna M. Cerrito, Amy S. Aloysi, Jose M. Martinez, Frank D. Buono

Published in: Community Mental Health Journal | Issue 3/2020

Login to get access

Abstract

The current paper evaluates psychiatric needs of voluntary admissions in a large urban psychiatric hospital through a retrospective chart review, as this research is limited within the United States. A total of 581 voluntary adult psychiatric admission charts were reviewed. Continuous variables were evaluated using an ANOVA while associations between variables were examined by an unadjusted Pearson correlation coefficient a stepwise linear regression analysis. Men were significantly more likely to have a past admission for psychiatric services (p = .016), suicidal ideation (p < .001) and test positive for substances (p < .001) than women, and were more likely to be unemployed, homeless and without insurance. Women were more likely to have a past suicide attempt and a depressive disorder. A significant relationship between gender and rationale for seeking voluntary admission (p < .001) was found. This study offers understanding of male and female voluntary admissions, and a foundation for improving treatment interventions to reduce recurrent readmissions.
Literature
go back to reference Akerele, F., Al Faleh, O., Aluri, L. T. A., Asparelli, A., Brenner, R. (2018). State of New York city’s housing and neighborhoods in 2018. New York University. Akerele, F., Al Faleh, O., Aluri, L. T. A., Asparelli, A., Brenner, R. (2018). State of New York city’s housing and neighborhoods in 2018. New York University.
go back to reference Appelbaum, P. S. (2002). Privacy in psychiatric treatment: Threats and responses. American Journal of Psychiatry,159(11), 1809–1818.CrossRefPubMed Appelbaum, P. S. (2002). Privacy in psychiatric treatment: Threats and responses. American Journal of Psychiatry,159(11), 1809–1818.CrossRefPubMed
go back to reference Armstrong, A., Been, V., Bhalla, C. A., et al. (2008). State of New York city’s housing and neighborhoods. Furman Center for Real Estate and Urban Policy. New York University. Armstrong, A., Been, V., Bhalla, C. A., et al. (2008). State of New York city’s housing and neighborhoods. Furman Center for Real Estate and Urban Policy. New York University.
go back to reference Bird, M., Rhoades, H., Lahey, J., Cederbaum, J., & Wenzel, S. (2017). Life goals and gender differences among chronically homeless individuals entering permanent supportive housing. Journal of Social Distress and the Homeless.,26(1), 9–15.CrossRefPubMedPubMedCentral Bird, M., Rhoades, H., Lahey, J., Cederbaum, J., & Wenzel, S. (2017). Life goals and gender differences among chronically homeless individuals entering permanent supportive housing. Journal of Social Distress and the Homeless.,26(1), 9–15.CrossRefPubMedPubMedCentral
go back to reference Chang, T. M. M., Ferreira, L. K., Ferreira, M. P., & Hirata, E. S. (2013). Clinical and demographic differences between voluntary and involuntary psychiatric admissions in a university hospital in Brazil. Cadernos de Saúde Pública,29(11), 2347–2352.CrossRefPubMed Chang, T. M. M., Ferreira, L. K., Ferreira, M. P., & Hirata, E. S. (2013). Clinical and demographic differences between voluntary and involuntary psychiatric admissions in a university hospital in Brazil. Cadernos de Saúde Pública,29(11), 2347–2352.CrossRefPubMed
go back to reference Chaput, Y. J., & Lebel, M. J. (2007). Demographic and clinical profiles of patients who make multiple visits to psychiatric emergency services. Psychiatric Services,58(3), 335–341.CrossRefPubMed Chaput, Y. J., & Lebel, M. J. (2007). Demographic and clinical profiles of patients who make multiple visits to psychiatric emergency services. Psychiatric Services,58(3), 335–341.CrossRefPubMed
go back to reference Cook, B. L., Trinh, N. H., Li, Z., Hou, S. S., & Progovac, A. M. (2017). Trends in racial-ethnic disparities in access to mental health care, 2004–2012. Psychiatric Services,68(1), 9–16.CrossRefPubMed Cook, B. L., Trinh, N. H., Li, Z., Hou, S. S., & Progovac, A. M. (2017). Trends in racial-ethnic disparities in access to mental health care, 2004–2012. Psychiatric Services,68(1), 9–16.CrossRefPubMed
go back to reference Cooper, J. O., Heron, T. E., & Heward, W. L. (2007). Applied behavior analysis (2nd ed.). Upper Saddle River, NJ: Pearson. Cooper, J. O., Heron, T. E., & Heward, W. L. (2007). Applied behavior analysis (2nd ed.). Upper Saddle River, NJ: Pearson.
go back to reference Craw, J., & Compton, M. T. (2006). Characteristics associated with involuntary versus voluntary legal status at admission and discharge among psychiatric inpatients. Social Psychiatry and Psychiatric Epidemiology,41(12), 981–988.CrossRefPubMedPubMedCentral Craw, J., & Compton, M. T. (2006). Characteristics associated with involuntary versus voluntary legal status at admission and discharge among psychiatric inpatients. Social Psychiatry and Psychiatric Epidemiology,41(12), 981–988.CrossRefPubMedPubMedCentral
go back to reference Darvishi, N., Farhadi, M., Haghtalab, T., & Poorolajal, J. (2015). Alcohol-related risk of suicidal ideation, suicide attempt, and completed suicide: A meta-analysis. PLoS ONE,10(5), e0126870.CrossRefPubMedPubMedCentral Darvishi, N., Farhadi, M., Haghtalab, T., & Poorolajal, J. (2015). Alcohol-related risk of suicidal ideation, suicide attempt, and completed suicide: A meta-analysis. PLoS ONE,10(5), e0126870.CrossRefPubMedPubMedCentral
go back to reference Dawson, N. L., Lachner, C., Vadeboncoeur, T. F., et al. (2018). Violent behavior by emergency department patients with an involuntary hold status. American Journal of Emergency Medicine,36(3), 392–395.CrossRefPubMed Dawson, N. L., Lachner, C., Vadeboncoeur, T. F., et al. (2018). Violent behavior by emergency department patients with an involuntary hold status. American Journal of Emergency Medicine,36(3), 392–395.CrossRefPubMed
go back to reference Feiring, E., & Ugstad, K. N. (2014). Interpretations of legal criteria for involuntary psychiatric admission: A qualitative analysis. BMC Health Services Research,14, 500.CrossRefPubMedPubMedCentral Feiring, E., & Ugstad, K. N. (2014). Interpretations of legal criteria for involuntary psychiatric admission: A qualitative analysis. BMC Health Services Research,14, 500.CrossRefPubMedPubMedCentral
go back to reference Ferguson, K. M., Bender, K., & Thompson, S. J. (2015). Gender, coping strategies, homelessness stressors, and income generation among homeless young adults in three cities. Social Science and Medicine,135, 47–55.CrossRefPubMed Ferguson, K. M., Bender, K., & Thompson, S. J. (2015). Gender, coping strategies, homelessness stressors, and income generation among homeless young adults in three cities. Social Science and Medicine,135, 47–55.CrossRefPubMed
go back to reference Goldberg, J. F., Ernst, C. L., & Bird, S. (2007). Predicting hospitalization versus discharge of suicidal patients presenting to a psychiatric emergency service. Psychiatric Services,58(4), 561–565.CrossRefPubMed Goldberg, J. F., Ernst, C. L., & Bird, S. (2007). Predicting hospitalization versus discharge of suicidal patients presenting to a psychiatric emergency service. Psychiatric Services,58(4), 561–565.CrossRefPubMed
go back to reference Gramaglia, C., Bert, F., Lombardi, A., et al. (2014). Sex differences in first-admission psychiatric inpatients with and without a comorbid substance use disorder. Journal of Addiction Medicine,8(5), 351–358.CrossRefPubMed Gramaglia, C., Bert, F., Lombardi, A., et al. (2014). Sex differences in first-admission psychiatric inpatients with and without a comorbid substance use disorder. Journal of Addiction Medicine,8(5), 351–358.CrossRefPubMed
go back to reference Hacker, K., Anies, M., Folb, B. L., & Zallman, L. (2015). Barriers to health care for undocumented immigrants: A literature review. Risk Management and Healthcare Policy,8, 175–183.CrossRefPubMedPubMedCentral Hacker, K., Anies, M., Folb, B. L., & Zallman, L. (2015). Barriers to health care for undocumented immigrants: A literature review. Risk Management and Healthcare Policy,8, 175–183.CrossRefPubMedPubMedCentral
go back to reference Houston, K. G., & Mariotto, M. (2001). Outcomes for psychiatric patients following first admission: Relationships with voluntary and involuntary treatment and ethnicity. Psychological Reports,88(3 Pt 2), 1012–1014.CrossRefPubMed Houston, K. G., & Mariotto, M. (2001). Outcomes for psychiatric patients following first admission: Relationships with voluntary and involuntary treatment and ethnicity. Psychological Reports,88(3 Pt 2), 1012–1014.CrossRefPubMed
go back to reference Iozzino, L., Ferrari, C., Large, M., Nielssen, O., & de Girolamo, G. (2015). Prevalence and risk factors of violence by psychiatric acute inpatients: A systematic review and meta-analysis. PLoS ONE,10(6), e0128536.CrossRefPubMedPubMedCentral Iozzino, L., Ferrari, C., Large, M., Nielssen, O., & de Girolamo, G. (2015). Prevalence and risk factors of violence by psychiatric acute inpatients: A systematic review and meta-analysis. PLoS ONE,10(6), e0128536.CrossRefPubMedPubMedCentral
go back to reference King, C. S. T., Bivens, K. M., Pumroy, E., Rauch, S., & Koerber, A. (2018). IRB problems and solutions in health communication research. Health Communication,33(7), 907–916.CrossRefPubMed King, C. S. T., Bivens, K. M., Pumroy, E., Rauch, S., & Koerber, A. (2018). IRB problems and solutions in health communication research. Health Communication,33(7), 907–916.CrossRefPubMed
go back to reference Kirshner, L. A., & Johnston, L. E. E. (1983). Effects of gender on inpatient psychiatric hospitalization. The Journal of Nervous and Mental Disease,171(11), 651–657.CrossRefPubMed Kirshner, L. A., & Johnston, L. E. E. (1983). Effects of gender on inpatient psychiatric hospitalization. The Journal of Nervous and Mental Disease,171(11), 651–657.CrossRefPubMed
go back to reference Ku, L., & Matani, S. (2001). Left out: Immigrants’ access to health care and insurance. Health Affairs,20(1), 247–256.CrossRefPubMed Ku, L., & Matani, S. (2001). Left out: Immigrants’ access to health care and insurance. Health Affairs,20(1), 247–256.CrossRefPubMed
go back to reference Larkin, G. L., Claassen, C. A., Emond, J. A., Pelletier, A. J., & Camargo, C. A. (2005). Trends in U.S. emergency department visits for mental health conditions, 1992 to 2001. Psychiatric Services,56(6), 671–677.CrossRefPubMed Larkin, G. L., Claassen, C. A., Emond, J. A., Pelletier, A. J., & Camargo, C. A. (2005). Trends in U.S. emergency department visits for mental health conditions, 1992 to 2001. Psychiatric Services,56(6), 671–677.CrossRefPubMed
go back to reference Lee, W. J., Ong, L. Y., Koay, S. N., & Kwan, Z. E. (2017). Early readmissions and associated socio-demographic, clinical factors in a psychiatric hospital, Malaysia. ASEAN Journal of Psychiatry,18(1), 1–9. Lee, W. J., Ong, L. Y., Koay, S. N., & Kwan, Z. E. (2017). Early readmissions and associated socio-demographic, clinical factors in a psychiatric hospital, Malaysia. ASEAN Journal of Psychiatry,18(1), 1–9.
go back to reference Mandarelli, G., Tarsitani, L., Parmigiani, G., et al. (2014). Mental capacity in patients involuntarily or voluntarily receiving psychiatric treatment for an acute mental disorder. Journal of Forensic Sciences,59(4), 1002–1007.CrossRefPubMed Mandarelli, G., Tarsitani, L., Parmigiani, G., et al. (2014). Mental capacity in patients involuntarily or voluntarily receiving psychiatric treatment for an acute mental disorder. Journal of Forensic Sciences,59(4), 1002–1007.CrossRefPubMed
go back to reference Moe, J., Kirkland, S., Ospina, M. B., et al. (2016). Mortality, admission rates and outpatient use among frequent users of emergency departments: A systematic review. Emergency Medicine Journal,33(3), 230–236.CrossRefPubMed Moe, J., Kirkland, S., Ospina, M. B., et al. (2016). Mortality, admission rates and outpatient use among frequent users of emergency departments: A systematic review. Emergency Medicine Journal,33(3), 230–236.CrossRefPubMed
go back to reference Montemagni, C., Frieri, T., Villari, V., & Rocca, P. (2018). Associations between functional milestones and psychiatric admissions in an urban area: Utility of a cluster-analytical approach. Psychiatria Danubina,30(2), 207–215.CrossRefPubMed Montemagni, C., Frieri, T., Villari, V., & Rocca, P. (2018). Associations between functional milestones and psychiatric admissions in an urban area: Utility of a cluster-analytical approach. Psychiatria Danubina,30(2), 207–215.CrossRefPubMed
go back to reference Moore, B. A., Buono, F. D., Printz, D. M. B., et al. (2017). Customized recommendations and reminder text messages for automated, computer-based treatment during methadone. Experimental and Clinical Psychopharmacology,25(6), 485–495.CrossRefPubMedPubMedCentral Moore, B. A., Buono, F. D., Printz, D. M. B., et al. (2017). Customized recommendations and reminder text messages for automated, computer-based treatment during methadone. Experimental and Clinical Psychopharmacology,25(6), 485–495.CrossRefPubMedPubMedCentral
go back to reference Nordentoft, M., & Branner, J. (2008). Gender differences in suicidal intent and choice of method among suicide attempters. Crisis,29(4), 209–212.CrossRefPubMed Nordentoft, M., & Branner, J. (2008). Gender differences in suicidal intent and choice of method among suicide attempters. Crisis,29(4), 209–212.CrossRefPubMed
go back to reference O’Donoghue, B., Roche, E., Shannon, S., Lyne, J., Madigan, K., & Feeney, L. (2014). Perceived coercion in voluntary hospital admission. Psychiatry Research,215(1), 120–126.CrossRefPubMed O’Donoghue, B., Roche, E., Shannon, S., Lyne, J., Madigan, K., & Feeney, L. (2014). Perceived coercion in voluntary hospital admission. Psychiatry Research,215(1), 120–126.CrossRefPubMed
go back to reference Polak, K., Haug, N. A., Drachenberg, H. E., & Svikis, D. S. (2015). Gender considerations in addiction: Implications for treatment. Current Treatment Options in Psychiatry,2(3), 326–338.CrossRefPubMedPubMedCentral Polak, K., Haug, N. A., Drachenberg, H. E., & Svikis, D. S. (2015). Gender considerations in addiction: Implications for treatment. Current Treatment Options in Psychiatry,2(3), 326–338.CrossRefPubMedPubMedCentral
go back to reference Richard-Lepouriel, H., Weber, K., Baertschi, M., DiGiorgio, S., Sarasin, F., & Canuto, A. (2015). Predictors of recurrent use of psychiatric emergency services. Psychiatric Services,66(5), 521–526.CrossRefPubMed Richard-Lepouriel, H., Weber, K., Baertschi, M., DiGiorgio, S., Sarasin, F., & Canuto, A. (2015). Predictors of recurrent use of psychiatric emergency services. Psychiatric Services,66(5), 521–526.CrossRefPubMed
go back to reference Saxena, P., Messina, N., & Grella, C. E. (2014). Who benefits from gender responsive treatment? Accounting for abuse history on longitudinal outcomes for women in prison. Criminal Justice and Behavior,41(4), 417–432.CrossRefPubMedPubMedCentral Saxena, P., Messina, N., & Grella, C. E. (2014). Who benefits from gender responsive treatment? Accounting for abuse history on longitudinal outcomes for women in prison. Criminal Justice and Behavior,41(4), 417–432.CrossRefPubMedPubMedCentral
go back to reference Schuepbach, D., Goetz, I., Boeker, H., & Hell, D. (2006). Voluntary vs. involuntary hospital admission in acute mania of bipolar disorder: Results from the Swiss sample of the EMBLEM study. Journal of Affective Disorders,90(1), 57–61.CrossRefPubMed Schuepbach, D., Goetz, I., Boeker, H., & Hell, D. (2006). Voluntary vs. involuntary hospital admission in acute mania of bipolar disorder: Results from the Swiss sample of the EMBLEM study. Journal of Affective Disorders,90(1), 57–61.CrossRefPubMed
go back to reference Sheehan, A. E., Walsh, R. F. L., & Liu, R. T. (2018). Racial and ethnic differences in mental health service utilization in suicidal adults: A nationally representative study. Journal of Psychiatric Research,107, 114–119.CrossRefPubMedPubMedCentral Sheehan, A. E., Walsh, R. F. L., & Liu, R. T. (2018). Racial and ethnic differences in mental health service utilization in suicidal adults: A nationally representative study. Journal of Psychiatric Research,107, 114–119.CrossRefPubMedPubMedCentral
go back to reference Tremblay, P. F., King, P. R., & Baines, G. R. (2017). Clinical and demographic characteristics of voluntary and involuntary psychiatric inpatients. The Canadian Journal of Psychiatry,39(5), 297–299.CrossRef Tremblay, P. F., King, P. R., & Baines, G. R. (2017). Clinical and demographic characteristics of voluntary and involuntary psychiatric inpatients. The Canadian Journal of Psychiatry,39(5), 297–299.CrossRef
go back to reference Unick, G. J., Kessell, E., Woodard, E. K., Leary, M., Dilley, J. W., & Shumway, M. (2011). Factors affecting psychiatric inpatient hospitalization from a psychiatric emergency service. General Hospital Psychiatry,33(6), 618–625.CrossRefPubMed Unick, G. J., Kessell, E., Woodard, E. K., Leary, M., Dilley, J. W., & Shumway, M. (2011). Factors affecting psychiatric inpatient hospitalization from a psychiatric emergency service. General Hospital Psychiatry,33(6), 618–625.CrossRefPubMed
go back to reference Vigod, S. N., Kurdyak, P., Fung, K., et al. (2016). Psychiatric hospitalizations: A comparison by gender, sociodemographics, clinical profile, and postdischarge outcomes. Psychiatric Services,67(12), 1376–1379.CrossRefPubMed Vigod, S. N., Kurdyak, P., Fung, K., et al. (2016). Psychiatric hospitalizations: A comparison by gender, sociodemographics, clinical profile, and postdischarge outcomes. Psychiatric Services,67(12), 1376–1379.CrossRefPubMed
go back to reference Way, B. B., & Banks, S. (2001). Clinical factors related to admission and release decisions in psychiatric emergency services. Psychiatric Services,52(2), 214–218.CrossRefPubMed Way, B. B., & Banks, S. (2001). Clinical factors related to admission and release decisions in psychiatric emergency services. Psychiatric Services,52(2), 214–218.CrossRefPubMed
go back to reference Wilsnack, R. W., Vogeltanz, N. D., Wilsnack, S. C., & Harris, T. R. (2000). Gender differences in alcohol consumption and adverse drinking consequences: Cross-cultural patterns. Addiction,95(2), 251–265.CrossRefPubMed Wilsnack, R. W., Vogeltanz, N. D., Wilsnack, S. C., & Harris, T. R. (2000). Gender differences in alcohol consumption and adverse drinking consequences: Cross-cultural patterns. Addiction,95(2), 251–265.CrossRefPubMed
go back to reference Zhang, S., Mellsop, G., Brink, J., & Wang, X. (2015). Involuntary admission and treatment of patients with mental disorder. Neuroscience Bulletin,31(1), 99–112.CrossRefPubMedPubMedCentral Zhang, S., Mellsop, G., Brink, J., & Wang, X. (2015). Involuntary admission and treatment of patients with mental disorder. Neuroscience Bulletin,31(1), 99–112.CrossRefPubMedPubMedCentral
go back to reference Zhou, J. S., Xiang, Y. T., Zhu, X. M., et al. (2015). Voluntary and involuntary psychiatric admissions in China. Psychiatric Services,66(12), 1341–1346.CrossRefPubMed Zhou, J. S., Xiang, Y. T., Zhu, X. M., et al. (2015). Voluntary and involuntary psychiatric admissions in China. Psychiatric Services,66(12), 1341–1346.CrossRefPubMed
Metadata
Title
Retrospective Chart Review of Voluntary Admissions to an Inpatient Psychiatric Hospital in New York City: A Demographic Breakdown
Authors
Amir Garakani
Brianna M. Cerrito
Amy S. Aloysi
Jose M. Martinez
Frank D. Buono
Publication date
01-04-2020
Publisher
Springer US
Keywords
Suicide
Suicide
Published in
Community Mental Health Journal / Issue 3/2020
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-019-00498-2

Other articles of this Issue 3/2020

Community Mental Health Journal 3/2020 Go to the issue