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Published in: BMC Psychiatry 1/2022

Open Access 01-12-2022 | Suicide | Research

Exploring risk factors for re-hospitalization in a psychiatric inpatient setting: a retrospective naturalistic study

Authors: Isabella Berardelli, Salvatore Sarubbi, Elena Rogante, Denise Erbuto, Mariarosaria Cifrodelli, Carlotta Giuliani, Giuseppa Calabrò, David Lester, Marco Innamorati, Maurizio Pompili

Published in: BMC Psychiatry | Issue 1/2022

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Abstract

Background

The reduction of multiple psychiatric hospitalizations is an important clinical challenge in mental health care. In fact, psychiatric re-hospitalization negatively affects the quality of life and the life expectancy of patients with psychiatric disorders. For these reasons, identifying predictors of re-hospitalization is important for better managing psychiatric patients. The first purpose of the present study was to examine the readmission rate in a large sample of inpatients with a psychiatric disorder. Second, we investigated the role of several demographical and clinical features impacting re-hospitalization. 

Method

This retrospective study enrolled 1001 adult inpatients (510 men and 491 women) consecutively admitted to the University Psychiatric Clinic, Sant'Andrea Hospital, Sapienza University of Rome between January 2018 and January 2022. To identify risk factors for psychiatric re-hospitalization, we divided the sample into 3 subgroups: the Zero-Re group which had no readmission after the index hospitalization, the One-Re group with patients re-admitted only once, and the Two-Re with at least two re-admissions. 

Results

The groups differed according to previous hospitalizations, a history of suicide attempts, age at onset, and length of stay. Furthermore, the results of the regression model demonstrated that the Two-Re group was more likely to have a history of suicide attempts and previous hospitalizations.

Discussion

These results indicate the importance of assessing risk factors in psychiatric hospitalized patients and implementing ad hoc prevention strategies for reducing subsequent re-hospitalizations.
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Metadata
Title
Exploring risk factors for re-hospitalization in a psychiatric inpatient setting: a retrospective naturalistic study
Authors
Isabella Berardelli
Salvatore Sarubbi
Elena Rogante
Denise Erbuto
Mariarosaria Cifrodelli
Carlotta Giuliani
Giuseppa Calabrò
David Lester
Marco Innamorati
Maurizio Pompili
Publication date
01-12-2022
Publisher
BioMed Central
Keywords
Suicide
Suicide
Published in
BMC Psychiatry / Issue 1/2022
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-022-04472-3

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