ArticleBMC psychiatry2008
Crisis discharges and readmission risk in acute psychiatric male inpatients.
Article in BMC psychiatry, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Expert Arguments for Trends of Psychiatric Bed Numbers: A Systematic Review of Qualitative Data.Frontiers in psychiatry · 2021Pooled it
- Psychiatric readmissions and their association with environmental and health system characteristics: a systematic review of the literature.BMC psychiatry · 2016Pooled it
- Brief Report: A Randomized Control Trial Assessing the Influence of a Telephone-based Intervention on Readmissions for Patients with Severe Mental Illness in a Developing Country.Community mental health journal · 2018Trial
- Profile of male acute admissions at a state psychiatric hospital in the Western Cape, South Africa.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2026Article
- Sociodemographic and Clinical Correlates Associated with the Frequent Service Users in an Italian Psychiatric Emergency Department.Diagnostics (Basel, Switzerland) · 2023Article
- Readmission of Patients to Acute Psychiatric Hospitals: Influential Factors and Interventions to Reduce Psychiatric Readmission Rates.Healthcare (Basel, Switzerland) · 2022Review
- Sociodemographic and clinical characteristics of patients with recurrent psychiatric readmissions in Qatar.The Journal of international medical research · 2020Article
- Risk factors for readmission among a cohort of psychiatric inpatients in Lilongwe, Malawi.International journal of psychiatry in clinical practice · 2020Article
- Peer support for frequent users of inpatient mental health care in Uganda: protocol of a quasi-experimental study.BMC psychiatry · 2019Article
- HIV and early hospital readmission: evaluation of a tertiary medical facility in Lilongwe, Malawi.BMC health services research · 2018Article
- Service use, charge, and access to mental healthcare in a private Kenyan inpatient setting: the effects of insurance.PloS one · 2014Article
- Factors associated with readmission of patients at a university hospital psychiatric ward in iran.Psychiatry journal · 2013Article
- The impact of hospital utilization on patient readmission rate.Health care management science · 2012Article
- The revolving door phenomenon in psychiatry: comparing low-frequency and high-frequency users of psychiatric inpatient services in a developing country.Social psychiatry and psychiatric epidemiology · 2010Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSevere pressures on beds in psychiatric services have led to the implementation of an early ("crisis") discharge policy in the Western Cape, South Africa. The study examined the effect of this policy and length of hospital stay (LOS) on readmission rates in one psychiatric hospital in South Africa.
methodsDischarge summaries of adult male patients (n = 438) admitted to Stikland Psychiatric Hospital during 2004 were retrospectively examined. Each patient's clinical course was then analysed for the period between January 1st, 2004, and August 31st, 2006.
resultsAlthough shorter LOS was associated with decreased readmission rates, the effect of crisis discharges was far more powerful. Patients discharged as usual had a far lower risk of readmission than those discharged due to bed pressures (i.e. crisis discharge).
conclusionIncreased risks associated with the early discharge policy necessitate the urgent review of the current management of bed shortages in this inpatient facility. The strengthening of community initiatives, particularly assertive outreach could be a way forward.
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