ArticleThe Psychiatric quarterly2017
Factors associated with emergency department useamong veteran psychiatric patients.
Article in The Psychiatric quarterly, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 39 citations in OpenAlex.
- A randomized trial of permanent supportive housing for chronically homeless persons with high use of publicly funded services.Health services research · 2020Trial
- Employing Peer Outreach and Whole Health in Recovery (EMPOWER) for homeless-experienced veterans: protocol for a hybrid type 3 implementation trial.Implementation science : IS · 2026Article
- Personal Health Goals in Homeless-Experienced Veterans: Rates, Patterns, and Associations With Health-Related Needs.Medical care · 2026Article
- Risk for Acute Care Utilization in Housing-Insecure Adults: A National Study of a Hot Spotter Program in the US Veterans Health Administration.Medical care · 2026Article
- Veteran Mental Health Emergency Care Utilization Following SARS-CoV-2 Infection.Health services research · 2025Article
- Evaluating Whole Health Engagement Among Homeless-Experienced Veterans in an Emergency Shelter: A Quality Improvement Study.AJPM focus · 2025Article
- Cannabis legalization and increasing cannabis use in the United States: Data from urine toxicology testing in emergency room patients.The International journal on drug policy · 2025Article
- Serious adverse drug events associated with psychotropic treatment of bipolar or schizoaffective disorder: a 17-year follow-up on the LiSIE retrospective cohort study.Frontiers in psychiatry · 2024Article
- Peer support and whole health coaching to address the healthcare needs of homeless veterans: a pilot study.BMC primary care · 2022Article
- Analysis of Emergency Department Encounters Among High Users of Health Care and Social Service Systems Before and During the COVID-19 Pandemic.JAMA network open · 2022Article
- Social determinants of health and emergency department utilization among adults receiving buprenorphine for opioid use disorder.Drug and alcohol dependence reports · 2022Article
- Optimizing care coordination to address social determinants of health needs for dual-use veterans.BMC health services research · 2022Article
- Inpatient Mental Healthcare before and during the COVID-19 Pandemic.Healthcare (Basel, Switzerland) · 2021Article
- Lipophilic vs. hydrophilic statins and psychiatric hospitalizations and emergency room visits in US Veterans with schizophrenia and bipolar disorder.Pteridines · 2021Article
- Factors Related to 30-day Readmission following Hospitalization for Any Medical Reason among Patients with Mental Disorders: Facteurs liés à la réhospitalisation à 30 jours suivant une hospitalisation pour une raison médicale chez des patients souffrant de troubles mentaux.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2021Article
- Typology of patients who use emergency departments for mental and substance use disorders.BJPsych open · 2020Article
- Predictors of Emergency Department Use among Individuals with Current or Previous Experience of Homelessness.International journal of environmental research and public health · 2019Article
- Statistical tools used for analyses of frequent users of emergency department: a scoping review.BMJ open · 2019Article
- Utilization Outcomes of a Pilot Primary Care Team Redesign.Health services research and managerial epidemiologyArticle
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
Frequent utilization of emergency department (ED) services contributes substantially to the cost of healthcare nationally and is often driven by psychiatric factors. Using national-level data from the Veterans Health Administration (VHA), the present study examined patient-level factors associated with ED use among veteran psychiatric patients. Veterans who had at least one ED visit with a psychiatric diagnosis in fiscal years 2011-2012 (n = 226,122) were identified in VHA administrative records. Andersen's behavioral model of healthcare utilization was used to identify need, enabling, and predisposing factors associated with frequency of ED use (primary outcome) in multivariate regression models. Greater ED use was primarily linked with need (psychotic, anxiety, personality, substance use, and bipolar disorders) and enabling (detoxification-related service utilization and homelessness) factors. Chronic medical conditions, receipt of an opioid prescription, and predisposing factors (e.g., younger age) were also linked to greater ED use; however, the effect sizes for these factors were markedly lower than those of most psychiatric and psychosocial factors. The findings suggest that intensive case management programs aimed reducing frequent ED use among psychiatric patients may require greater emphasis on homelessness and other psychosocial deficits that are common among these patients, and future research should explore cost-effective approaches to implementing these programs.
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Registered trials
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