ArticleGeneral hospital psychiatry
Association between operational positive depression symptom screen scores on hospital admission and 30-day readmissions.
Article in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed, 0 citations in OpenAlex.
- Predictors of psychiatric readmission within 12 months following discharge from inpatient units in Alberta, Canada.Global mental health (Cambridge, England) · 2026Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundPositive scores on inpatient depression symptom screens have been found to be associated with readmissions, yet most studies have used depression screens collected as part of research studies.
objectiveWe evaluated whether the relationship between depression severity and readmission persisted when depression screening data was obtained for operational purposes.
designRetrospective analysis studying prospective use of PHQ data.
settingLarge academic medical center.
interventionWard nurses obtained depression screens from patients soon after admission. Patients who answered 'yes' to at least one Patient Health Questionnaire (PHQ)-2 question were screened using the PHQ-9. MAIN OUTCOMES AND MEASURES: We examined the association between depression severity and 30-day readmissions using logistic regression, adjusting for known predictors of hospital readmission.
resultsFrom July 2014-June 2016, 18,792 discharged adult medicine inpatients received an initial depression screen (PHQ-2) and 1105 patients (5.90%) had at least one positive response. Of this group, 3163 patients (6.32%) were readmitted within 30 days. 1128 patients received the PHQ-9. Compared to patients with no depression, patients with moderately-severe depression had 3.03 higher odds (95%CI, 1.44-6.38) and patients with severe depression had 1.63 higher odds (95%CI, 0.70-3.78) of being readmitted, after adjusting for known predictors of hospital admission. Adding PHQ-9 results did not significantly improve the predictive power of a readmissions model.
conclusionsOur mixed results call into question whether PHQ data obtained for operational purposes may differ compared to data obtained for research purposes. Differences in training of screening staff or patient discomfort with discussing depression in the hospital could explain our findings.
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