ArticleBJPsych open2021
Readmission after discharge from acute mental healthcare among 231 988 people in England: cohort study exploring predictors of readmission including availability of acute day units in local areas.
Article in BJPsych open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Psychiatric hospitalization and rehospitalization among children and adolescents: evidence from 10-years electronic records in Beijing, China.BMC psychiatry · 2026Article
- Development and validation of a clinical prediction model and risk score for 30-day psychiatric readmission in the United Arab Emirates.BMC psychiatry · 2026Article
- Article
- A qualitative exploration of older people's experience of discharge from mental health inpatient settings.International journal of qualitative studies on health and well-being · 2025Article
- Six-month readmission and associated factors among psychiatry patients at Moi Teaching and Referral Hospital, Western Kenya.BMC psychiatry · 2025Article
- The role of a transitional care program in supporting family caregivers to prevent relapse in severe mental illness: a qualitative study from Iran.BMC nursing · 2025Article
- Understanding the intersections between ethnicity, area-level deprivation, and inpatient-related features amongst patients with psychotic disorders: a mental health electronic records analysis.Social psychiatry and psychiatric epidemiology · 2025Article
- Quality of discharge letters concerning readmissions to mental healthcare: case-control study.BJPsych open · 2025Article
- The Revolving Door Phenomenon in the Romanian Mental Health System.Alpha psychiatry · 2025Article
- Exploring pathways to compulsory detention and ways to prevent repeat compulsory detentions in England; clinician perspectives.PLOS mental health · 2025Article
- Development of an intervention to support parents receiving treatment in psychiatric inpatient hospital using participatory design methods.Frontiers in psychiatry · 2024Article
- Readmission of Patients to Acute Psychiatric Hospitals: Influential Factors and Interventions to Reduce Psychiatric Readmission Rates.Healthcare (Basel, Switzerland) · 2022Review
- Article
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Authors and funding
11 authors.
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Abstract
backgroundIn the UK, acute mental healthcare is provided by in-patient wards and crisis resolution teams. Readmission to acute care following discharge is common. Acute day units (ADUs) are also provided in some areas.
aimsTo assess predictors of readmission to acute mental healthcare following discharge in England, including availability of ADUs.
methodWe enrolled a national cohort of adults discharged from acute mental healthcare in the English National Health Service (NHS) between 2013 and 2015, determined the risk of readmission to either in-patient or crisis teams, and used multivariable, multilevel logistic models to evaluate predictors of readmission.
resultsOf a total of 231 998 eligible individuals discharged from acute mental healthcare, 49 547 (21.4%) were readmitted within 6 months, with a median time to readmission of 34 days (interquartile range 10-88 days). Most variation in readmission (98%) was attributable to individual patient-level rather than provider (trust)-level effects (2.0%). Risk of readmission was not associated with local availability of ADUs (adjusted odds ratio 0.96, 95% CI 0.80-1.15). Statistically significant elevated risks were identified for participants who were female, older, single, from Black or mixed ethnic groups, or from more deprived areas. Clinical predictors included shorter index admission, psychosis and being an in-patient at baseline.
conclusionsRelapse and readmission to acute mental healthcare are common following discharge and occur early. Readmission was not influenced significantly by trust-level variables including availability of ADUs. More support for relapse prevention and symptom management may be required following discharge from acute mental healthcare.
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