Evidence map›Paper›PMID 34355553›Full record

ArticleJournal of public health research2021

Are patients improving during and after a psychiatric hospitalisation? Continuity of care outcomes of compulsory and voluntary admissions to an Italian psychiatric ward.

Giulio Castelpietra, Silvia Guadagno, Livia Pischiutta, Davide Tossut, Elisa Maso, Umberto Albert, Matteo Balestrieri

Open access · goldAbstract read
In one paragraph

Article in Journal of public health research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 43% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2025
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Giulio CastelpietraOutpatient and Inpatient Care Service, Central Health Directorate, Friuli Venezia Giulia Region, Trieste. giulio.castelpietra@regione.fvg.it.
Silvia GuadagnoUdine Nord Community Mental Health Centre, Mental Health Department, Friuli Centrale Healthcare Agency, Udine. guadagno.silvia@gmail.com.
Livia PischiuttaDepartment of Medicine, Surgery and Health Sciences, University of Trieste. livia.pischiutta@gmail.com.
Davide TossutWelfare Area, Giuliano Isontina Healthcare Agency, Palmanova (UD). davide.tossut@welfare.fvg.it.
Elisa MasoPsychiatric Unit, Mental Health Department, Friuli Centrale Healthcare Agency, Udine. elisa.maso@asufc.sanita.fvg.it.
Umberto AlbertDepartment of Medicine, Surgery and Health Sciences, University of Trieste. ualbert@units.it.
Matteo BalestrieriUnit of Psychiatry, Deaprtment of Medicine (DAME), University of Udine. matteo.balestrieri@uniud.it.
University of Udine · ITRegione Autonoma Friuli Venezia GiuliaUniversity of Trieste · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo compare the characteristics of compulsory admissions (CAs) and voluntary admissions (VAs) in a General Hospital Psychiatric Unit (GHPU), and to assess whether CA and VA patients' outcomes improved during hospitalisation and follow-up in mental health services (MHS) based on community continuity of care. DESIGN AND

methodObservational longitudinal study comparing 19 CAs and 83 VAs consecutively admitted to GHPU of Udine, Italy, and followed up for six months by MHS. Five psychometric scales assessed psychosocial and clinical characteristics for each patient at admission (T0), discharge (T1) and follow-up (T2). Statistical analyses were performed using: multivariate logistic regression for comparing CA and VA; Friedman χ2 and Mann-Whitney tests for outcomes' improvement.

resultsBeing hospitalised for a psychotic crisis was the most significant predictor of CA (OR = 5.07). An outcomes' improvement was observed from T0 to T1 in almost all psychometric tests, while from T1 to T2 only for PSP-A (useful social activities), CGI-S (severity of illness) and CGI-EI (drug's efficacy related to side effects). CA was associated to lower performances in all scales at T0, in GAF and CGI-S at T1, while no difference with VA was observed at T2.

conclusionCA and VA patients improved to a same extent during hospitalisation and follow-up, particularly in relation to social functioning. This fosters the hypothesis that community-based MHS using a longitudinal continuity of care model might achieve recovery in a long-term perspective. Future research may benefit by considering patients' subjective experiences and assessing long-term improvement in those who received person-centred interventions.

Identifiers

PMID34355553
PMCPMC8847955
OpenAlexW3192755718

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.