ArticleBMC psychiatry2023
Association of homelessness and psychiatric hospital readmission-a retrospective cohort study 2016-2020.
Article in BMC psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 9 citations in OpenAlex.
- Effectiveness of Text Messages and Text Messages Plus Peer Support on Psychiatric Readmission and Length of Stay: Outcomes From a Quantitative Stepped-Wedge Cluster Randomized Trial.JMIR mental health · 2025Trial
- The role of the Clubhouse model in addressing health inequalities in rural Wyoming: a qualitative study.International journal of qualitative studies on health and well-being · 2026Article
- Predictors of adolescent psychiatric rehospitalization: A multi-level framework.International journal of nursing studies advances · 2026Review
- Long-Acting Injectable Antipsychotics and Time to Readmission in Early Psychosis.Journal of child and adolescent psychopharmacology · 2026Article
- COVID-19 and risk of first-time major depressive disorder in patients without history of psychiatric disorders.BMC psychiatry · 2026Observational
- Predictors of psychiatric readmission within 12 months following discharge from inpatient units in Alberta, Canada.Global mental health (Cambridge, England) · 2026Article
- Veteran Characteristics Associated With Risk of 30-Day Inpatient Mental Health (IMH) Readmissions.The Psychiatric quarterly · 2025Article
- Why Go to the Psychiatric Hospital? The Experiences of People Living with Mental Disorders Hospitalized Multiple Times in One Year: A Qualitative Study.Nursing reports (Pavia, Italy) · 2025Article
- Exploring the Utility of the Model for Understanding Inpatient Aggression for General Mental Health Settings.International journal of mental health nursing · 2025Article
- Adapting Psychiatric Approaches to the Needs of Vulnerable Populations: A Qualitative Analysis.European journal of investigation in health, psychology and education · 2025Article
- A non-randomised controlled trial of a community-based accommodation and psychosocial support programme for adults experiencing mental illness and homelessness.The Australian and New Zealand journal of psychiatry · 2024Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA large proportion of adult psychiatric inpatients experience homelessness and are often discharged to unstable accommodation or the street. It is unclear whether homelessness impacts psychiatric hospital readmission. Our primary objective was to examine the association between homelessness and risk for 30-day and 90-day readmission following discharge from a psychiatric unit at a single urban hospital.
methodsA retrospective cohort study involving health administrative data among individuals (n = 3907) in Vancouver, Canada with an acute psychiatric admission between January 2016 and December 2020. Participants were followed from the date of index admission until censoring (December 30, 2020). Homelessness was measured at index admission and treated as a time-varying exposure. Adjusted Hazard Ratios (aHRs) of acute readmission (30-day and 90-day) for psychiatric and substance use disorders were estimated using multivariable Cox proportional hazards regression.
resultsThe cohort comprised 3907 individuals who were predominantly male (61.89%) with a severe mental illness (70.92%), substance use disorder (20.45%) and mean age of 40.66 (SD, 14.33). A total of 686 (17.56%) individuals were homeless at their index hospitalization averaging 19.13 (21.53) days in hospital. After adjusting for covariates, patients experiencing homelessness had a 2.04 (1.65, 2.51) increased rate of 30-day readmission and 1.65 (1.24, 2.19) increased rate of 90-day readmission during the observation period.
conclusionsHomelessness was significantly associated with increased 30-day and 90-day readmission rates in a large comprehensive sample of adults with mental illness and substance use disorders. Interventions to reduce homelessness are urgently needed. QUESTION: Is homelessness associated with risk for 30-day and 90-day psychiatric hospital readmission?
findingsIn this retrospective cohort study of 3907 individuals, homelessness at discharge was associated with increased 30-day and 90-day psychiatric readmission. MEANING: Housing status is an important risk factor for hospital readmission. High-quality interventions focused on housing supports have the potential to reduce psychiatric readmission.
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