Evidence map›Paper›PMID 40855778›Full record

ArticleActa neuropsychiatrica2025

Patient-initiated brief admission: a single site eight-year retrospective cohort study.

Melker Hagsäter, Monica Ohlsson, Meritxell Casanovas Roca, Axel Sjöstedt, Fredrik Hieronymus

Abstract read
In one paragraph

Article in Acta neuropsychiatrica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. From safety to agency: experiences of self-admission among patients with diverse mental health needs.International journal of qualitative studies on health and well-being · 2026
    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

5 authors.

Melker HagsäterInstitute of Neuroscience and Physiology, Department of Pharmacology, the Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0003-1263-7503
Monica OhlssonKungälv Hospital, Västra Götaland Regional Council, Kungälv, Sweden.
Meritxell Casanovas RocaKungälv Hospital, Västra Götaland Regional Council, Kungälv, Sweden.
Axel SjöstedtInstitute of Neuroscience and Physiology, Department of Pharmacology, the Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
Fredrik HieronymusInstitute of Neuroscience and Physiology, Department of Pharmacology, the Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0003-0930-6068

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePatient-Initiated Brief Admission (PIBA) is an intervention designed to provide constructive crisis management for patients. The purpose of this study was to evaluate outcomes in healthcare utilisation and self-inflicted injuries at one Swedish Hospital where PIBA was implemented in late 2017.

methodsPatients who signed a PIBA-contract between 2017 and 2023 were included in the study. Data on inpatient care, contacts with the psychiatric emergency department and self-inflicted injuries that resulted in contact with medical care were collected from patients' medical records. Effects of PIBA were assessed using paired

resultsData from a total of 38 patients were analysed. There was a marked decrease in inpatient care from voluntary admissions in the first six months after initiation of PIBA. There was also a significant decrease in number of contacts with the psychiatric emergency department (for all patients) in the 1-year pre-post comparison, but not for the 0.5- and 2-year pre-post comparisons. There were no significant reductions in compulsory inpatient care or self-inflicted injuries in our cohort. Patients with contracts extending over several years appeared stable, on average, in their use of care and prevalence of intoxications.

conclusionThe main effect on inpatient care after initiation of PIBA was a reduction in voluntary admissions, coinciding with a shift from voluntary admissions in favour of PIBA. The results support a more widespread utilisation of PIBA from a health-economic perspective.

Indexed as

Crisis InterventionHospitalizationMental DisordersPatient Acceptance of Health CarePatient AdmissionSelf-Injurious BehaviorAdultEmergency Service, HospitalFemaleHumansMaleMiddle AgedRetrospective StudiesSwedenYoung AdultCrisis interventionhospitalizationpatient admissionpatient participationvoluntary admission

Identifiers

PMID40855778
PMCPMC13130303

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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.