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Retrospective Chart Review of Voluntary Admissions to an Inpatient Psychiatric Hospital in New York City: A Demographic Breakdown

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Abstract

The current paper evaluates psychiatric needs of voluntary admissions in a large urban psychiatric hospital through a retrospective chart review, as this research is limited within the United States. A total of 581 voluntary adult psychiatric admission charts were reviewed. Continuous variables were evaluated using an ANOVA while associations between variables were examined by an unadjusted Pearson correlation coefficient a stepwise linear regression analysis. Men were significantly more likely to have a past admission for psychiatric services (p = .016), suicidal ideation (p < .001) and test positive for substances (p < .001) than women, and were more likely to be unemployed, homeless and without insurance. Women were more likely to have a past suicide attempt and a depressive disorder. A significant relationship between gender and rationale for seeking voluntary admission (p < .001) was found. This study offers understanding of male and female voluntary admissions, and a foundation for improving treatment interventions to reduce recurrent readmissions.

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References

  • Akerele, F., Al Faleh, O., Aluri, L. T. A., Asparelli, A., Brenner, R. (2018). State of New York city’s housing and neighborhoods in 2018. New York University.

  • Appelbaum, P. S. (2002). Privacy in psychiatric treatment: Threats and responses. American Journal of Psychiatry,159(11), 1809–1818.

    Article  PubMed  Google Scholar 

  • Armstrong, A., Been, V., Bhalla, C. A., et al. (2008). State of New York city’s housing and neighborhoods. Furman Center for Real Estate and Urban Policy. New York University.

  • Bird, M., Rhoades, H., Lahey, J., Cederbaum, J., & Wenzel, S. (2017). Life goals and gender differences among chronically homeless individuals entering permanent supportive housing. Journal of Social Distress and the Homeless.,26(1), 9–15.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chang, T. M. M., Ferreira, L. K., Ferreira, M. P., & Hirata, E. S. (2013). Clinical and demographic differences between voluntary and involuntary psychiatric admissions in a university hospital in Brazil. Cadernos de Saúde Pública,29(11), 2347–2352.

    Article  PubMed  Google Scholar 

  • Chaput, Y. J., & Lebel, M. J. (2007). Demographic and clinical profiles of patients who make multiple visits to psychiatric emergency services. Psychiatric Services,58(3), 335–341.

    Article  PubMed  Google Scholar 

  • Cook, B. L., Trinh, N. H., Li, Z., Hou, S. S., & Progovac, A. M. (2017). Trends in racial-ethnic disparities in access to mental health care, 2004–2012. Psychiatric Services,68(1), 9–16.

    Article  PubMed  Google Scholar 

  • Cooper, J. O., Heron, T. E., & Heward, W. L. (2007). Applied behavior analysis (2nd ed.). Upper Saddle River, NJ: Pearson.

    Google Scholar 

  • Craw, J., & Compton, M. T. (2006). Characteristics associated with involuntary versus voluntary legal status at admission and discharge among psychiatric inpatients. Social Psychiatry and Psychiatric Epidemiology,41(12), 981–988.

    Article  PubMed  PubMed Central  Google Scholar 

  • Darvishi, N., Farhadi, M., Haghtalab, T., & Poorolajal, J. (2015). Alcohol-related risk of suicidal ideation, suicide attempt, and completed suicide: A meta-analysis. PLoS ONE,10(5), e0126870.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Dawson, N. L., Lachner, C., Vadeboncoeur, T. F., et al. (2018). Violent behavior by emergency department patients with an involuntary hold status. American Journal of Emergency Medicine,36(3), 392–395.

    Article  PubMed  Google Scholar 

  • Feiring, E., & Ugstad, K. N. (2014). Interpretations of legal criteria for involuntary psychiatric admission: A qualitative analysis. BMC Health Services Research,14, 500.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ferguson, K. M., Bender, K., & Thompson, S. J. (2015). Gender, coping strategies, homelessness stressors, and income generation among homeless young adults in three cities. Social Science and Medicine,135, 47–55.

    Article  PubMed  Google Scholar 

  • Giacco, D., & Priebe, S. (2016). Suicidality and hostility following involuntary hospital treatment. PLoS ONE,11(5), e0154458.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Goldberg, J. F., Ernst, C. L., & Bird, S. (2007). Predicting hospitalization versus discharge of suicidal patients presenting to a psychiatric emergency service. Psychiatric Services,58(4), 561–565.

    Article  PubMed  Google Scholar 

  • Gramaglia, C., Bert, F., Lombardi, A., et al. (2014). Sex differences in first-admission psychiatric inpatients with and without a comorbid substance use disorder. Journal of Addiction Medicine,8(5), 351–358.

    Article  PubMed  Google Scholar 

  • Hacker, K., Anies, M., Folb, B. L., & Zallman, L. (2015). Barriers to health care for undocumented immigrants: A literature review. Risk Management and Healthcare Policy,8, 175–183.

    Article  PubMed  PubMed Central  Google Scholar 

  • Houston, K. G., & Mariotto, M. (2001). Outcomes for psychiatric patients following first admission: Relationships with voluntary and involuntary treatment and ethnicity. Psychological Reports,88(3 Pt 2), 1012–1014.

    Article  CAS  PubMed  Google Scholar 

  • Iozzino, L., Ferrari, C., Large, M., Nielssen, O., & de Girolamo, G. (2015). Prevalence and risk factors of violence by psychiatric acute inpatients: A systematic review and meta-analysis. PLoS ONE,10(6), e0128536.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • King, C. S. T., Bivens, K. M., Pumroy, E., Rauch, S., & Koerber, A. (2018). IRB problems and solutions in health communication research. Health Communication,33(7), 907–916.

    Article  PubMed  Google Scholar 

  • Kirshner, L. A., & Johnston, L. E. E. (1983). Effects of gender on inpatient psychiatric hospitalization. The Journal of Nervous and Mental Disease,171(11), 651–657.

    Article  CAS  PubMed  Google Scholar 

  • Klitzman, R. L. (2012). US IRBs confronting research in the developing world. Developing World Bioethics,12(2), 63–73.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ku, L., & Matani, S. (2001). Left out: Immigrants’ access to health care and insurance. Health Affairs,20(1), 247–256.

    Article  CAS  PubMed  Google Scholar 

  • Larkin, G. L., Claassen, C. A., Emond, J. A., Pelletier, A. J., & Camargo, C. A. (2005). Trends in U.S. emergency department visits for mental health conditions, 1992 to 2001. Psychiatric Services,56(6), 671–677.

    Article  PubMed  Google Scholar 

  • Lee, W. J., Ong, L. Y., Koay, S. N., & Kwan, Z. E. (2017). Early readmissions and associated socio-demographic, clinical factors in a psychiatric hospital, Malaysia. ASEAN Journal of Psychiatry,18(1), 1–9.

    CAS  Google Scholar 

  • Mandarelli, G., Tarsitani, L., Parmigiani, G., et al. (2014). Mental capacity in patients involuntarily or voluntarily receiving psychiatric treatment for an acute mental disorder. Journal of Forensic Sciences,59(4), 1002–1007.

    Article  PubMed  Google Scholar 

  • Moe, J., Kirkland, S., Ospina, M. B., et al. (2016). Mortality, admission rates and outpatient use among frequent users of emergency departments: A systematic review. Emergency Medicine Journal,33(3), 230–236.

    Article  PubMed  Google Scholar 

  • Montemagni, C., Frieri, T., Villari, V., & Rocca, P. (2018). Associations between functional milestones and psychiatric admissions in an urban area: Utility of a cluster-analytical approach. Psychiatria Danubina,30(2), 207–215.

    Article  PubMed  Google Scholar 

  • Moore, B. A., Buono, F. D., Printz, D. M. B., et al. (2017). Customized recommendations and reminder text messages for automated, computer-based treatment during methadone. Experimental and Clinical Psychopharmacology,25(6), 485–495.

    Article  PubMed  PubMed Central  Google Scholar 

  • Nordentoft, M., & Branner, J. (2008). Gender differences in suicidal intent and choice of method among suicide attempters. Crisis,29(4), 209–212.

    Article  PubMed  Google Scholar 

  • O’Donoghue, B., Roche, E., Shannon, S., Lyne, J., Madigan, K., & Feeney, L. (2014). Perceived coercion in voluntary hospital admission. Psychiatry Research,215(1), 120–126.

    Article  PubMed  Google Scholar 

  • Polak, K., Haug, N. A., Drachenberg, H. E., & Svikis, D. S. (2015). Gender considerations in addiction: Implications for treatment. Current Treatment Options in Psychiatry,2(3), 326–338.

    Article  PubMed  PubMed Central  Google Scholar 

  • Richard-Lepouriel, H., Weber, K., Baertschi, M., DiGiorgio, S., Sarasin, F., & Canuto, A. (2015). Predictors of recurrent use of psychiatric emergency services. Psychiatric Services,66(5), 521–526.

    Article  PubMed  Google Scholar 

  • Saxena, P., Messina, N., & Grella, C. E. (2014). Who benefits from gender responsive treatment? Accounting for abuse history on longitudinal outcomes for women in prison. Criminal Justice and Behavior,41(4), 417–432.

    Article  PubMed  PubMed Central  Google Scholar 

  • Schuepbach, D., Goetz, I., Boeker, H., & Hell, D. (2006). Voluntary vs. involuntary hospital admission in acute mania of bipolar disorder: Results from the Swiss sample of the EMBLEM study. Journal of Affective Disorders,90(1), 57–61.

    Article  PubMed  Google Scholar 

  • Sheehan, A. E., Walsh, R. F. L., & Liu, R. T. (2018). Racial and ethnic differences in mental health service utilization in suicidal adults: A nationally representative study. Journal of Psychiatric Research,107, 114–119.

    Article  PubMed  PubMed Central  Google Scholar 

  • Tremblay, P. F., King, P. R., & Baines, G. R. (2017). Clinical and demographic characteristics of voluntary and involuntary psychiatric inpatients. The Canadian Journal of Psychiatry,39(5), 297–299.

    Article  Google Scholar 

  • Unick, G. J., Kessell, E., Woodard, E. K., Leary, M., Dilley, J. W., & Shumway, M. (2011). Factors affecting psychiatric inpatient hospitalization from a psychiatric emergency service. General Hospital Psychiatry,33(6), 618–625.

    Article  PubMed  Google Scholar 

  • Vigod, S. N., Kurdyak, P., Fung, K., et al. (2016). Psychiatric hospitalizations: A comparison by gender, sociodemographics, clinical profile, and postdischarge outcomes. Psychiatric Services,67(12), 1376–1379.

    Article  PubMed  Google Scholar 

  • Way, B. B., & Banks, S. (2001). Clinical factors related to admission and release decisions in psychiatric emergency services. Psychiatric Services,52(2), 214–218.

    Article  CAS  PubMed  Google Scholar 

  • Wilsnack, R. W., Vogeltanz, N. D., Wilsnack, S. C., & Harris, T. R. (2000). Gender differences in alcohol consumption and adverse drinking consequences: Cross-cultural patterns. Addiction,95(2), 251–265.

    Article  CAS  PubMed  Google Scholar 

  • Zhang, S., Mellsop, G., Brink, J., & Wang, X. (2015). Involuntary admission and treatment of patients with mental disorder. Neuroscience Bulletin,31(1), 99–112.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Zhou, J. S., Xiang, Y. T., Zhu, X. M., et al. (2015). Voluntary and involuntary psychiatric admissions in China. Psychiatric Services,66(12), 1341–1346.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1230, New York, NY, USA

    Amir Garakani & Amy S. Aloysi

  2. Yale School of Medicine, New Haven, CT, USA

    Amir Garakani & Frank D. Buono

  3. Silver Hill Hospital, 208 Valley Road, New Canaan, CT, 06840, USA

    Amir Garakani

  4. Fairleigh Dickinson University, Teaneck, NJ, USA

    Brianna M. Cerrito

  5. New York University Langone Medical Center, New York, NY, USA

    Jose M. Martinez

Authors
  1. Amir Garakani
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  2. Brianna M. Cerrito
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  3. Amy S. Aloysi
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  4. Jose M. Martinez
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  5. Frank D. Buono
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Correspondence to Amir Garakani.

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Garakani, A., Cerrito, B.M., Aloysi, A.S. et al. Retrospective Chart Review of Voluntary Admissions to an Inpatient Psychiatric Hospital in New York City: A Demographic Breakdown. Community Ment Health J 56, 448–455 (2020). https://doi.org/10.1007/s10597-019-00498-2

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  • DOI: https://doi.org/10.1007/s10597-019-00498-2

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