Advertisement

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

  • Amir GarakaniEmail author
  • Brianna M. Cerrito
  • Amy S. Aloysi
  • Jose M. Martinez
  • Frank D. Buono
Original Paper

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.

Keywords

Voluntary Admissions Demographics Sex Gender Urban setting 

Notes

References

  1. 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.Google Scholar
  2. Appelbaum, P. S. (2002). Privacy in psychiatric treatment: Threats and responses. American Journal of Psychiatry, 159(11), 1809–1818.PubMedGoogle Scholar
  3. 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.Google Scholar
  4. 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.PubMedPubMedCentralGoogle Scholar
  5. 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.PubMedGoogle Scholar
  6. 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.PubMedGoogle Scholar
  7. 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.PubMedGoogle Scholar
  8. Cooper, J. O., Heron, T. E., & Heward, W. L. (2007). Applied behavior analysis (2nd ed.). Upper Saddle River, NJ: Pearson.Google Scholar
  9. 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.PubMedPubMedCentralGoogle Scholar
  10. 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.PubMedPubMedCentralGoogle Scholar
  11. 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.PubMedGoogle Scholar
  12. Feiring, E., & Ugstad, K. N. (2014). Interpretations of legal criteria for involuntary psychiatric admission: A qualitative analysis. BMC Health Services Research, 14, 500.PubMedPubMedCentralGoogle Scholar
  13. 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.PubMedGoogle Scholar
  14. Giacco, D., & Priebe, S. (2016). Suicidality and hostility following involuntary hospital treatment. PLoS ONE, 11(5), e0154458.PubMedPubMedCentralGoogle Scholar
  15. 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.PubMedGoogle Scholar
  16. 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.PubMedGoogle Scholar
  17. 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.PubMedPubMedCentralGoogle Scholar
  18. 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.PubMedGoogle Scholar
  19. 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.PubMedPubMedCentralGoogle Scholar
  20. 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.PubMedGoogle Scholar
  21. 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.PubMedGoogle Scholar
  22. Klitzman, R. L. (2012). US IRBs confronting research in the developing world. Developing World Bioethics, 12(2), 63–73.PubMedPubMedCentralGoogle Scholar
  23. Ku, L., & Matani, S. (2001). Left out: Immigrants’ access to health care and insurance. Health Affairs, 20(1), 247–256.PubMedGoogle Scholar
  24. 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.PubMedGoogle Scholar
  25. 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.Google Scholar
  26. 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.PubMedGoogle Scholar
  27. 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.PubMedGoogle Scholar
  28. 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.PubMedGoogle Scholar
  29. 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.PubMedPubMedCentralGoogle Scholar
  30. Nordentoft, M., & Branner, J. (2008). Gender differences in suicidal intent and choice of method among suicide attempters. Crisis, 29(4), 209–212.PubMedGoogle Scholar
  31. 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.PubMedGoogle Scholar
  32. 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.PubMedPubMedCentralGoogle Scholar
  33. 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.PubMedGoogle Scholar
  34. 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.PubMedPubMedCentralGoogle Scholar
  35. 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.PubMedGoogle Scholar
  36. 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.PubMedGoogle Scholar
  37. 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.Google Scholar
  38. 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.PubMedGoogle Scholar
  39. 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.PubMedGoogle Scholar
  40. Way, B. B., & Banks, S. (2001). Clinical factors related to admission and release decisions in psychiatric emergency services. Psychiatric Services, 52(2), 214–218.PubMedGoogle Scholar
  41. 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.PubMedGoogle Scholar
  42. Zhang, S., Mellsop, G., Brink, J., & Wang, X. (2015). Involuntary admission and treatment of patients with mental disorder. Neuroscience Bulletin, 31(1), 99–112.PubMedPubMedCentralGoogle Scholar
  43. 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.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Icahn School of Medicine at Mount SinaiNew YorkUSA
  2. 2.Yale School of MedicineNew HavenUSA
  3. 3.Silver Hill HospitalNew CanaanUSA
  4. 4.Fairleigh Dickinson UniversityTeaneckUSA
  5. 5.New York University Langone Medical CenterNew YorkUSA

Personalised recommendations