Risk Factors for Inpatient Psychiatric Readmission: Are There Gender Differences?

Katherine Rieke, Corey McGeary, Kendra K. Schmid, Shinobu Watanabe-Galloway

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

The objectives of the study were to compare characteristics of women and men discharged from an inpatient psychiatric facility and to identify gender-specific risk factors associated with 30-day and 1-year readmission using administrative data. The sample included adults discharged from an inpatient psychiatric facility in a Midwestern city (N = 1853). The analysis showed that the 30-day readmission rate was significantly lower among women, but there was no difference in the 1-year readmission rate. Risk factors for readmission differed by gender. For example, for 30-day readmission, being on Medicare versus commercial insurance increased the odds for women (OR 3.08; 95 % CI 1.35–7.04) and taking first-generation antipsychotics versus no antipsychotics increased the odds for men (OR 2.09; 95 % CI 1.26–3.48). These findings suggest there are important differences between women and men readmitted to an inpatient psychiatric facility. Future strategies need to take into account gender-specific risk factors in order to improve long-term patient outcomes.

Original languageEnglish (US)
Pages (from-to)675-682
Number of pages8
JournalCommunity Mental Health Journal
Volume52
Issue number6
DOIs
StatePublished - Aug 1 2016

Keywords

  • Adult
  • Gender
  • Inpatient admission
  • Psychiatric readmission

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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