Factors affecting readmission of adolescent mental healthcare users to a psychiatric hospital
South African Journal of Psychiatry
| Field | Value | |
| Title | Factors affecting readmission of adolescent mental healthcare users to a psychiatric hospital | |
| Creator | Eichstadt, Stephanie A. Chetty, Shren Magagula, Thulisile G. Swart, Xan | |
| Description | Background: Adolescent mental illness is increasing worldwide, leading to more admissions to psychiatric institutions. Many adolescents may require multiple readmissions, which is disruptive to their holistic well-being and costly for the healthcare sector. Identifying especially modifiable risk factors for readmission remains an important step in providing potential areas for improving patient care.Aim: This study investigated the risk factors associated with the readmission of adolescent mental healthcare users to a specialist psychiatric unit.Setting: The specialist adolescent unit at Weskoppies Psychiatric Hospital.Methods: In this retrospective study, the clinical files of 345 adolescents admitted between 2015 and 2019 were reviewed. The primary outcome variable was readmission, that is, whether a patient was readmitted to Weskoppies Hospital (n = 98) compared to those with no recorded readmission (n = 247).Results: Readmitted adolescents were significantly younger on first admission compared to the non-readmitted group (13.46 vs 14.26, p = 0.016). Bivariate analysis showed that the readmitted group had a much higher rate of non-adherence to treatment (38.1% vs 10.5%, p = 0.001). Patients with a family history of mental illness had a significantly higher risk of readmission (52.2% vs 37.5%, p = 0.015).Conclusions: Adolescents were more likely to be readmitted if they had first admission at a younger age, a family history of mental illness or non-adherence to treatment.Contribution: Identifying especially modifiable risk factors for readmission of adolescents to improve patient care, particularly in the South African context where there is a paucity of research on this topic. | |
| Publisher | AOSIS | |
| Date | 2023-11-15 | |
| Identifier | 10.4102/sajpsychiatry.v29i0.2110 | |
| Source | South African Journal of Psychiatry; Vol 29 (2023); 8 pages 2078-6786 1608-9685 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajp.org.za/index.php/sajp/article/view/2110/3127
https://sajp.org.za/index.php/sajp/article/view/2110/3128
https://sajp.org.za/index.php/sajp/article/view/2110/3129
https://sajp.org.za/index.php/sajp/article/view/2110/3130
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