Hospital admissions related to mental disorders in U.S. Army soldiers in Iraq and Afghanistan

IntroductionEvidence shows that the prevalence and severity of mental disorders and the need for psychiatric admission is influenced by socio-demographic and contextual factors.ObjectivesTo characterize the severity of hospital admissions for psychiatric care due to common mental disorders and psychosis in Portugal.AimsThis retrospective study analyses all acute psychiatric admissions for common mental disorders and psychosis in four Portuguese departments of psychiatry in the metropolitan areas of Lisbon and Porto, and investigates the association of their severity with socio-demographic and clinical factors.MethodsSocio-demographic and clinical variables were obtained from the clinical charts of psychiatric admissions in 2002, 2007 and 2012 (n = 2621). The number of hospital admissions per year (>1) and the length of hospital stay (31 days) were defined as measures of hospital admission severity. Logistic regression analysis was used to assess which socio-demographic and clinical factors were associated with both hospital admission severity outcomes.ResultsResults showed different predictors for each outcome. Being widowed, low level of education, being retired, having psychiatric co-morbidity, and a compulsory admission were statistically associated (P < 0.05) with a higher number of hospital admissions. Being single or widowed, being retired, a diagnosis of psychosis, and a compulsory admission were associated with higher length of hospital stay, while having suicidal ideation was associated with a lower length of hospital stay.ConclusionsSocio-demographic and clinical characteristics of the patients are determinants of hospital admissions for psychiatric care and of their severity.Funding Fundação para a Ciência e Tecnologia (FCT), Portugal.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Prior Mental Disorders and Lifetime Suicidal Behaviors Among US Army Soldiers in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS)

Suicide and Life-Threatening Behavior ◽

10.1111/sltb.12394 ◽

2017 ◽

Vol 49 (1) ◽

pp. 3-22 ◽

Cited By ~ 8

Author(s):

Alexander J. Millner ◽

Robert J. Ursano ◽

Irving Hwang ◽

Andrew J. King ◽

James A. Naifeh ◽

...

Keyword(s):

Mental Disorders ◽

Risk And Resilience ◽

Suicidal Behaviors ◽

Us Army ◽

Army Soldiers

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Effects of ambient temperature on daily hospital admissions for mental disorders in Shanghai, China: A time-series analysis

The Science of The Total Environment ◽

10.1016/j.scitotenv.2017.02.237 ◽

2017 ◽

Vol 590-591 ◽

pp. 281-286 ◽

Cited By ~ 38

Author(s):

Zhuoxin Peng ◽

Qi Wang ◽

Haidong Kan ◽

Renjie Chen ◽

Weibing Wang

Keyword(s):

Time Series ◽

Mental Disorders ◽

Time Series Analysis ◽

Ambient Temperature ◽

Hospital Admissions ◽

Series Analysis

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Health Care Management Models for the Evolution of Hospitalization in Acute Inpatient Psychiatry Units: Comparative Quantitative Study (Preprint)

10.2196/preprints.15776 ◽

2019 ◽

Author(s):

Susel Góngora Alonso ◽

Beatriz Sainz-De-Abajo ◽

Isabel De la Torre-Díez ◽

Manuel Franco-Martin

Keyword(s):

Health Care ◽

Mental Disorders ◽

Hospital Admissions ◽

Hospital Costs ◽

Hospital Management ◽

Management Model ◽

Inpatient Psychiatry ◽

Mental Diseases ◽

Hospital Days ◽

The Impact

BACKGROUND Mental health disorders are a problem that affects patients, their families, and the professionals who treat them. Hospital admissions play an important role in caring for people with these diseases due to their effect on quality of life and the high associated costs. In Spain, at the Healthcare Complex of Zamora, a new disease management model is being implemented, consisting of not admitting patients with mental diseases to the hospital. Instead, they are supervised in sheltered apartments or centers for patients with these types of disorders. OBJECTIVE The main goal of this research is to evaluate the evolution of hospital days of stay of patients with mental disorders in different hospitals in a region of Spain, to analyze the impact of the new hospital management model. METHODS For the development of this study, a database of patients with mental disorders was used, taking into account the acute inpatient psychiatry unit of 11 hospitals in a region of Spain. SPSS Statistics for Windows, version 23.0 (IBM Corp), was used to calculate statistical values related to hospital days of stay of patients. The data included are from the periods of 2005-2011 and 2012-2015. RESULTS After analyzing the results, regarding the days of stay in the different health care complexes for the period between 2005 and 2015, we observed that since 2012 at the Healthcare Complex of Zamora, the total number of days of stay were reduced by 64.69%. This trend is due to the implementation of a new hospital management model in this health complex. CONCLUSIONS With the application of a new hospital management model at the Healthcare Complex of Zamora, the number of days of stay of patients with mental diseases as well as the associated hospital costs were considerably reduced.

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A closer look at the epidemiology of schizophrenia and common mental disorders in Brazil

Dementia & Neuropsychologia ◽

10.1590/1980-57642020dn14-030009 ◽

2020 ◽

Vol 14 (3) ◽

pp. 283-289

Author(s):

Randhall Bruce Carteri ◽

Jean Pierre Oses ◽

Taiane de Azevedo Cardoso ◽

Fernanda Pedrotti Moreira ◽

Karen Jansen ◽

...

Keyword(s):

Mental Disorders ◽

Health System ◽

Hospital Admissions ◽

Common Mental Disorders ◽

Age Groups ◽

Epidemiologic Studies ◽

Emerging Countries ◽

Unified Health System ◽

Hospital Expenses ◽

The Impact

ABSTRACT. Schizophrenia and common mental disorders are noteworthy social and economic concern worldwide. Epidemiologic studies on the impact of specific mental disorders in emerging countries are scarce. Objectives: We aimed to characterize the demographic, social, and economic burden of schizophrenia and common mental disorders patients in the health system in Brazil. Methods: Data on these conditions in Brazil between 2008 and 2019 were collected through the website of the Departamento de Informática do Sistema Único de Saúde (Information Technology Department of the Unified Health System - DATASUS) maintained by the Brazilian Ministry of Health. Mean annual hospital admissions were 154,009.67, and cumulative incidence of 77.44 admissions per 100,000 inhabitants. Results: Average annual hospital expenses were US$ 67,216,056.04, with an average admission cost of US$ 432.58. The most affected age groups were older adults albeit younger individuals showed a trend towards increase of occurrences in recent years. There were a higher number of admissions in men compared to women. Conclusions: We consider the results obtained important to assist in evaluating and guiding public policies regarding the prevention and treatment in health systems.

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