Psychiatric intervention and repeated admission to emergency centres due to drug overdose
Background Repeated drug overdose is a major risk factor for suicide. Data are lacking on the effect of psychiatric intervention on preventing repeated drug overdose. Aims To investigate whether psych...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2015-10-01
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| Series: | BJPsych Open |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472400001022/type/journal_article |
| _version_ | 1811157075190874112 |
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| author | Akiko Kanehara Hayato Yamana Hideo Yasunaga Hiroki Matsui Shuntaro Ando Tsuyoshi Okamura Yousuke Kumakura Kiyohide Fushimi Kiyoto Kasai |
| author_facet | Akiko Kanehara Hayato Yamana Hideo Yasunaga Hiroki Matsui Shuntaro Ando Tsuyoshi Okamura Yousuke Kumakura Kiyohide Fushimi Kiyoto Kasai |
| author_sort | Akiko Kanehara |
| collection | DOAJ |
| description |
Background
Repeated drug overdose is a major risk factor for suicide. Data are lacking on the effect of psychiatric intervention on preventing repeated drug overdose.
Aims
To investigate whether psychiatric intervention was associated with reduced readmission to emergency centres due to drug overdose.
Method
Using a Japanese national in-patient database, we identified patients who were first admitted to emergency centres for drug overdose in 2010–2012. We used propensity score matching for patient and hospital factors to compare readmission rates between intervention (patients undergoing psychosocial assessment) and unexposed groups.
Results
Of 29 564 eligible patients, 13 035 underwent psychiatric intervention. In the propensity-matched 7938 pairs, 1304 patients were readmitted because of drug overdose. Readmission rate was lower in the intervention than in the unexposed group (7.3% v. 9.1% respectively, P<0.001).
Conclusions
Psychiatric intervention was associated with reduced readmission in patients who had taken a drug overdose.
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| first_indexed | 2024-04-10T05:01:12Z |
| format | Article |
| id | doaj.art-3d6ea9a9d76747c3a72d05de6ae964a1 |
| institution | Directory Open Access Journal |
| issn | 2056-4724 |
| language | English |
| last_indexed | 2024-04-10T05:01:12Z |
| publishDate | 2015-10-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj.art-3d6ea9a9d76747c3a72d05de6ae964a12023-03-09T12:28:35ZengCambridge University PressBJPsych Open2056-47242015-10-01115816310.1192/bjpo.bp.115.002204Psychiatric intervention and repeated admission to emergency centres due to drug overdoseAkiko Kanehara0Hayato Yamana1Hideo Yasunaga2Hiroki Matsui3Shuntaro Ando4Tsuyoshi Okamura5Yousuke Kumakura6Kiyohide Fushimi7Kiyoto Kasai8Department of Youth Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo, JapanDepartment of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, Tokyo, JapanDepartment of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, Tokyo, JapanDepartment of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, Tokyo, JapanDepartment of Health Policy and Informatics, Tokyo Medical and Dental University Graduate School of Medicine, Tokyo, JapanDepartment of Neuropsychiatry, The University of Tokyo Hospital, Tokyo, JapanDepartment of Neuropsychiatry, The University of Tokyo Hospital, Tokyo, JapanDepartment of Health Policy and Informatics, Tokyo Medical and Dental University Graduate School of Medicine, Tokyo, JapanDepartment of Neuropsychiatry, The University of Tokyo Hospital, Tokyo, Japan Background Repeated drug overdose is a major risk factor for suicide. Data are lacking on the effect of psychiatric intervention on preventing repeated drug overdose. Aims To investigate whether psychiatric intervention was associated with reduced readmission to emergency centres due to drug overdose. Method Using a Japanese national in-patient database, we identified patients who were first admitted to emergency centres for drug overdose in 2010–2012. We used propensity score matching for patient and hospital factors to compare readmission rates between intervention (patients undergoing psychosocial assessment) and unexposed groups. Results Of 29 564 eligible patients, 13 035 underwent psychiatric intervention. In the propensity-matched 7938 pairs, 1304 patients were readmitted because of drug overdose. Readmission rate was lower in the intervention than in the unexposed group (7.3% v. 9.1% respectively, P<0.001). Conclusions Psychiatric intervention was associated with reduced readmission in patients who had taken a drug overdose. https://www.cambridge.org/core/product/identifier/S2056472400001022/type/journal_article |
| spellingShingle | Akiko Kanehara Hayato Yamana Hideo Yasunaga Hiroki Matsui Shuntaro Ando Tsuyoshi Okamura Yousuke Kumakura Kiyohide Fushimi Kiyoto Kasai Psychiatric intervention and repeated admission to emergency centres due to drug overdose BJPsych Open |
| title | Psychiatric intervention and repeated admission to emergency centres due to drug overdose |
| title_full | Psychiatric intervention and repeated admission to emergency centres due to drug overdose |
| title_fullStr | Psychiatric intervention and repeated admission to emergency centres due to drug overdose |
| title_full_unstemmed | Psychiatric intervention and repeated admission to emergency centres due to drug overdose |
| title_short | Psychiatric intervention and repeated admission to emergency centres due to drug overdose |
| title_sort | psychiatric intervention and repeated admission to emergency centres due to drug overdose |
| url | https://www.cambridge.org/core/product/identifier/S2056472400001022/type/journal_article |
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