Sociodemographic and Clinical Predictors of the Length of Psychiatric Inpatient Stay of Immigrants in Switzerland

Immigrants with mental disorders have consistently been reported to spend shorter time in the psychiatric hospital compared to native patients. The aim of this study was to identify sociodemographic, clinical and migration-related predictors of a shorter length of psychiatric inpatient stay among im...

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Main Authors: Renée Frizi, Barbara Lay, Erich Seifritz, Wolfram Kawohl, Benedikt Habermeyer, Patrik Roser
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-12-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2020.585798/full
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author Renée Frizi
Barbara Lay
Erich Seifritz
Wolfram Kawohl
Benedikt Habermeyer
Patrik Roser
author_facet Renée Frizi
Barbara Lay
Erich Seifritz
Wolfram Kawohl
Benedikt Habermeyer
Patrik Roser
author_sort Renée Frizi
collection DOAJ
description Immigrants with mental disorders have consistently been reported to spend shorter time in the psychiatric hospital compared to native patients. The aim of this study was to identify sociodemographic, clinical and migration-related predictors of a shorter length of psychiatric inpatient stay among immigrants in Switzerland. All patients of a foreign nationality admitted for inpatient treatment in the year 2016 (N = 279) were included in this study. The sample characteristics were drawn from the register of the psychiatric hospital. Within this sample, self-harm and substance use predicted a shorter inpatient treatment episode whereas disturbances of general psychosocial functioning were a predictor of a longer length of stay. As similar results were also reported for non-immigrant patients, the impact of these specific behavioral and social problems on the length of inpatient stay does not appear to be migrant-specific. Moreover, a country of origin outside Europe was a strong predictor of shorter length of stay pointing to inequalities of inpatient psychiatric treatment within the group of immigrants. Therefore, the cultural background and migrant history of immigrants in psychiatry need stronger consideration in order to eliminate disadvantages in mental health care.
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spelling doaj.art-46c7f7c1e9354bb4b884e7605d5c60652022-12-21T22:08:45ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402020-12-011110.3389/fpsyt.2020.585798585798Sociodemographic and Clinical Predictors of the Length of Psychiatric Inpatient Stay of Immigrants in SwitzerlandRenée Frizi0Barbara Lay1Erich Seifritz2Wolfram Kawohl3Benedikt Habermeyer4Patrik Roser5Department of Psychiatry and Psychotherapy, Psychiatric Services Aargau, Academic Teaching Hospital of the University of Zurich, Windisch, SwitzerlandDepartment of Psychiatry and Psychotherapy, Psychiatric Services Aargau, Academic Teaching Hospital of the University of Zurich, Windisch, SwitzerlandDepartment of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric University Hospital, University of Zurich, Zurich, SwitzerlandDepartment of Psychiatry and Psychotherapy, Psychiatric Services Aargau, Academic Teaching Hospital of the University of Zurich, Windisch, SwitzerlandDepartment of Psychiatry and Psychotherapy, Psychiatric Services Aargau, Academic Teaching Hospital of the University of Zurich, Windisch, SwitzerlandDepartment of Psychiatry and Psychotherapy, Psychiatric Services Aargau, Academic Teaching Hospital of the University of Zurich, Windisch, SwitzerlandImmigrants with mental disorders have consistently been reported to spend shorter time in the psychiatric hospital compared to native patients. The aim of this study was to identify sociodemographic, clinical and migration-related predictors of a shorter length of psychiatric inpatient stay among immigrants in Switzerland. All patients of a foreign nationality admitted for inpatient treatment in the year 2016 (N = 279) were included in this study. The sample characteristics were drawn from the register of the psychiatric hospital. Within this sample, self-harm and substance use predicted a shorter inpatient treatment episode whereas disturbances of general psychosocial functioning were a predictor of a longer length of stay. As similar results were also reported for non-immigrant patients, the impact of these specific behavioral and social problems on the length of inpatient stay does not appear to be migrant-specific. Moreover, a country of origin outside Europe was a strong predictor of shorter length of stay pointing to inequalities of inpatient psychiatric treatment within the group of immigrants. Therefore, the cultural background and migrant history of immigrants in psychiatry need stronger consideration in order to eliminate disadvantages in mental health care.https://www.frontiersin.org/articles/10.3389/fpsyt.2020.585798/fullimmigrantsmental disorderspsychiatric hospitalizationinpatient treatmentlength of stay
spellingShingle Renée Frizi
Barbara Lay
Erich Seifritz
Wolfram Kawohl
Benedikt Habermeyer
Patrik Roser
Sociodemographic and Clinical Predictors of the Length of Psychiatric Inpatient Stay of Immigrants in Switzerland
Frontiers in Psychiatry
immigrants
mental disorders
psychiatric hospitalization
inpatient treatment
length of stay
title Sociodemographic and Clinical Predictors of the Length of Psychiatric Inpatient Stay of Immigrants in Switzerland
title_full Sociodemographic and Clinical Predictors of the Length of Psychiatric Inpatient Stay of Immigrants in Switzerland
title_fullStr Sociodemographic and Clinical Predictors of the Length of Psychiatric Inpatient Stay of Immigrants in Switzerland
title_full_unstemmed Sociodemographic and Clinical Predictors of the Length of Psychiatric Inpatient Stay of Immigrants in Switzerland
title_short Sociodemographic and Clinical Predictors of the Length of Psychiatric Inpatient Stay of Immigrants in Switzerland
title_sort sociodemographic and clinical predictors of the length of psychiatric inpatient stay of immigrants in switzerland
topic immigrants
mental disorders
psychiatric hospitalization
inpatient treatment
length of stay
url https://www.frontiersin.org/articles/10.3389/fpsyt.2020.585798/full
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