Identification of factors associated with hospitalization in an outpatient population with mental health conditions: a case–control study
IntroductionAddressing relevant determinants for preserved person-centered rehabilitation in mental health is still a major challenge. Little research focuses on factors associated with psychiatric hospitalization in exclusive outpatient settings. Some variables have been identified, but evidence ac...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-04-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1341160/full |
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| author | Matthieu Lebrat Matthieu Lebrat Rachel Megard Cédric Dananché Luc Zimmer Luc Zimmer Luc Zimmer Julien Plasse Nicolas Franck Nicolas Franck Nicolas Franck |
| author_facet | Matthieu Lebrat Matthieu Lebrat Rachel Megard Cédric Dananché Luc Zimmer Luc Zimmer Luc Zimmer Julien Plasse Nicolas Franck Nicolas Franck Nicolas Franck |
| author_sort | Matthieu Lebrat |
| collection | DOAJ |
| description | IntroductionAddressing relevant determinants for preserved person-centered rehabilitation in mental health is still a major challenge. Little research focuses on factors associated with psychiatric hospitalization in exclusive outpatient settings. Some variables have been identified, but evidence across studies is inconsistent. This study aimed to identify and confirm factors associated with hospitalization in a specific outpatient population.MethodsA retrospective monocentric case-control study with 617 adult outpatients (216 cases and 401 controls) from a French community-based care facility was conducted. Participants had an index outpatient consultation between June 2021 and February 2023. All cases, who were patients with a psychiatric hospitalization from the day after the index outpatient consultation and up to 1 year later, have been included. Controls have been randomly selected from the same facility and did not experience a psychiatric hospitalization in the 12 months following the index outpatient consultation. Data collection was performed from electronic medical records. Sociodemographic, psychiatric diagnosis, historical issues, lifestyle, and follow-up-related variables were collected retrospectively. Uni- and bivariate analyses were performed, followed by a multivariable logistic regression.ResultsVisit to a psychiatric emergency within a year (adjusted odds ratio (aOR): 13.02, 95% confidence interval (CI): 7.32–23.97), drug treatment discontinuation within a year (aOR: 6.43, 95% CI: 3.52–12.03), history of mental healthcare without consent (aOR: 5.48, 95% CI: 3.10–10.06), medical follow-up discontinuation within a year (aOR: 3.17, 95% CI: 1.70–5.95), history of attempted suicide (aOR: 2.50, 95% CI: 1.48–4.30) and unskilled job (aOR: 0.26, 95% CI: 0.10–0.65) are the independent variables found associated with hospitalization for followed up outpatients.ConclusionsPublic health policies and tools at the local and national levels should be adapted to target the identified individual determinants in order to prevent outpatients from being hospitalized. |
| first_indexed | 2024-04-24T07:57:37Z |
| format | Article |
| id | doaj.art-d700097b7b0d4d3c8e733729555ad104 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-24T07:57:37Z |
| publishDate | 2024-04-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Psychiatry |
| spelling | doaj.art-d700097b7b0d4d3c8e733729555ad1042024-04-18T05:09:40ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402024-04-011510.3389/fpsyt.2024.13411601341160Identification of factors associated with hospitalization in an outpatient population with mental health conditions: a case–control studyMatthieu Lebrat0Matthieu Lebrat1Rachel Megard2Cédric Dananché3Luc Zimmer4Luc Zimmer5Luc Zimmer6Julien Plasse7Nicolas Franck8Nicolas Franck9Nicolas Franck10Pôle Centre Rive Gauche, CH Le Vinatier, Bron, FranceUniversité Claude Bernard Lyon 1, Villeurbanne, FrancePôle Centre Rive Gauche, CH Le Vinatier, Bron, FrancePôle Santé Publique, Hospices Civils de Lyon, Lyon, FranceUniversité Claude Bernard Lyon 1, Villeurbanne, FranceUMR 5992 CNRS, U1028 INSERM, Centre de Recherche en Neurosciences de Lyon, Bron, FranceHospices Civils de Lyon, Lyon, FranceUMR 5229 CNRS, Centre Ressource de Réhabilitation psychosociale, Le Vinatier, Bron, FrancePôle Centre Rive Gauche, CH Le Vinatier, Bron, FranceUniversité Claude Bernard Lyon 1, Villeurbanne, FranceUMR 5229 CNRS, Centre Ressource de Réhabilitation psychosociale, Le Vinatier, Bron, FranceIntroductionAddressing relevant determinants for preserved person-centered rehabilitation in mental health is still a major challenge. Little research focuses on factors associated with psychiatric hospitalization in exclusive outpatient settings. Some variables have been identified, but evidence across studies is inconsistent. This study aimed to identify and confirm factors associated with hospitalization in a specific outpatient population.MethodsA retrospective monocentric case-control study with 617 adult outpatients (216 cases and 401 controls) from a French community-based care facility was conducted. Participants had an index outpatient consultation between June 2021 and February 2023. All cases, who were patients with a psychiatric hospitalization from the day after the index outpatient consultation and up to 1 year later, have been included. Controls have been randomly selected from the same facility and did not experience a psychiatric hospitalization in the 12 months following the index outpatient consultation. Data collection was performed from electronic medical records. Sociodemographic, psychiatric diagnosis, historical issues, lifestyle, and follow-up-related variables were collected retrospectively. Uni- and bivariate analyses were performed, followed by a multivariable logistic regression.ResultsVisit to a psychiatric emergency within a year (adjusted odds ratio (aOR): 13.02, 95% confidence interval (CI): 7.32–23.97), drug treatment discontinuation within a year (aOR: 6.43, 95% CI: 3.52–12.03), history of mental healthcare without consent (aOR: 5.48, 95% CI: 3.10–10.06), medical follow-up discontinuation within a year (aOR: 3.17, 95% CI: 1.70–5.95), history of attempted suicide (aOR: 2.50, 95% CI: 1.48–4.30) and unskilled job (aOR: 0.26, 95% CI: 0.10–0.65) are the independent variables found associated with hospitalization for followed up outpatients.ConclusionsPublic health policies and tools at the local and national levels should be adapted to target the identified individual determinants in order to prevent outpatients from being hospitalized.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1341160/fullmental health systemoutpatient clinicdeinstitutionalizationepidemiologypublic health |
| spellingShingle | Matthieu Lebrat Matthieu Lebrat Rachel Megard Cédric Dananché Luc Zimmer Luc Zimmer Luc Zimmer Julien Plasse Nicolas Franck Nicolas Franck Nicolas Franck Identification of factors associated with hospitalization in an outpatient population with mental health conditions: a case–control study Frontiers in Psychiatry mental health system outpatient clinic deinstitutionalization epidemiology public health |
| title | Identification of factors associated with hospitalization in an outpatient population with mental health conditions: a case–control study |
| title_full | Identification of factors associated with hospitalization in an outpatient population with mental health conditions: a case–control study |
| title_fullStr | Identification of factors associated with hospitalization in an outpatient population with mental health conditions: a case–control study |
| title_full_unstemmed | Identification of factors associated with hospitalization in an outpatient population with mental health conditions: a case–control study |
| title_short | Identification of factors associated with hospitalization in an outpatient population with mental health conditions: a case–control study |
| title_sort | identification of factors associated with hospitalization in an outpatient population with mental health conditions a case control study |
| topic | mental health system outpatient clinic deinstitutionalization epidemiology public health |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1341160/full |
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