Prevalence and predictors of involuntary psychiatric hospital admissions in Ontario, Canada: a population-based linked administrative database study

BJPsych Open
Michael LebenbaumPaul Kurdyak

Abstract

Involuntary admissions to psychiatric hospitals are common; however, research examining the trends in prevalence over time and predictors is limited. Aims To examine trends in prevalence and risk factors for involuntary admissions in Ontario, Canada. We conducted an analysis of all mental health bed admissions from 2009 to 2013 and assessed the association between patient sociodemographics, service utilisation, pathway to care and severity characteristics for involuntary admissions using a modified Poisson regression. We found a high and increasing prevalence of involuntary admissions (70.7% in 2009, 77.1% in 2013, 74.1% overall). Individuals with police contact in the prior week (risk ratio (RR) = 1.20) and immigrants both experienced greater likelihood of being involuntarily admitted, regardless of control for other characteristics (RR = 1.07) (both P < 0.0001). We identified numerous modifiable and non-modifiable risk factors for involuntary admissions. The prevalence of involuntary admissions was high, linearly increasing over time. Declaration of interest The authors have completed the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported. This study was conducted using funding entirely from p...Continue Reading

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Citations

Oct 29, 2018·Social Psychiatry and Psychiatric Epidemiology·Stephanie R PenneyAlexander I F Simpson
Apr 20, 2019·Journal of Neurosciences in Rural Practice·Guru S GowdaSuresh Bada Math
May 15, 2020·European Psychiatry : the Journal of the Association of European Psychiatrists·Joanne E PlahourasDaniel M Blumberger
Feb 20, 2019·Administration and Policy in Mental Health·Richard O'ReillyTarun Bastiampiallai
Jan 8, 2021·International Journal of Law and Psychiatry·Anthony J O'BrienDaniel J Exeter
Mar 12, 2021·International Journal of Mental Health Nursing·Etienne Paradis-GagnéClara Lessard-Deschênes
Dec 24, 2020·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Sangeeta DeyMatthew Jenkins
Apr 22, 2021·International Journal of Mental Health Systems·Manuela SilvaGraça Cardoso
Jul 14, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Sommer KnightCécile Rousseau
Sep 23, 2021·Journal of Psychiatric and Mental Health Nursing·Clara Lessard-Deschênes, Marie-Hélène Goulet

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