Elin Anita Fadum1, Barbara Stanley2, Ping Qin3, Lien My Diep4, Lars Mehlum3. 1. National Centre for Suicide Research and Prevention, Institute of Clinical Medicine, University of Oslo, Norway. Electronic address: fadumelin@gmail.com. 2. National Centre for Suicide Research and Prevention, Institute of Clinical Medicine, University of Oslo, Norway; Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY, USA; Molecular Imaging and Neuropathology Division and Suicide Prevention Training, Implementation and Evaluation Program in the Center for Practice Innovation, New York State Psychiatric Institute, New York, NY, USA. 3. National Centre for Suicide Research and Prevention, Institute of Clinical Medicine, University of Oslo, Norway. 4. National Centre for Suicide Research and Prevention, Institute of Clinical Medicine, University of Oslo, Norway; Department of Biostatistics, Epidemiology and Health Economics, Oslo University Hospital, Norway.
Abstract
OBJECTIVE: To examine characteristics of hospital admissions and risk factors associated with rehospitalization for self-poisoning with medications in adolescents aged 10-19 years. METHOD: This study used data from the Norwegian Patient Register from 2008 to 2011. The main outcome was hospital readmission within the observation period. A complementary log-log regression model was used to assess the effect of characteristics at index hospital admission on readmission. RESULTS: Of 1497 patients, 76.4% were females and 89.8% were aged 15-19 years. At their first hospital admission, about one third received a secondary psychiatric diagnosis. Females (47.5%) were registered with an E-code for intentional self-harm more often than males (33.7%), and females were more often than males discharged to further treatment (27.8% vs. 21.5%). As many as 18.4% were rehospitalized for self-poisoning by medications. Significant predictors for hospital readmission were female sex [hazard ratio (HR) = 2.4, 95% confidence interval (CI) 1.7-3.6], discharge to further treatment (HR = 2.3, 95% CI 1.8-2.9) and psychiatric secondary diagnoses (HR = 1.5, 95% CI 1.2-1.9). CONCLUSION: This national study demonstrated significant sex differences in adolescents treated in hospital for self-poisoning with medications. Psychiatric secondary diagnoses had a strong predictive effect on readmission, which indicates the importance of psychiatric/psychosocial assessment of adolescents who are admitted to hospital for self-poisoning with medications.
OBJECTIVE: To examine characteristics of hospital admissions and risk factors associated with rehospitalization for self-poisoning with medications in adolescents aged 10-19 years. METHOD: This study used data from the Norwegian Patient Register from 2008 to 2011. The main outcome was hospital readmission within the observation period. A complementary log-log regression model was used to assess the effect of characteristics at index hospital admission on readmission. RESULTS: Of 1497 patients, 76.4% were females and 89.8% were aged 15-19 years. At their first hospital admission, about one third received a secondary psychiatric diagnosis. Females (47.5%) were registered with an E-code for intentional self-harm more often than males (33.7%), and females were more often than males discharged to further treatment (27.8% vs. 21.5%). As many as 18.4% were rehospitalized for self-poisoning by medications. Significant predictors for hospital readmission were female sex [hazard ratio (HR) = 2.4, 95% confidence interval (CI) 1.7-3.6], discharge to further treatment (HR = 2.3, 95% CI 1.8-2.9) and psychiatric secondary diagnoses (HR = 1.5, 95% CI 1.2-1.9). CONCLUSION: This national study demonstrated significant sex differences in adolescents treated in hospital for self-poisoning with medications. Psychiatric secondary diagnoses had a strong predictive effect on readmission, which indicates the importance of psychiatric/psychosocial assessment of adolescents who are admitted to hospital for self-poisoning with medications.
Authors: Stephanie Doupnik; Jonathan Rodean; Bonnie T Zima; Tumaini R Coker; Diana Worsley; Kris P Rehm; James C Gay; Matt Hall; Steve Marcus Journal: J Hosp Med Date: 2018-11 Impact factor: 2.960
Authors: Ragnar Nesvåg; Erik G Jönsson; Inger Johanne Bakken; Gun Peggy Knudsen; Thomas D Bjella; Ted Reichborn-Kjennerud; Ingrid Melle; Ole A Andreassen Journal: BMC Psychiatry Date: 2017-03-14 Impact factor: 3.630