Sood Shabnam, Ramos Gilbert, Van Der Veer Nancy, Bay Curt, Kaur B Rose, Nasef Amr, Ayutyanot Napatkamon
Maricopa Integrated Health Systems, Phoenix, AZ, USA.
District Medical Group, Phoenix, AZ, USA.
Psychiatr Psychol Law. 2020 Apr 20;27(4):637-646. doi: 10.1080/13218719.2020.1742236. eCollection 2020.
We have noticed an increase in the number of patients who go through the court-ordered evaluation (COE) process but are not placed on a court-ordered treatment, and who then return to the hospital on another COE petition within one year from their initial discharge. The aim of this study is to examine what factors might be involved in rehospitalization in this population of psychiatric patients. The records of 146 readmitted patients and 146 randomized patients not readmitted were compared for various risk factors. Data were analyzed using univariate and mutivariate procedures. All patients who had diagnoses of substance-induced mood or psychotic disorders were readmitted within one year. Other risk factors included younger age, seriously mentally ill (SMI) status, longer length of stay and having a psychotic or schizophrenia spectrum disorder. Substance-induced mood or psychotic disorder may play significant roles for patients who are rehospitalized within a year of initial COE.
我们注意到，接受法庭命令评估（COE）程序但未被安排接受法庭命令治疗的患者数量有所增加，这些患者在首次出院后的一年内又因另一项COE申请而返回医院。本研究的目的是探讨哪些因素可能与这类精神科患者的再次住院有关。对146例再次入院患者和146例随机选取的未再次入院患者的记录进行了各种风险因素的比较。采用单变量和多变量程序对数据进行分析。所有被诊断为物质所致心境或精神障碍的患者均在一年内再次入院。其他风险因素包括年龄较小、患有严重精神疾病（SMI）、住院时间较长以及患有精神障碍或精神分裂症谱系障碍。物质所致心境或精神障碍可能对首次COE后一年内再次住院的患者起重要作用。
