The determinants and outcomes of long-stay psychiatric admissions: a case-control study.

摘要: Acute psychiatric admissions lasting over 6 months (long-stays) continue to occur in England. Previous studies have suggested an association between long-stay and both schizophrenia challenging behaviour, as well rehousing or placement difficulties, but no UK study date has compared such cases with control admissions. We performed a case–control study. All patients present on acute general wards serving the London Boroughs of Croydon, Lambeth, Lewisham Southwark November 1st 2004 were group ‘next admitted’ controls. followed up 1 year later determine whether they still hospital, and, if not, where living. In unadjusted comparisons long stay was associated schizophrenia, non-white ethnicity, admission not due suicidality, violence, severe illness need for rehousing. A logistic regression used adjust associations among exposures only severity remained long-stay. After year, two-thirds living out hospital. Case–control may usefully contribute complex social phenomenon Further research should address how combination individual socially-determined effects that we found operate together course generate long-stays.