Factors associated with involuntary psychiatric hospitalization in Portugal

Detalhes bibliográficos
Autor(a) principal: Silva, Manuela
Data de Publicação: 2021
Outros Autores: Antunes, Ana, Azeredo-Lopes, Sofia, Loureiro, Adriana, Saraceno, Benedetto, Caldas-de-Almeida, José Miguel, Cardoso, Graça
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/119308
Resumo: Funding This study integrated the research project “Mental Health, Impact Assessment of Local and Economic Constraints—SMAILE”, funded by the Foundation for Science and Technology (PTDC/ATP-GEO/4101/2012). The present publication was funded by Fundação Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020).
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spelling Factors associated with involuntary psychiatric hospitalization in PortugalCompulsory admissionHealth policyHealth systemInvoluntary psychiatric hospitalizationInvoluntary psychiatric treatmentMental health servicesPhychiatric Mental HealthHealth PolicyPublic Health, Environmental and Occupational HealthPsychiatry and Mental healthSDG 3 - Good Health and Well-beingFunding This study integrated the research project “Mental Health, Impact Assessment of Local and Economic Constraints—SMAILE”, funded by the Foundation for Science and Technology (PTDC/ATP-GEO/4101/2012). The present publication was funded by Fundação Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020).Background: Identifying which factors contribute to involuntary psychiatric hospitalization may support initiatives to reduce its frequency. This study examines the sociodemographic, clinical, and contextual factors associated with involuntary hospitalization of patients from five Portuguese psychiatric departments in 2002, 2007 and 2012. Methods: Data from all admissions were extracted from clinical files. A Poisson generalized linear model estimated the association between the number of involuntary hospitalizations per patient in one year and sociodemographic, clinical, and contextual factors. Results: An increment of involuntary hospitalizations was associated with male gender [exp(β ^) = 1.31; 95%CI 1.06–1.62, p < 0.05], having secondary and higher education [exp(β ^) = 1.45; 95%CI 1.05–2.01, p < 0.05, and exp(β ^) = 1.89; 95%CI 1.38–2.60, p < 0.001, respectively], a psychiatric diagnosis of psychosis [exp(β ^) = 2.02; 95%CI 1.59–2.59, p < 0.001], and being admitted in 2007 and in 2012 [exp(β ^) = 1.61; 95%CI 1.21–2.16, p < 0.01, and exp(β ^) = 1.73; 95%CI 1.31–2.32, p < 0.001, respectively]. A decrease in involuntary hospitalizations was associated with being married/cohabitating [exp(β ^) = 0.74; 95%CI 0.56–0.99, p < 0.05], having experienced a suicide attempt [exp(β ^) = 0.26; 95%CI 0.15–0.42, p < 0.001], and belonging to the catchment area of three of the psychiatric services evaluated [exp(β ^) = 0.65; 95%CI 0.49–0.86, p < 0.01, exp(β ^) = 0.67; 95%CI 0.49–0.90, p < 0.01, and exp(β ^) = 0.67; 95%CI 0.46–0.96, p < 0.05 for Hospital de Magalhães Lemos, Centro Hospitalar Psiquiátrico de Lisboa and Unidade Local de Saúde do Baixo Alentejo, respectively]. Conclusions: The findings suggest that involuntary psychiatric hospitalizations in Portugal are associated with several sociodemographic, clinical, and contextual factors. This information may help identify high-risk patients and inform the development of better-targeted preventive interventions to reduce these hospitalizations.Comprehensive Health Research Centre (CHRC) - pólo NMSNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNSilva, ManuelaAntunes, AnaAzeredo-Lopes, SofiaLoureiro, AdrianaSaraceno, BenedettoCaldas-de-Almeida, José MiguelCardoso, Graça2021-06-15T22:20:55Z2021-042021-04-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/119308eng1752-4458PURE: 29566693https://doi.org/10.1186/s13033-021-00460-4info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:01:49Zoai:run.unl.pt:10362/119308Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:44:01.133450Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Factors associated with involuntary psychiatric hospitalization in Portugal
title Factors associated with involuntary psychiatric hospitalization in Portugal
spellingShingle Factors associated with involuntary psychiatric hospitalization in Portugal
Silva, Manuela
Compulsory admission
Health policy
Health system
Involuntary psychiatric hospitalization
Involuntary psychiatric treatment
Mental health services
Phychiatric Mental Health
Health Policy
Public Health, Environmental and Occupational Health
Psychiatry and Mental health
SDG 3 - Good Health and Well-being
title_short Factors associated with involuntary psychiatric hospitalization in Portugal
title_full Factors associated with involuntary psychiatric hospitalization in Portugal
title_fullStr Factors associated with involuntary psychiatric hospitalization in Portugal
title_full_unstemmed Factors associated with involuntary psychiatric hospitalization in Portugal
title_sort Factors associated with involuntary psychiatric hospitalization in Portugal
author Silva, Manuela
author_facet Silva, Manuela
Antunes, Ana
Azeredo-Lopes, Sofia
Loureiro, Adriana
Saraceno, Benedetto
Caldas-de-Almeida, José Miguel
Cardoso, Graça
author_role author
author2 Antunes, Ana
Azeredo-Lopes, Sofia
Loureiro, Adriana
Saraceno, Benedetto
Caldas-de-Almeida, José Miguel
Cardoso, Graça
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Comprehensive Health Research Centre (CHRC) - pólo NMS
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
RUN
dc.contributor.author.fl_str_mv Silva, Manuela
Antunes, Ana
Azeredo-Lopes, Sofia
Loureiro, Adriana
Saraceno, Benedetto
Caldas-de-Almeida, José Miguel
Cardoso, Graça
dc.subject.por.fl_str_mv Compulsory admission
Health policy
Health system
Involuntary psychiatric hospitalization
Involuntary psychiatric treatment
Mental health services
Phychiatric Mental Health
Health Policy
Public Health, Environmental and Occupational Health
Psychiatry and Mental health
SDG 3 - Good Health and Well-being
topic Compulsory admission
Health policy
Health system
Involuntary psychiatric hospitalization
Involuntary psychiatric treatment
Mental health services
Phychiatric Mental Health
Health Policy
Public Health, Environmental and Occupational Health
Psychiatry and Mental health
SDG 3 - Good Health and Well-being
description Funding This study integrated the research project “Mental Health, Impact Assessment of Local and Economic Constraints—SMAILE”, funded by the Foundation for Science and Technology (PTDC/ATP-GEO/4101/2012). The present publication was funded by Fundação Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020).
publishDate 2021
dc.date.none.fl_str_mv 2021-06-15T22:20:55Z
2021-04
2021-04-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/119308
url http://hdl.handle.net/10362/119308
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1752-4458
PURE: 29566693
https://doi.org/10.1186/s13033-021-00460-4
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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