Title

Factors Associated With Psychiatric Readmission of Youths in a Racially Diverse and Urban Hospital Setting

Authors

Olivia R. Soutullo, Children's National Hospital, Washington, D.C. (all authors); Department of Pediatrics (Soutullo, Godoy, Tyson, Long) and Department of Psychiatry and Behavioral Sciences (Soutullo, Godoy, Tyson), School of Medicine and Health Sciences, George Washington University, Washington, D.C.
Folami Duncan, Children's National Hospital, Washington, D.C. (all authors); Department of Pediatrics (Soutullo, Godoy, Tyson, Long) and Department of Psychiatry and Behavioral Sciences (Soutullo, Godoy, Tyson), School of Medicine and Health Sciences, George Washington University, Washington, D.C.
Lael Coleman, Children's National Hospital, Washington, D.C. (all authors); Department of Pediatrics (Soutullo, Godoy, Tyson, Long) and Department of Psychiatry and Behavioral Sciences (Soutullo, Godoy, Tyson), School of Medicine and Health Sciences, George Washington University, Washington, D.C.
Stephanie J. Mitchell, Children's National Hospital, Washington, D.C. (all authors); Department of Pediatrics (Soutullo, Godoy, Tyson, Long) and Department of Psychiatry and Behavioral Sciences (Soutullo, Godoy, Tyson), School of Medicine and Health Sciences, George Washington University, Washington, D.C.
Leandra Godoy, Children's National Hospital, Washington, D.C. (all authors); Department of Pediatrics (Soutullo, Godoy, Tyson, Long) and Department of Psychiatry and Behavioral Sciences (Soutullo, Godoy, Tyson), School of Medicine and Health Sciences, George Washington University, Washington, D.C.
Colby Tyson, Children's National Hospital, Washington, D.C. (all authors); Department of Pediatrics (Soutullo, Godoy, Tyson, Long) and Department of Psychiatry and Behavioral Sciences (Soutullo, Godoy, Tyson), School of Medicine and Health Sciences, George Washington University, Washington, D.C.
Melissa Long, Children's National Hospital, Washington, D.C. (all authors); Department of Pediatrics (Soutullo, Godoy, Tyson, Long) and Department of Psychiatry and Behavioral Sciences (Soutullo, Godoy, Tyson), School of Medicine and Health Sciences, George Washington University, Washington, D.C.

Document Type

Journal Article

Publication Date

8-25-2022

Journal

Psychiatric services (Washington, D.C.)

DOI

10.1176/appi.ps.202100389

Keywords

Admissions and readmissions; Adolescents/adolescence; Child psychiatry/general; Hospitalization; Racial-ethnic disparities

Abstract

OBJECTIVE: This study examined predictors of readmission to a psychiatric inpatient unit of an urban children's hospital within 1 year of discharge among a racially diverse sample of youths. METHODS: The authors retrospectively analyzed 2 years of electronic health record data of inpatient psychiatric unit admissions (N=1,604). Multivariate logistic regression and random-effects multinomial logistic regression were used for analyses. RESULTS: The estimated odds ratios for any readmission within 1 year of discharge were significantly higher for Black youths, youths insured by Medicaid, and youths with a length of stay longer than 7 days. Factors remained strongly predictive when examining multiple readmissions versus no readmissions. CONCLUSIONS: Black youths, youths insured by Medicaid, and youths with longer stays were more likely than other youths to be readmitted. Findings suggest the need for interventions such as care coordination to target predictors of readmission and the need to examine inequities in the health care system.

Department

Pediatrics

Share

COinS