Date of Award

5-2016

Document Type

Dissertation

Degree Name

Doctor of Psychology (PsyD)

Department

Graduate Department of Clinical Psychology

First Advisor

Marie-Christine Goodworth, PhD.

Second Advisor

Mary Peterson, PhD., ABPP

Third Advisor

Kathleen Gathercoal, PhD.

Abstract

Hospital recidivism for suicimicidal, and psychiatric patients is a burden on the medical system due to the high cost associated with each visit. Factors affecting psychiatric patients in the Emergency Department (ED) in two rural hospitals in the Pacific Northwest were assessed using data routinely collected at intake in an effort to determine patient risk factors for repeat visits. Additionally, patients identified as repeat visitors were assessed for any significant differences in how quickly they were readmitted. Logistic regression results indicate having a diagnosis of a psychotic disorder or bipolar disorder, being uninsured or on Oregon Health Plan insurance (i.e., a proxy for poverty), and a referral to outpatient services are significant predictors that a patient will return to the ED at least once. However, there is only a small likelihood of a second visit. Linear regression results indicate no significant factors predict how quickly a dal, hopatient will return to the ED. Understanding these predictive factors may help inform future practice and ED consultation. Keywords: recidivism, recidivism rates, psychiatric recidivism, high-risk patients, suicidal, homicidal, psychotic, emergency department, emergency room, hospital, psychiatric, high-utilizers.

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