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.
Recommended Citation
Polits, Meghan, "Factors that affect recidivism for psychiatric patients in emergency departments" (2016). Doctor of Psychology (PsyD). 217.
https://digitalcommons.georgefox.edu/psyd/217