
@article{ref1,
title="Psychiatric intervention and repeated admission to emergency centres due to drug overdose",
journal="BJPsych open",
year="2015",
author="Kanehara, Akiko and Yamana, Hayato and Yasunaga, Hideo and Matsui, Hiroki and Ando, Shuntaro and Okamura, Tsuyoshi and Kumakura, Yousuke and Fushimi, Kiyohide and Kasai, Kiyoto",
volume="1",
number="2",
pages="158-163",
abstract="BACKGROUND: Repeated drug overdose is a major risk factor for suicide. Data are lacking on the effect of psychiatric intervention on preventing repeated drug overdose. AIMS: To investigate whether psychiatric intervention was associated with reduced readmission to emergency centres due to drug overdose. <br><br>METHOD: Using a Japanese national in-patient database, we identified patients who were first admitted to emergency centres for drug overdose in 2010-2012. We used propensity score matching for patient and hospital factors to compare readmission rates between intervention (patients undergoing psychosocial assessment) and unexposed groups. <br><br>RESULTS: Of 29 564 eligible patients, 13 035 underwent psychiatric intervention. In the propensity-matched 7938 pairs, 1304 patients were readmitted because of drug overdose. Readmission rate was lower in the intervention than in the unexposed group (7.3% v. 9.1% respectively, P<0.001). <br><br>CONCLUSIONS: Psychiatric intervention was associated with reduced readmission in patients who had taken a drug overdose. DECLARATION OF INTEREST: None. COPYRIGHT AND USAGE: © The Royal College of Psychiatrists 2015. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence.<p /> <p>Language: en</p>",
language="en",
issn="2056-4724",
doi="10.1192/bjpo.bp.115.002204",
url="http://dx.doi.org/10.1192/bjpo.bp.115.002204"
}