@article{ref1,
title="Factors associated with 7-day follow-up outpatient mental health care in older adults hospitalized for suicidal ideation, suicide attempt, and self-harm",
journal="American journal of geriatric psychiatry",
year="2021",
author="Schmutte, Timothy and Olfson, Mark and Xie, Ming and Marcus, Steven C.",
volume="dePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE Older adults are one of the fastest growing age groups seeking emergency care for suicidal ideation and self-harm. Timely follow-up outpatient mental health care is important to suicide prevention, yet little is known about predictors of care continuity following hospital discharge. This study identified patient-, hospital-, and regional-level factors associated with 7-day follow-up outpatient mental health care in suicidal older adults.  METHODS Retrospective cohort analysis using 2015 Medicare data for adults aged ≥ 65 years hospitalized for suicidal ideation, suicide attempt, or deliberate self-harm (n=27,257) linked with the American Hospital Association survey and Area Health Resource File. Rates and adjusted risk ratios stratified by patient, hospital, and regional variables were assessed for 7-day follow-up outpatient mental health care.  RESULTS Overall, 30.3% of patients received follow-up mental health care within 7 days of discharge. However, follow-up rates were higher for patients with any mental health care within 30 days pre-hospitalization (43.7%) compared to patients with no recent mental health care (15.7%). Longer length of stay and care in psychiatric hospitals were associated with higher odds of follow-up. For patients with no mental health care in the 30 days pre-hospitalization, discharge from hospitals that were large, system-affiliated, academic medical centers, or provided hospitalist-based care were associated with lower odds of follow-up. Females were more likely to receive 7-day follow-up, whereas non-White patients were less likely to receive follow-up care.  CONCLUSIONS Timely follow-up is influenced by multiple patient, hospital, and community characteristics. <br><br>FINDINGS highlight the need for quality improvement to promote successful transitions from inpatient to outpatient care.<p /> <p>Language: en</p>",
language="en",
issn="1064-7481",
doi="10.1016/j.jagp.2021.08.011",
url="http://dx.doi.org/10.1016/j.jagp.2021.08.011"
}