TY - JOUR PY - 2010// TI - Is organizational change associated with increased rates of readmission to general hospital in suicide attempters? A 10-year prospective catchment area study JO - Archives of suicide research A1 - Mehlum, Lars A1 - Jørgensen, T A1 - Diep, Lien My A1 - Nrugham, Latha SP - 171 EP - 181 VL - 14 IS - 2 N2 - The objective of this study was to examine predictors for readmissions in patients admitted to a general hospital emergency ward for suicide attempts before and after organizational changes potentially affecting the chain of care. Socio-demographic and clinical variables were collected by clinicians from 1997 thru 2007. Data from the periods before and after 2004--when the hospital changed its catchment area--were compared. A substantial increase in readmission rates in the period after the organizational change was observed. This increase was not associated with any of the socio-demographic or clinical patient characteristics. Although no causal connection can be inferred, the observed association between organizational change and readmission rates could indicate that established post-discharge care systems for suicide attempters may be vulnerable to such change.

Language: en

LA - en SN - 1381-1118 UR - http://dx.doi.org/10.1080/13811111003704811 ID - ref1 ER -