TY  - JOUR
PY  - 2015//
TI  - Psychiatric intervention and repeated admission to emergency centres due to drug overdose
JO  - BJPsych open
A1  - Kanehara, Akiko
A1  - Yamana, Hayato
A1  - Yasunaga, Hideo
A1  - Matsui, Hiroki
A1  - Ando, Shuntaro
A1  - Okamura, Tsuyoshi
A1  - Kumakura, Yousuke
A1  - Fushimi, Kiyohide
A1  - Kasai, Kiyoto
SP  - 158
EP  - 163
VL  - 1
IS  - 2
N2  - 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>
LA  - en
SN  - 2056-4724
UR  - http://dx.doi.org/10.1192/bjpo.bp.115.002204
ID  - ref1
ER  -