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Arch Suicide Res. 2010;14(2):171-81. doi: 10.1080/13811111003704811.

Is organizational change associated with increased rates of readmission to general hospital in suicide attempters? A 10-year prospective catchment area study.

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1
National Centre for Suicide Research and Prevention, Institute of Psychiatry, University of Oslo, Sognsvannsveien 21, Oslo, Norway. lars.mehlum@medisin.uio.no

Abstract

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.

PMID:
20455152
DOI:
10.1080/13811111003704811
[Indexed for MEDLINE]
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