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Table 2 Univariate associations between candidate variables and admission by eight weeks

From: An investigation of factors associated with psychiatric hospital admission despite the presence of crisis resolution teams

Variable (N = for this analysis)

Percentage within each category admitted at 8 weeks:- No. admitted/total number in category (%)

Odds ratio for being admitted at 8 weeks, (95% confidence interval)

p-value

Overall rate of admission to hospital within 8 weeks (358)

157/358 (44%)

  

Sex: male (358)

94/185 (51%)

1.80(1.18 to 2.75)

0.006

Ethnic Group: (358)

   

White European

107/246 (44%)

Reference group

0.07

Black Caribbean

11/29 (38%)

0.79 (0.36 to 1.75)

 

Black African

26/42 (62%)

2.11 (1.08 to 4.13)

 

Black Other

5/11 (46%)

1.08 (0.32 to 3.64)

 

Asian

6/17 (35%)

0.71 (0.25 to 1.98)

 

Mixed or other

2/13 (15%)

0.24 (0.05 to 1.09)

 

Homeless including temporary accommodation (353)

17/32 (53%)

1.52 (0.73 to 3.15)

0.26

Living alone, including with children under 18 years but no adults (357)

86/203 (42%)

0.88 (0.58 to 1.34)

0.56

Employed (including voluntary or sheltered employment, studying) (358)

36/74 (49%)

1.28 (0.76 to 2.13)

0.35

Comorbid substance misuse (345)

62/141 (44%)

1.08 (0.70 to 1.66)

0.74

Psychiatric admission in past two years (355)

60/115 (52%)

1.67 (1.06 to 2.61)

0.03

History of being compulsorily admitted (346)

75/141 (53%)

2.06 (1.33 to 3.18)

0.001

On CPA (see table 2 footnote?)

74/176 (42%)

0.85 (0.56 to 1.29)

0.44

Moderate or severe ratings by staff regarding: (357)

   

Risk of deliberate self harm

53/144 (37%)

0.61(0.40 to 0.94)

0.025

Risk of unintentional self harm (e.g. through self neglect)

59/96 (62%)

2.65 (1.64 to 4.29)

<0.001

Risk from others (e.g. through assault, exploitation by others)

61/120 (51%)

1.52 (0.98 to 2.36)

0.06

Risk of harm to others Presenting symptoms in crisis (358)

68/110 (62%)

2.87 (1.81 to 4.57)

<0.001

Psychotic symptoms

112/213 (53%)

2.46 (1.58 to 3.84)

<0.001

Depressive symptoms

61/172 (36%)

0.52 (0.34 to 0.79)

0.002

Manic symptoms

36/67 (54%)

1.63 (0.96 to 2.78)

0.07

Uncooperative with process of arranging and carrying out initial assessment (350)

59/76 (78%)

6.98 (3.85 to 12.66)

<0.001

Violence in two years before crisis (343)

52/91 (57%)

2.10 (1.30 to 3.41)

0.003

Deliberate self harm in past two years (351)

43/121 (36%)

0.63 (0.40 to 1.00)

0.05

Assessment carried out in Accident and Emergency department (357)

60/127 (47%)

1.23 (0.79 to 1.90)

0.36

Assessment carried outside office hours (340)

66/119 (56%)

2.11 (1.34 to 3.32)

0.001

Referred by police (358)

26/39 (67%)

2.87 (1.42 to 5.79)

0.003

Self-referral (358)

46/140 (33%)

0.47 (0.30 to 0.73)

0.001

Primary or secondary diagnosis of personality disorder (348)

18/46 (39%)

0.83 (0.44 to 1.56)

0.56

Crisis team available to patient (358):

   

North Islington team (135)

29/135 (22%)

reference

<0.001

South Islington team (123)

63/123 (51%)

3.84 (2.23 to 6.60)

 

North Southwark team (100)

65/100 (65%)

6.79 (3.80 to 12.14)

 

Characteristic

Mean and standard deviation for whole group

Mean difference between those admitted at 8 weeks and those not admitted

p-value

Mean Age (358)

38.0(12)

1.88 (-0.63 to 4.38)

0.14

Severity of clinical and Social Problems:

   

HoNOS total symptom severity (343)

5.0(2.0)

-0.11 (-0.54 to 0.31)

0.60

HoNOS total social problem severity (344)

6.6(4.6)

-1.84 (-2.81 to -0.88)

0.001