Predictors of decertification from involuntary hospitalization for patients with bipolar disorder

Glen L. Xiong, Ana Maria Iosif, Michael Brook, Donald M. Hilty

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective: This study examined predictors of decertification (release from involuntary hospitalization after legal hearing) among inpatients with bipolar disorder. Methods: Records from 1992 to 1997 were examined retrospectively for 50 decertified and 48 certified patients with bipolar disorder. The relationship between demographic and clinical variables and decertification was examined using logistic regression analyses. Results: In the overall multiple logistic regression model, participants were significantly more likely to be decertified if they used a mood stabilizer before the decertification hearing (odds ratio [OR]=6.73, 95% confidence interval [CI]=1.78-25.50) or if they had a comorbid substance use disorder (OR=3.45, CI=1.15-10.34). The odds of decertification increased with the number of prior hospitalizations (OR=3.92, CI= 1.73-8.87) and decreased with the length of prior hospitalization (OR=.72 per week, CI=.49-1.04) and number of emergency room visits before admission (OR=.46, CI=.28-.74). Conclusions: Predictors of decertification in bipolar disorder require further research to guide future efforts to improve inpatient treatment outcomes.

Original languageEnglish (US)
Pages (from-to)200-203
Number of pages4
JournalPsychiatric Services
Volume61
Issue number2
DOIs
StatePublished - Jan 1 2010

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Bipolar Disorder
Hospitalization
Odds Ratio
Confidence Intervals
Logistic Models
Hearing
Inpatients
Substance-Related Disorders
Hospital Emergency Service
Regression Analysis
Demography
Research

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Xiong, Glen L. ; Iosif, Ana Maria ; Brook, Michael ; Hilty, Donald M. / Predictors of decertification from involuntary hospitalization for patients with bipolar disorder. In: Psychiatric Services. 2010 ; Vol. 61, No. 2. pp. 200-203.
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Predictors of decertification from involuntary hospitalization for patients with bipolar disorder. / Xiong, Glen L.; Iosif, Ana Maria; Brook, Michael; Hilty, Donald M.

In: Psychiatric Services, Vol. 61, No. 2, 01.01.2010, p. 200-203.

Research output: Contribution to journalArticle

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