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Predictors of Recurrent High Emergency Department Use among Patients with Mental Disorders

Author

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  • Lia Gentil

    (Department of Psychiatry, McGill University, 1033, Pine Avenue West, Montreal, QC H3A 1A1, Canada
    Douglas Hospital Research Centre, Douglas Mental Health University Institute, 6875 LaSalle Blvd, Montreal, QC H4H 1R3, Canada
    Centre Intégré Universitaire de Santé et des Services Sociaux du Centre-Sud-de-l’Île-de-Montréal, Institut Universitaire sur les Dépendances, 950 Louvain Est, Montréal, QC H2M 2E8, Canada)

  • Guy Grenier

    (Douglas Hospital Research Centre, Douglas Mental Health University Institute, 6875 LaSalle Blvd, Montreal, QC H4H 1R3, Canada)

  • Helen-Maria Vasiliadis

    (Département Des Sciences de la Santé Communautaire, Université de Sherbrooke, Longueuil, QC J4K 0A8, Canada
    Centre de Recherche Charles-Le Moyne-Saguenay–Lac-Saint-Jean sur les Innovations en Santé (CR-CSIS), Campus de Longueuil-Université de Sherbrooke, 150 Place Charles-Lemoyne, Longueuil, QC J4K 0A8, Canada)

  • Christophe Huỳnh

    (Centre Intégré Universitaire de Santé et des Services Sociaux du Centre-Sud-de-l’Île-de-Montréal, Institut Universitaire sur les Dépendances, 950 Louvain Est, Montréal, QC H2M 2E8, Canada)

  • Marie-Josée Fleury

    (Department of Psychiatry, McGill University, 1033, Pine Avenue West, Montreal, QC H3A 1A1, Canada
    Douglas Hospital Research Centre, Douglas Mental Health University Institute, 6875 LaSalle Blvd, Montreal, QC H4H 1R3, Canada)

Abstract

Few studies have examined predictors of recurrent high ED use. This study assessed predictors of recurrent high ED use over two and three consecutive years, compared with high one-year ED use. This five-year longitudinal study is based on a cohort of 3121 patients who visited one of six Quebec (Canada) ED at least three times in 2014–2015. Multinomial logistic regression was performed. Clinical, sociodemographic and service use variables were identified based on data extracted from health administrative databases for 2012–2013 to 2014–2015. Of the 3121 high ED users, 15% ( n = 468) were recurrent high ED users for a two-year period and 12% ( n = 364) over three years. Patients with three consecutive years of high ED use had more personality disorders, anxiety disorders, alcohol or drug related disorders, chronic physical illnesses, suicidal behaviors and violence or social issues. More resided in areas with high social deprivation, consulted frequently with psychiatrists, had more interventions in local community health service centers, more prior hospitalizations and lower continuity of medical care. Three consecutive years of high ED use may be a benchmark for identifying high users needing better ambulatory care. As most have multiple and complex health problems, higher continuity and adequacy of medical care should be prioritized.

Suggested Citation

  • Lia Gentil & Guy Grenier & Helen-Maria Vasiliadis & Christophe Huỳnh & Marie-Josée Fleury, 2021. "Predictors of Recurrent High Emergency Department Use among Patients with Mental Disorders," IJERPH, MDPI, vol. 18(9), pages 1-17, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4559-:d:543316
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    References listed on IDEAS

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    1. Andrén, Kjerstin Genell & Rosenqvist, Urban, 1987. "Heavy users of an emergency department--A two year follow-up study," Social Science & Medicine, Elsevier, vol. 25(7), pages 825-831, January.
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    Cited by:

    1. Tiffany Chen & Zhirong Cao & Francine Ferland & Lambert Farand & Marie-Josée Fleury, 2024. "Profiles of Emergency Department Users with Psychiatric Disorders Related to Barriers to Outpatient Care," IJERPH, MDPI, vol. 21(2), pages 1-15, February.
    2. Marie-Josée Fleury & Zhirong Cao & Guy Grenier, 2024. "Emergency Department Use among Patients with Mental Health Problems: Profiles, Correlates, and Outcomes," IJERPH, MDPI, vol. 21(7), pages 1-18, June.

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