Table 3.
Potential predictors associated with being admitted in logistic regression model (crude and adjusted odds ratios)
|
Variables |
Bivariate model |
Multivariate model |
||||
|---|---|---|---|---|---|---|
| Crude ORafor admission | 95% CI | pc | Adjusted ORbfor admission | 95% CI | pc | |
|
Team level |
|
|
|
|
|
|
| Opening hours (37.5/week = ref) |
|
|
|
|
|
|
| Team operates extended hours (70/week) |
0.40 |
0.20–0.79 |
0.009 |
0.20 |
0.08–0.51 |
0.001 |
| Team operates extended hours (75/week) |
0.55 |
0.36–0.85 |
0.007 |
0.36 |
0.20–0.66 |
0.001 |
| Team operates extended hours (86/week) |
0.58 |
0.33–1.03 |
0.063 |
0.22 |
0.10–0.49 |
< 0.001 |
| Number of team members |
0.97 |
0.91–1.03 |
0.313 |
|
|
|
| Full-time doctor as part of the team |
0.89 |
0.49–1.61 |
0.691 |
|
|
|
| Number of patients included |
0.99 |
0.99–1.00 |
0.154 |
|
|
|
| Focus on home treatment |
1.39 |
0.79–2.44 |
0.256 |
|
|
|
| Psychosis team in the catchment area |
1.13 |
0.62–2.06 |
0.685 |
|
|
|
| Accept self-referral |
0.63 |
0.30–1.33 |
0.227 |
|
|
|
| Authority to admit patients to acute in-patient wards |
0.80 |
0.46–1.40 |
0.437 |
|
|
|
|
Patient level |
|
|
|
|
|
|
| Age |
1.01 |
1.00–1.02 |
0.105 |
1.02 |
1.00–1.03 |
0.019 |
| Gender |
1.01 |
0.69–1.47 |
0.980 |
|
|
|
| Living alone |
0.95 |
0.64–1.40 |
0.786 |
|
|
|
| Employed at present |
0.51 |
0.31–0.82 |
0.006 |
|
|
|
| Suicide risk (0 = ref): |
|
|
|
|
|
|
| 1 Passive death wishes or suicidal thoughts without death intention |
1.47 |
0.92–2.34 |
0.104 |
2.29 |
1.29–4.07 |
0.005 |
| 2 Concrete suicidal plans or self-injury, but without death intention |
3.75 |
2.21–6.33 |
< 0.001 |
6.88 |
2.48–13.63 |
< 0.001 |
| 3 Self-injury with death intention |
2.15 |
0.78–5.88 |
0.138 |
3.22 |
0.78–13.39 |
0.108 |
| Non-accidental self-injury (HoNOS 2) (0 = ref) |
|
|
|
|
|
|
| 1 Minor problem requiring no action |
2.32 |
1.25–4.30 |
0.008 |
|
|
|
| 2 Mild problem, but definitely present |
2.09 |
1.04–4.20 |
0.040 |
|
|
|
| 3 Moderately severe problem |
2.75 |
1.43–5.28 |
0.002 |
|
|
|
| 4 Severe to very severe problem |
3.40 |
1.56–7.43 |
0.002 |
|
|
|
| Substance misuse (HoNOS 3) (0 = ref) |
|
|
|
|
|
|
| 1 Minor problem requiring no action |
1.27 |
0.68–2.38 |
0.459 |
|
|
|
| 2 Mild problem, but definitely present |
1.24 |
0.60–2.54 |
0.558 |
|
|
|
| 3 Moderately severe problem |
1.70 |
0.92–3.14 |
0.092 |
|
|
|
| 4 Severe to very severe problem |
1.84 |
0.68–5.00 |
0.232 |
|
|
|
| Psychotic symptoms (HoNOS 6) (0 = ref) |
|
|
|
|
|
|
| 1 Minor problem requiring no action |
1.87 |
0.99–3.55 |
0.056 |
3.28 |
1.54–6.98 |
0.002 |
| 2 Mild problem, but definitely present |
3.08 |
1.60–5.91 |
0.001 |
2.33 |
1.06–5.14 |
0.037 |
| 3 Moderately severe problem |
8.37 |
4.04–17.35 |
< 0.001 |
8.62 |
3.32–22.34 |
< 0.001 |
| 4 Severe to very severe problem |
16.46 |
4.97–54.55 |
< 0.001 |
30.83 |
5.74–165.60 |
< 0.001 |
| Depressive symptoms (HoNOS 7) |
|
|
|
|
|
|
| 1 Minor problem requiring no action |
0.75 |
0.36–1.54 |
0.428 |
|
|
|
| 2 Mild problem, but definitely present |
0.94 |
0.50–1.77 |
0.847 |
|
|
|
| 3 Moderately severe problem |
1.38 |
0.71–2.69 |
0.350 |
|
|
|
| 4 Severe to very severe problem |
2.77 |
1.17–6.57 |
0.021 |
|
|
|
| Physical attacks on others |
1.11 |
0.58–2.14 |
0.746 |
|
|
|
| Psychiatric admission past 12 months |
3.85 |
2.42–6.13 |
< 0.001 |
2.69 |
1.58–4.57 |
< 0.001 |
| Contact/support from CMHCs in the past 48 hours |
3.09 |
1.63–5.85 |
0.001 |
3.78 |
1.56–9.21 |
0.004 |
| Self-referral |
0.75 |
0.48–1.19 |
0.220 |
|
|
|
| Delivered to CRT by the police | 4.00 | 1.81–8.85 | 0.001 | |||
acrude odds ratios (bivariate analyses); badjusted odds ratios from a multivariate model reduced by stepwise selection method using Akaike’s information criterion; c asterisks on p-values indicate significant predictors after Holm’s adjustment for family-wise error rates was applied.