Table 3.
Main analysisa | In-patient at discharge excludedb | Schizophrenia as separate diagnostic categoryc | Readmission to hospitald | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
HR | 95% CI | P | HR | 95% CI | P | HR | 95% CI | P | HR | 95% CI | P | |
Diagnosis | ||||||||||||
Schizophrenia | 1 (reference) | |||||||||||
Non-affective psychosis | 1 (reference) | 1 (reference) | 0.37 | 0.18–0.75 | 0.006 | 1 (reference) | ||||||
Affective psychosis | 1.63 | 0.92–2.87 | 0.091 | 1.50 | 0.81–2.78 | 0.197 | 1.22 | 0.67–2.20 | 0.520 | 1.58 | 0.84–2.96 | 0.158 |
Mood and anxiety disorders | 1.68 | 0.45–2.97 | 0.076 | 1.65 | 0.92–2.95 | 0.092 | 1.05 | 0.55–1.98 | 0.888 | 1.43 | 0.73–2.75 | 0.310 |
Personality disorders | 2.96 | 1.39–6.29 | 0.005 | 2.99 | 1.35–6.62 | 0.007 | 2.43 | 1.16–5.11 | 0.019 | 2.43 | 1.01–5.83 | 0.047 |
Other | 0.77 | 0.21–2.78 | 0.689 | 0.59 | 0.13–2.74 | 0.503 | 0.58 | 0.17–2.02 | 0.391 | 1.09 | 0.29–4.08 | 0.892 |
Number of admissions | 1.17 | 0.96–1.43 | 0.116 | 1.18 | 0.94–1.47 | 0.149 | 1.16 | 0.96–1.41 | 0.131 | 1.27 | 1.03–1.57 | 0.026 |
Early intervention duration, months | 1.02 | 1.01–1.04 | 0.001 | 1.02 | 1.01–1.04 | 0.002 | 1.01 | 1.00–1.03 | 0.023 | 1.02 | 1.01–1.04 | 0.009 |
Discharge destination, secondary care | 2.75 | 1.75–4.31 | 0.001 | 2.80 | 1.75–4.51 | 0.001 | 2.40 | 1.52–3.79 | 0.001 | 2.52 | 1.49–4.23 | 0.001 |
Age at referral | 1.03 | 0.99–1.07 | 0.225 | 1.03 | 0.99–1.08 | 0.117 | 1.03 | 0.99–1.07 | 0.218 | 1.04 | 0.99–1.09 | 0.093 |
Gender, female | 1.40 | 0.92–2.14 | 0.114 | 1.43 | 0.92–2.22 | 0.108 | 1.33 | 0.88–2.13 | 0.180 | 1.51 | 0.93–2.45 | 0.097 |
Ethnicity | ||||||||||||
White | 1 (reference) | 1 (reference) | 1 (reference) | 1 (reference) | ||||||||
Black | 0.92 | 0.39–2.17 | 0.844 | 0.98 | 0.41–2.36 | 0.964 | 0.88 | 0.36–2.13 | 0.776 | 0.81 | 0.29–2.25 | 0.692 |
Asian | 0.43 | 0.18–1.03 | 0.057 | 0.45 | 0.19–1.11 | 0.082 | 0.38 | 0.16–0.91 | 0.030 | 0.58 | 0.23–1.43 | 0.234 |
Other | 0.98 | 0.46–2.09 | 0.966 | 0.96 | 0.43–2.15 | 0.918 | 0.91 | 0.43–1.92 | 0.801 | 1.27 | 0.56–2.87 | 0.571 |
IMD score | 1.03 | 1.01–1.05 | 0.002 | 1.04 | 1.02–1.06 | 0.001 | 1.03 | 1.01–1.05 | 0.003 | 1.04 | 1.02–1.07 | 0.001 |
Substance misuse disorder | 1.81 | 1.01–3.26 | 0.048 | 1.86 | 0.99–3.48 | 0.052 | 1.77 | 0.99–3.16 | 0.052 | 1.75 | 0.90–3.38 | 0.099 |
IMD, Index of Multiple Deprivation.
a. Primary analysis including all participants.
b. Sensitivity analysis excluding those discharged by early intervention in psychosis services while psychiatric in-patient.
c. Sensitivity analysis with schizophrenia as a separate diagnostic category.
d. Sensitivity analysis with relapse defined as readmission to psychiatric in-patient hospital.