From: Psychiatric admissions from crisis resolution teams in Norway: a prospective multicentre study
Variables | Bivariate model | Multivariate model | ||||
---|---|---|---|---|---|---|
Crude ORafor admission | 95% CI | p c | Adjusted ORbfor admission | 95% CI | p c | |
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 |