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. 2020 Oct;47(4):544-559.
doi: 10.1007/s11414-019-09685-1.

Frequent Attendance to the Emergency Department after Release from Prison: a Prospective Data Linkage Study

Amanda Butler  1 , Alexander D Love  2   3 , Jesse T Young  2   3 , Stuart A Kinner  2   3
Affiliations

Frequent Attendance to the Emergency Department after Release from Prison: a Prospective Data Linkage Study

Amanda Butler et al. J Behav Health Serv Res. 2020 Oct.

Abstract

The aim of this paper was to identify characteristics and predictors of frequent emergency department (ED) use among people released from prisons in Queensland, Australia. Baseline interview data from a sample of sentenced adults were linked to ED and hospital records. The association between baseline characteristics and frequent ED attendance was modelled by fitting multivariate logistic regression models. Participants who had ≥ 4 visits to the ED in any 365-day period of community follow-up were defined as frequent attenders (FA). The analyses included 1307 people and mean follow-up time in the community was 1063 days. After adjusting for covariates, those with a dual diagnoses of mental illness and substance use (RR = 2.42, 95% CI 1.47-3.99) and those with mental illness alone (RR = 2.47, 95% CI 1.29-4.73) were at higher risk of frequent ED attendance, compared with those with no disorder. Future research should assess whether individually tailored transition supports from prison to community reduce the frequency of ED use among this population.

Keywords: Dual diagnosis; Emergency department; Mental illness; Prisons; Re-entry.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

References

    1. Guttmann A, Schull MJ, Vermeulen MJ, et al. Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada. BMJ. 2011;342:d2983. - PMC - PubMed
    1. Hoot NR, Aronsky D. Systematic review of emergency department crowding: causes, effects, and solutions. Annals of Emergency Medicine. 2008;52(2):126–136.e121. - PMC - PubMed
    1. Geelhoed GC, de Klerk NH. Emergency department overcrowding, mortality and the 4-hour rule in Western Australia. The Medical Journal of Australia. 2012;196:122. - PubMed
    1. Australian Institute of Health and Welfare. Emergency Department Care 2017–18: Australian Hospital Statistics. Health services series no 89 Cat no HSE 216. Canberra: AIHW, 2018.
    1. Stephens RJ, White SE, Cudnik M, et al. Factors associated with longer length of stay for mental health emergency department patients. Journal of Emergency Medicine. 2014;47(4):412–419. - PubMed

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