title: Psychiatric Hospitalizations: A Comparison by Gender, Sociodemographics, Clinical Profile, and Postdischarge Outcomes.
abstract: The objective of this study was to identify differences between men and women hospitalized for psychiatric conditions.
  
  
  
  Men and women with an inpatient psychiatric hospitalization in Ontario, Canada, between 2008 and 2013 (N=95,055) were compared on sociodemographic characteristics, health history, and clinical profiles and on 30-day and 90-day postdischarge readmission, emergency department (ED) visits, self-harm, and death.
  
  
  
  Compared with men, women were older and more likely to be educated, to live with a partner, and to report trauma history. Mood disorders were more common among women; psychotic and substance use disorders were more common among men. Postdischarge, there was no difference in either readmission or ED revisits. Compared with men, women had greater risk of self-harm at 30 days (adjusted odds ratio [AOR]=1.17, 95% confidence interval [CI]=1.04-1.32) and at 90 days (AOR=1.28, CI=1.17-1.39). Death was rare (<1%), with women at lower risk at both 30 days (AOR=.49, CI=.38-.63) and 90 days (AOR=.53, CI=.45-.63).
  
  
  
  These data can inform inpatient psychiatric service delivery for both men and women.
authors.affiliation: Dr. Vigod, Ms. Hussain-Shamsy, Ms. Isen, Dr. Rochon, and Dr. Taylor are with Women's College Hospital and Research Institute, Toronto, Ontario, Canada (e-mail: simone.vigod@wchospital.ca ). Dr. Gruneir is also with the Department of Family and Community Medicine, University of Alberta, Edmonton, Alberta, Canada. Dr. Kurdyak and Dr. Lin are with the Centre for Addiction and Mental Health, Toronto. Ms. Fung is with the Institute for Clinical Evaluative Sciences, Toronto, Ontario. Dr. Herrmann is with the Department of Geriatric Psychiatry, Sunnybrook Health Sciences Centre, Toronto. Dr. Vigod, Dr. Kurdyak, Dr. Herrmann, Dr. Lin, Dr. Rochon, and Dr. Taylor are also with the Faculty of Medicine, University of Toronto. Dr. Seitz is with the Department of Psychiatry, Queen's University, Kingston, Ontario.
authors.forename: Simone Natalie
authors.initials: SN
authors.lastname: Vigod
authors.affiliation: Dr. Vigod, Ms. Hussain-Shamsy, Ms. Isen, Dr. Rochon, and Dr. Taylor are with Women's College Hospital and Research Institute, Toronto, Ontario, Canada (e-mail: simone.vigod@wchospital.ca ). Dr. Gruneir is also with the Department of Family and Community Medicine, University of Alberta, Edmonton, Alberta, Canada. Dr. Kurdyak and Dr. Lin are with the Centre for Addiction and Mental Health, Toronto. Ms. Fung is with the Institute for Clinical Evaluative Sciences, Toronto, Ontario. Dr. Herrmann is with the Department of Geriatric Psychiatry, Sunnybrook Health Sciences Centre, Toronto. Dr. Vigod, Dr. Kurdyak, Dr. Herrmann, Dr. Lin, Dr. Rochon, and Dr. Taylor are also with the Faculty of Medicine, University of Toronto. Dr. Seitz is with the Department of Psychiatry, Queen's University, Kingston, Ontario.
authors.forename: Paul
authors.initials: P
authors.lastname: Kurdyak
authors.affiliation: Dr. Vigod, Ms. Hussain-Shamsy, Ms. Isen, Dr. Rochon, and Dr. Taylor are with Women's College Hospital and Research Institute, Toronto, Ontario, Canada (e-mail: simone.vigod@wchospital.ca ). Dr. Gruneir is also with the Department of Family and Community Medicine, University of Alberta, Edmonton, Alberta, Canada. Dr. Kurdyak and Dr. Lin are with the Centre for Addiction and Mental Health, Toronto. Ms. Fung is with the Institute for Clinical Evaluative Sciences, Toronto, Ontario. Dr. Herrmann is with the Department of Geriatric Psychiatry, Sunnybrook Health Sciences Centre, Toronto. Dr. Vigod, Dr. Kurdyak, Dr. Herrmann, Dr. Lin, Dr. Rochon, and Dr. Taylor are also with the Faculty of Medicine, University of Toronto. Dr. Seitz is with the Department of Psychiatry, Queen's University, Kingston, Ontario.
authors.forename: Kinwah
authors.initials: K
authors.lastname: Fung
authors.affiliation: Dr. Vigod, Ms. Hussain-Shamsy, Ms. Isen, Dr. Rochon, and Dr. Taylor are with Women's College Hospital and Research Institute, Toronto, Ontario, Canada (e-mail: simone.vigod@wchospital.ca ). Dr. Gruneir is also with the Department of Family and Community Medicine, University of Alberta, Edmonton, Alberta, Canada. Dr. Kurdyak and Dr. Lin are with the Centre for Addiction and Mental Health, Toronto. Ms. Fung is with the Institute for Clinical Evaluative Sciences, Toronto, Ontario. Dr. Herrmann is with the Department of Geriatric Psychiatry, Sunnybrook Health Sciences Centre, Toronto. Dr. Vigod, Dr. Kurdyak, Dr. Herrmann, Dr. Lin, Dr. Rochon, and Dr. Taylor are also with the Faculty of Medicine, University of Toronto. Dr. Seitz is with the Department of Psychiatry, Queen's University, Kingston, Ontario.
authors.forename: Andrea
authors.initials: A
authors.lastname: Gruneir
authors.affiliation: Dr. Vigod, Ms. Hussain-Shamsy, Ms. Isen, Dr. Rochon, and Dr. Taylor are with Women's College Hospital and Research Institute, Toronto, Ontario, Canada (e-mail: simone.vigod@wchospital.ca ). Dr. Gruneir is also with the Department of Family and Community Medicine, University of Alberta, Edmonton, Alberta, Canada. Dr. Kurdyak and Dr. Lin are with the Centre for Addiction and Mental Health, Toronto. Ms. Fung is with the Institute for Clinical Evaluative Sciences, Toronto, Ontario. Dr. Herrmann is with the Department of Geriatric Psychiatry, Sunnybrook Health Sciences Centre, Toronto. Dr. Vigod, Dr. Kurdyak, Dr. Herrmann, Dr. Lin, Dr. Rochon, and Dr. Taylor are also with the Faculty of Medicine, University of Toronto. Dr. Seitz is with the Department of Psychiatry, Queen's University, Kingston, Ontario.
authors.forename: Nathan
authors.initials: N
authors.lastname: Herrmann
authors.affiliation: Dr. Vigod, Ms. Hussain-Shamsy, Ms. Isen, Dr. Rochon, and Dr. Taylor are with Women's College Hospital and Research Institute, Toronto, Ontario, Canada (e-mail: simone.vigod@wchospital.ca ). Dr. Gruneir is also with the Department of Family and Community Medicine, University of Alberta, Edmonton, Alberta, Canada. Dr. Kurdyak and Dr. Lin are with the Centre for Addiction and Mental Health, Toronto. Ms. Fung is with the Institute for Clinical Evaluative Sciences, Toronto, Ontario. Dr. Herrmann is with the Department of Geriatric Psychiatry, Sunnybrook Health Sciences Centre, Toronto. Dr. Vigod, Dr. Kurdyak, Dr. Herrmann, Dr. Lin, Dr. Rochon, and Dr. Taylor are also with the Faculty of Medicine, University of Toronto. Dr. Seitz is with the Department of Psychiatry, Queen's University, Kingston, Ontario.
authors.forename: Neesha
authors.initials: N
authors.lastname: Hussain-Shamsy
authors.affiliation: Dr. Vigod, Ms. Hussain-Shamsy, Ms. Isen, Dr. Rochon, and Dr. Taylor are with Women's College Hospital and Research Institute, Toronto, Ontario, Canada (e-mail: simone.vigod@wchospital.ca ). Dr. Gruneir is also with the Department of Family and Community Medicine, University of Alberta, Edmonton, Alberta, Canada. Dr. Kurdyak and Dr. Lin are with the Centre for Addiction and Mental Health, Toronto. Ms. Fung is with the Institute for Clinical Evaluative Sciences, Toronto, Ontario. Dr. Herrmann is with the Department of Geriatric Psychiatry, Sunnybrook Health Sciences Centre, Toronto. Dr. Vigod, Dr. Kurdyak, Dr. Herrmann, Dr. Lin, Dr. Rochon, and Dr. Taylor are also with the Faculty of Medicine, University of Toronto. Dr. Seitz is with the Department of Psychiatry, Queen's University, Kingston, Ontario.
authors.forename: Marly
authors.initials: M
authors.lastname: Isen
authors.affiliation: Dr. Vigod, Ms. Hussain-Shamsy, Ms. Isen, Dr. Rochon, and Dr. Taylor are with Women's College Hospital and Research Institute, Toronto, Ontario, Canada (e-mail: simone.vigod@wchospital.ca ). Dr. Gruneir is also with the Department of Family and Community Medicine, University of Alberta, Edmonton, Alberta, Canada. Dr. Kurdyak and Dr. Lin are with the Centre for Addiction and Mental Health, Toronto. Ms. Fung is with the Institute for Clinical Evaluative Sciences, Toronto, Ontario. Dr. Herrmann is with the Department of Geriatric Psychiatry, Sunnybrook Health Sciences Centre, Toronto. Dr. Vigod, Dr. Kurdyak, Dr. Herrmann, Dr. Lin, Dr. Rochon, and Dr. Taylor are also with the Faculty of Medicine, University of Toronto. Dr. Seitz is with the Department of Psychiatry, Queen's University, Kingston, Ontario.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Lin
authors.affiliation: Dr. Vigod, Ms. Hussain-Shamsy, Ms. Isen, Dr. Rochon, and Dr. Taylor are with Women's College Hospital and Research Institute, Toronto, Ontario, Canada (e-mail: simone.vigod@wchospital.ca ). Dr. Gruneir is also with the Department of Family and Community Medicine, University of Alberta, Edmonton, Alberta, Canada. Dr. Kurdyak and Dr. Lin are with the Centre for Addiction and Mental Health, Toronto. Ms. Fung is with the Institute for Clinical Evaluative Sciences, Toronto, Ontario. Dr. Herrmann is with the Department of Geriatric Psychiatry, Sunnybrook Health Sciences Centre, Toronto. Dr. Vigod, Dr. Kurdyak, Dr. Herrmann, Dr. Lin, Dr. Rochon, and Dr. Taylor are also with the Faculty of Medicine, University of Toronto. Dr. Seitz is with the Department of Psychiatry, Queen's University, Kingston, Ontario.
authors.forename: Paula
authors.initials: P
authors.lastname: Rochon
authors.affiliation: Dr. Vigod, Ms. Hussain-Shamsy, Ms. Isen, Dr. Rochon, and Dr. Taylor are with Women's College Hospital and Research Institute, Toronto, Ontario, Canada (e-mail: simone.vigod@wchospital.ca ). Dr. Gruneir is also with the Department of Family and Community Medicine, University of Alberta, Edmonton, Alberta, Canada. Dr. Kurdyak and Dr. Lin are with the Centre for Addiction and Mental Health, Toronto. Ms. Fung is with the Institute for Clinical Evaluative Sciences, Toronto, Ontario. Dr. Herrmann is with the Department of Geriatric Psychiatry, Sunnybrook Health Sciences Centre, Toronto. Dr. Vigod, Dr. Kurdyak, Dr. Herrmann, Dr. Lin, Dr. Rochon, and Dr. Taylor are also with the Faculty of Medicine, University of Toronto. Dr. Seitz is with the Department of Psychiatry, Queen's University, Kingston, Ontario.
authors.forename: Valerie H
authors.initials: VH
authors.lastname: Taylor
authors.affiliation: Dr. Vigod, Ms. Hussain-Shamsy, Ms. Isen, Dr. Rochon, and Dr. Taylor are with Women's College Hospital and Research Institute, Toronto, Ontario, Canada (e-mail: simone.vigod@wchospital.ca ). Dr. Gruneir is also with the Department of Family and Community Medicine, University of Alberta, Edmonton, Alberta, Canada. Dr. Kurdyak and Dr. Lin are with the Centre for Addiction and Mental Health, Toronto. Ms. Fung is with the Institute for Clinical Evaluative Sciences, Toronto, Ontario. Dr. Herrmann is with the Department of Geriatric Psychiatry, Sunnybrook Health Sciences Centre, Toronto. Dr. Vigod, Dr. Kurdyak, Dr. Herrmann, Dr. Lin, Dr. Rochon, and Dr. Taylor are also with the Faculty of Medicine, University of Toronto. Dr. Seitz is with the Department of Psychiatry, Queen's University, Kingston, Ontario.
authors.forename: Dallas
authors.initials: D
authors.lastname: Seitz
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000145:classification / Q000401:mortality*; D008875:Middle Aged; D009864:Ontario / Q000453:epidemiology; D010359:Patient Readmission / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012307:Risk Factors; D016728:Self-Injurious Behavior / Q000453:epidemiology*; D012727:Sex Characteristics; D055815:Young Adult