Predicting Hospitalization Versus Discharge of Suicidal Patients Presenting to a Psychiatric Emergency Service

Records for 257 patients presenting with suicide ideation to a psychiatric emergency service in Massachusetts were reviewed. Demographic & clinical correlates of hospitalization were examined by backward stepwise binary logistic regression. Hospitalization occurred for 70% of suicidal persons & was significantly associated with psychosis, a history of attempted suicide, & a suicide plan. With potential confounding factors controlled, these variables correctly classified 80% of hospitalization decisions. Diagnosis, pharmacotherapy, having a psychiatrist, & insurance subtype were unrelated to hospitalization decisions. (15 refs.)