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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

SO191

Do prolonged admissions in patients with emotionally unstable personality disorder increase post-discharge readmission rates, and which admission-related factors contribute to this?

DO PROLONGED ADMISSIONS FOR PATIENTS WITH EMOTIONALLY UNSTABLE PERSONALITY DISORDER LEAD TO HIGHER RATES OF READMISSION FOLLOWING DISCHARGE AND WHAT ADMISSION FACTORS CONTRIBUTE TO THIS?

In emotionally unstable personality disorder, admissions lasting more than 90 days are significantly associated with readmission within 10 days of discharge, and documentation of the intended length of stay and admission goals is inadequate.

The aim was to examine the relationship between prolonged admissions and readmission in emotionally unstable personality disorder (EUPD), which is characterized by unstable relationships, mood dysregulation, impulsivity, and recurrent self-harm or suicidal ideation, and to audit compliance with NICE guidelines. Data were collected for all patients admitted with a diagnosis of EUPD to two acute female psychiatric inpatient wards in the United Kingdom in 2025; 11 of 125 data points were excluded, and 114 patients were analyzed. The association between prolonged admissions (longer than 90 days) and readmission at different intervals after discharge was assessed using the chi-square test. The audit component included 21 patients on a single acute female ward, selected using criteria relating to comorbid psychotic or manic presentations and transfer to another ward during admission. The mean length of stay was 31 days, and 40% of patients were readmitted within the same year. Chi-square analysis identified a statistically significant association between admissions exceeding 90 days and readmission within 10 days of discharge (χ² = 8.53, p = 0.0035), but no such association was found for intervals beyond 10 days after discharge. In the audit, discharge practices were strong (100% compliance for weekly progress reviews, community-based follow-up, and crisis management at discharge), whereas documentation at admission was inadequate: the intended length of stay was documented in 10% of cases, admission goals in 19%, use of a structured admission plan in 19%, discussion of potential benefits and harms with the patient in 19%, and discussion with the multidisciplinary team in 38%; discharge planning began at admission in 38%, and informal admission status was prioritized in 71%. In conclusion, prolonged admissions are associated with a higher readmission rate immediately after discharge. Improving documentation relating to length-of-stay management and adding sections on the intended length of stay, admission goals, and discharge planning to the patient assessment template are recommended.

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