First admissions to Irish psychiatric units and hospitals increased from 5,972 in 2009 to 6,266 in 2010. However, the overall number of admissions to psychiatric units and hospitals fell from 20,195 in 2009 to 19,619 in 2010. This is a reduction of 576 admissions from 2009–2010. There was also a reduction in the number of re-admissions from 14,223 in 2009 to 13,353 in 2010. The figures are published today in the Health Research Board annual report Activities of Irish Psychiatric Units and Hospitals 2010.
The core findings of the report are;
- There was an equal proportion of male and female admissions.
- The 45–54 year age group were most likely to be admitted, with a rate of 727.7 per 100,000 population.
- The 18–19 year age group had the highest rate of first admissions, at 291.6 per 100,000 population.
- Over half (54.5 %) of all admissions were for single people.
- In keeping with the pattern of previous years the unskilled occupational group had the highest rate of all (749.2 per 100,000) and first admissions (175.1 per 100,000).
In terms of diagnosis;
- Depressive disorders and schizophrenia together accounted for almost 60% (59.5%) of all admissions.
- Depressive disorders accounted for 29% of all admissions.
- Schizophrenia accounted for almost one in five (19.5%) admissions.
- Mania accounted for one in ten admissions (11%) and alcoholic disorders accounted for almost one in ten admissions (9%)
- The proportion of involuntary all admissions from 2009–2010 remained unchanged, at 8% while there was a one percentage point increase in involuntary first admissions from 8% in 2009 to 9% in 2010.
- Ten per cent of all admissions to general hospitals and 10% of all admissions to psychiatric hospitals were involuntary, compared with 2% of admissions to private hospitals.
Discharges and deaths
- There were 19,614 discharges from and 140 deaths in psychiatric units and hospitals in 2010.
- Almost two-thirds (62%) of all deaths were male and 58% were aged 75 years and over.
- The average length of stay for all discharges (excluding those with a length of stay of one year or more) was 26.0 days (median 14 days).
- Discharges with a diagnosis of organic mental disorder had the longest average length of stay, at 45.6 days (median 22.0 days), followed by schizophrenia, at 36.5 days (median 20.0 days).
- The average length of stay was longest for discharges from private hospitals, at 33.5 days (median 29 days), followed by psychiatric hospitals, at 26.0 days (median 11 days), and general hospital psychiatric units, at 22.8 days (median 12 days).
Young people (under 18 years of age)
- There was a total of 435 admissions for people under 18 in 2010, an increase in admissions for under 18s from 2009 (367).
- Seventy-nine per cent (342) of admissions for under 18s were first admissions, a slight increase in the proportion of first admissions from 2009 (74%).
- Over half of all (53%) and first (53%) admissions for under 18s were female.
- Eighty-two per cent of all admissions were aged 15–17 years old.
- Eighteen per cent were aged between 11–14 years of age.
- Depressive disorders accounted for 28% of all admissions for under 18s.
- Neuroses accounted for 11% of all admissions.
- Schizophrenia accounted for 9% and eating disorders accounted for 8%.
- Females accounted for 69% of all admissions for under 18s with depressive disorders, 37% of those with neuroses and 85% of those with eating disorders.
- Males accounted for 73% of under 18s with a diagnosis of schizophrenia.
- Almost 63% (62.5%) of all admissions for under 18s were to dedicated child and adolescent in-patient units, almost 29% (28.5%) were to general hospital psychiatric units, 7% were to psychiatric hospitals and just 2% were to private hospitals.
Activities of Irish Psychiatric Units and Hospitals 2010 can be downloaded from the Publications section of the website.(www.hrb.ie)
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