Sex Differences in Psychiatric Hospitalizations of Individuals With Psychotic Disorders.

J Nerv Ment Dis

*Beer Yaakov-Ness Ziona Mental Health Centre, Beer Yaakov, Israel; †Women's Mental Health Program, Women's College Hospital, Toronto, Canada; ‡Clinical Research Center, Soroka Medical Center, Beer Sheva, Israel; §Psoriatic Arthritis Program, Center for Prognostic Studies in the Rheumatic Diseases, Toronto Western Hospital, Toronto, ON, Canada; ∥Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv; and ¶Psychiatry Clinic, Herzelia, Israel.

Published: April 2017

AI Article Synopsis

  • The study analyzed hospitalization patterns for psychotic disorders, focusing on patients under 45 and over 55 years from 2010 to 2013.
  • Results indicated that younger women had fewer hospital admissions and involuntary stays compared to their male counterparts, while older women had more hospitalizations than older men.
  • Women, especially those younger than 45, were prescribed lower doses of clozapine but similar intramuscular risperidone doses compared to men, suggesting better hospitalization outcomes for younger women.

Article Abstract

We aimed to evaluate the association between sex and hospitalization characteristics in psychotic disorders. We identified all acute hospitalizations, between 2010 and 2013, for psychotic disorders in patients younger than 45 and older than 55 years (n = 5411) in the hospital's database. In addition, we identified patients who were prescribed with intramuscular risperidone (n = 280) or clozapine (n = 192) at discharge. The results showed that women younger than 45 years had lower proportions of hospitalizations (33.52% vs. 66.47%) and involuntary hospitalizations (33.85% vs. 45.55%) than did men in the same age group. Women older than 55 years had higher proportions of hospitalizations (57.22% vs. 42.77%) and similar proportion of involuntary hospitalizations. Women younger than 45 years were prescribed similar doses of intramuscular risperidone and lower doses of clozapine (345.8 vs. 380.2 mg) and women older than 55 years were prescribed higher doses of intramuscular risperidone (44.8 vs. 34.4 mg/2 weeks) and clozapine (164.32 vs. 154.5 mg) than were men in the same age group. Women in the reproductive years have better hospitalization characteristics than do men on these measures.

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Source
http://dx.doi.org/10.1097/NMD.0000000000000645DOI Listing

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