Age modifies the association between sex and involuntary admission in psychotic disorders: a retrospective cross-sectional study

IF 1.5 4区医学 Q2 PSYCHIATRY

European Journal of Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-09-26 DOI:10.1016/j.ejpsy.2026.100376

Marina Delgado-Marí, Alba Toll, Maria Giralt-López, Tatiana Bustos-Cardona, Ana Ibáñez-Caparrós, Aurea Fernández-Ribas

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引用次数: 0

Abstract

Background and objectives

Involuntary psychiatric admission is common among patients with psychotic disorders, but demographic factors associated with its use remain incompletely understood. Previous findings regarding sex have been inconsistent. We examined whether the association between sex and involuntary admission varies according to age.

Methods

We conducted a retrospective cross-sectional study of 254 patients with psychotic disorders admitted to an acute psychiatric inpatient unit between February 2018 and May 2023. Multivariable logistic regression examined sex, age, and their interaction in relation to involuntary admission.

Results

Overall, 179 patients (70.5%) were admitted involuntarily. Men and women had similar crude rates of involuntary admission. Female sex (OR = 4.876; 95% CI: 1.147–20.722; p = 0.032) and the female sex-by-age interaction (OR = 0.969; 95% CI: 0.938–0.999; p = 0.046) were statistically significant in the model. Predicted probabilities remained relatively stable across age in men but declined with increasing age in women, with younger women showing the highest probability of involuntary admission.

Conclusion

Age modifies the association between sex and involuntary admission in psychotic disorders, with younger women showing the highest probability of involuntary admission. These findings highlight the importance of considering sex-by-age interactions and may inform more individualized clinical assessment and service planning.

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年龄改变了精神障碍患者性别与非自愿入院之间的关系：一项回顾性横断面研究

背景和目的非自愿精神科住院在精神障碍患者中很常见，但与其使用相关的人口统计学因素仍不完全清楚。之前关于性别的研究结果并不一致。我们研究了性别与非自愿入院之间的关系是否因年龄而异。方法：我们对2018年2月至2023年5月期间入住急性精神科住院病房的254例精神障碍患者进行了回顾性横断面研究。多变量逻辑回归检验了性别、年龄及其与非自愿入院的相互作用。结果非自愿住院179例（70.5%）。男性和女性的非自愿入院率相似。女性性别（OR = 4.876; 95% CI: 1.147 ~ 20.722; p = 0.032）和女性性别-年龄相互作用（OR = 0.969; 95% CI: 0.938 ~ 0.999; p = 0.046）在模型中具有统计学意义。预测概率在男性中保持相对稳定，但在女性中随着年龄的增长而下降，年轻女性显示出最高的非自愿入院概率。结论年龄改变了性别与精神病患者非自愿入院之间的关系，年轻女性非自愿入院的可能性最高。这些发现强调了考虑性别与年龄的相互作用的重要性，并可能为更个性化的临床评估和服务计划提供信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Psychiatry PSYCHIATRY-

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

43 days

期刊介绍： The European journal of psychiatry is a quarterly publication founded in 1986 and directed by Professor Seva until his death in 2004. It was originally intended to report “the scientific activity of European psychiatrists” and “to bring about a greater degree of communication” among them. However, “since scientific knowledge has no geographical or cultural boundaries, is open to contributions from all over the world”. These principles are maintained in the new stage of the journal, now expanded with the help of an American editor.