{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T08:59:11Z","timestamp":1780736351844,"version":"3.54.1"},"reference-count":55,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T00:00:00Z","timestamp":1780704000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T00:00:00Z","timestamp":1780704000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ir J Med Sci"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The association between alcohol use and poor mental health is well known. Although psychiatric services and supports are typically delivered in community settings, some individuals require specialist inpatient care for alcohol-related disorders. For many, multiple admissions may be required, referred to as the \u2018Revolving Door\u2019 (RD) phenomenon.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study examines alcohol-related admissions to inpatient psychiatric units during a 10-year period (2015 \u2013 2024) using data from the Irish National Psychiatric Inpatient Reporting System (NPIRS). The study aims to compare characteristics of first admissions and re-admissions to examine factors associated with RD admissions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study used retrospective, anonymised NPIRS data. Descriptive statistics were conducted, and statistical significance was assessed using Pearson\n                      <jats:italic>X<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      tests.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During the study period, 5.9% of all inpatient admissions into psychiatric units were alcohol related and almost two-thirds were readmissions (63.8%). Both first and readmissions were predominantly single, male, employed and aged between 45 \u2013 64 years with a diagnosis of alcohol dependency. Readmissions were significantly more likely to have a longer length of stay.<\/jats:p>\n                    <jats:p>Key sex differences in alcohol-related admissions were noted. Male admissions were significantly more likely to be single and younger. Females were more likely to be older, private patients and have longer inpatient stays.<\/jats:p>\n                    <jats:p>Rural areas accounted for a larger share of alcohol-related admissions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite accounting for less than 6% of all psychiatric admissions, alcohol-related psychiatric hospitalisations represent substantial healthcare costs. The findings from this study highlight the need for more targeted, sex-sensitive interventions to reduce the high level of readmissions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11845-026-04420-0","type":"journal-article","created":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T08:01:05Z","timestamp":1780732865000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Alcohol-related psychiatric inpatient admissions in Ireland \u2013 characteristics, trends and factors associated with first and repeat admissions, 2015\u20132024"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2776-3476","authenticated-orcid":false,"given":"Anne","family":"Doyle","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3691-6777","authenticated-orcid":false,"given":"Antoinette","family":"Daly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5360-6650","authenticated-orcid":false,"given":"Ena","family":"Lynn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,6]]},"reference":[{"key":"4420_CR1","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1093\/alcalc\/agab067","volume":"57","author":"C Carbia","year":"2022","unstructured":"Carbia C, Garcia-Cabrerizo R, Cryan JF et al (2022) Associations between mental health, alcohol consumption and drinking motives during COVID-19 second lockdown in Ireland. 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Trends and characteristics are reported at a group level. The NPIRS data processing is justified by the Health Research Board\u2019s statutory authority per SI no. 279\/1986 and Sect.\u00a02(b) of SI No.305\/2007 for public interest or in the exercise of official authority vested in the Health Research Board.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"All authors have approved the manuscript and consent to its publication.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}