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Peer-reviewedCC BY 4.0JMIR Human Factors

Age-Related Differences in Mental Health Status at Psychiatric Discharge Among Patients Across 10 Acute Care Facilities in Alberta, Canada: Cross-Sectional Study

  • Wanying Mao1
  • Ernest Owusu2
  • Reham Shalaby2
  • Hossam Eldin Elgendy2
  • Belinda Agyapong2
  • Ejemai Eboreime3
  • Peter H Silverstone2
  • Pierre Chue2
  • Wesley Vuong4
  • Arto Ohinmaa5
  • Andrew J Greenshaw2
  • Vincent I O Agyapong2,3
5 affiliations
  1. 1AI for Mental Health Program, Department of Psychiatry, St. Michael’s Hospital, Unity Health Toronto, Toronto, ON, Canada
  2. 2Department of Psychiatry, University of Alberta, Edmonton, AB, Canada
  3. 3Department of Psychiatry, Dalhousie University, 5909 Veterans Memorial Lane, Abbie J. Lane Memorial Building QEII Health Sciences Centre, Halifax, NS, B3H 2E2, Canada, 1 780-215-7771, 1 902-473-4887
  4. 4Clinical Operations Informatics Office, Health Shared Services, Edmonton, AB, Canada
  5. 5School of Public Health, University of Alberta, Edmonyon, AB, Canada
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Abstract

Background: The transition from psychiatric inpatient care to community settings is associated with heightened vulnerability and increased risk of adverse mental health outcomes. Understanding age-related differences in mental health status at discharge may inform the targeting of postdischarge interventions and potentially improve long-term outcomes.

Objective: This study examined the associations between age and baseline demographic, clinical, and mental health characteristics among participants enrolled in the Text4Support program following discharge from psychiatric inpatient care.

Methods: Baseline data collected between March 8, 2022, and February 29, 2024, from 1106 participants discharged from inpatient psychiatric units across Alberta, Canada, were analyzed. Participants were grouped by age (18‐25, 26‐40, and >40 years). Mental health outcomes were assessed using validated self-report measures. Chi-square tests and 1-way ANOVA or Welch ANOVA were used to examine age-related differences in categorized and continuous outcomes, respectively.

Results: Significant age-related differences were observed across several mental health outcomes. Younger participants (18‐25 years) reported higher levels of depression, anxiety, and suicidal ideation, along with lower resilience and recovery scores compared with participants aged older than 40 years. Differences in quality of life were also observed, with younger adults reporting greater anxiety/depression and participants aged older than 40 years reporting more mobility-related problems.

Conclusions: Marked age-related disparities in mental health status were evident at the point of psychiatric discharge, with younger adults demonstrating greater vulnerability. These findings underscore the importance of age-informed risk stratification and tailored transitional care strategies following inpatient psychiatric treatment and suggest that different strategies may be required depending upon age.

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Cite

BibTeXRIS
BibTeX
@article{mao2026agerelated,
  title = {{Age-Related Differences in Mental Health Status at Psychiatric Discharge Among Patients Across 10 Acute Care Facilities in Alberta, Canada: Cross-Sectional Study}},
  author = {Wanying Mao and Ernest Owusu and Reham Shalaby and Hossam Eldin Elgendy and Belinda Agyapong and Ejemai Eboreime and Peter H Silverstone and Pierre Chue and Wesley Vuong and Arto Ohinmaa and Andrew J Greenshaw and Vincent I O Agyapong},
  journal = {JMIR Human Factors},
  year = {2026},
  month = nov,
  doi = {10.2196/92360},
  url = {https://doi.org/10.2196/92360},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Age-Related Differences in Mental Health Status at Psychiatric Discharge Among Patients Across 10 Acute Care Facilities in Alberta, Canada: Cross-Sectional Study
AU  - Wanying Mao
AU  - Ernest Owusu
AU  - Reham Shalaby
AU  - Hossam Eldin Elgendy
AU  - Belinda Agyapong
AU  - Ejemai Eboreime
AU  - Peter H Silverstone
AU  - Pierre Chue
AU  - Wesley Vuong
AU  - Arto Ohinmaa
AU  - Andrew J Greenshaw
AU  - Vincent I O Agyapong
PY  - 2026
DA  - 2026/11/09
JO  - JMIR Human Factors
DO  - 10.2196/92360
UR  - https://doi.org/10.2196/92360
AB  - Background: The transition from psychiatric inpatient care to community settings is associated with heightened vulnerability and increased risk of adverse mental health outcomes. Understanding age-related differences in mental health status at discharge may inform the targeting of postdischarge interventions and potentially improve long-term outcomes.  Objective: This study examined the associations between age and baseline demographic, clinical, and mental health characteristics among participants enrolled in the Text4Support program following discharge from psychiatric inpatient care.  Methods: Baseline data collected between March 8, 2022, and February 29, 2024, from 1106 participants discharged from inpatient psychiatric units across Alberta, Canada, were analyzed. Participants were grouped by age (18‐25, 26‐40, and >40 years). Mental health outcomes were assessed using validated self-report measures. Chi-square tests and 1-way ANOVA or Welch ANOVA were used to examine age-related differences in categorized and continuous outcomes, respectively.  Results: Significant age-related differences were observed across several mental health outcomes. Younger participants (18‐25 years) reported higher levels of depression, anxiety, and suicidal ideation, along with lower resilience and recovery scores compared with participants aged older than 40 years. Differences in quality of life were also observed, with younger adults reporting greater anxiety/depression and participants aged older than 40 years reporting more mobility-related problems.  Conclusions: Marked age-related disparities in mental health status were evident at the point of psychiatric discharge, with younger adults demonstrating greater vulnerability. These findings underscore the importance of age-informed risk stratification and tailored transitional care strategies following inpatient psychiatric treatment and suggest that different strategies may be required depending upon age.
SN  - 2292-9495
ER  -