Pattern of health service utilization and predictors of readmission after a first admission for psychosis: a 2-year follow-up study

Acta Psychiatrica Scandinavica
A CougnardH Verdoux

Abstract

To explore the pattern of health service utilization over 2 years following a first admission for psychosis and the baseline characteristics predicting readmission. Patients included in a cohort of first-admitted subjects with psychosis (n = 84) were assessed at the end of a 2-year follow-up using multiple sources of information. At the end of the follow-up, one of three subjects had no contact with any mental health professional, and 38% of subjects had no contact with a psychiatrist. Half of the patients were readmitted over the 2-year follow-up. The baseline characteristics independently predicting psychiatric readmission were a high number of helping contacts before first admission and persistence of psychotic symptoms at discharge. Decreasing the frequency of readmission in the early course of psychosis is a public health priority. Development of psychotherapeutic programs for subjects with early psychosis who have enduring psychotic symptoms at first discharge should be promoted.

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Citations

Mar 18, 2015·The Journal of Behavioral Health Services & Research·Paul N PfeifferMarcia Valenstein
Jan 25, 2007·Acta Psychiatrica Scandinavica·D AddingtonS Patten
Oct 24, 2007·Acta Psychiatrica Scandinavica. Supplementum·E LindströmS Levander
Mar 23, 2013·Schizophrenia Research·Albert BatallaMiguel Bernardo
Oct 16, 2016·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Kelly K Anderson, Paul Kurdyak
Nov 30, 2006·European Archives of Psychiatry and Clinical Neuroscience·Hélène Verdoux
Dec 14, 2019·The Journal of Nervous and Mental Disease·José Guzmán-ParraFermin Mayoral-Cleries
Dec 18, 2019·Psychiatry and Clinical Neurosciences·Natalie SeilerBrian O'Donoghue
Sep 1, 2011·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Elizabeth LinArlene S Bierman
May 16, 2019·Psychiatric Services : a Journal of the American Psychiatric Association·Delbert G RobinsonJohn M Kane

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