Prediction of in-patient use in first-admitted patients with psychosis

European Psychiatry : the Journal of the Association of European Psychiatrists
Barbara LayWulf Rössler

Abstract

The aim of this study is to examine the utilization of psychiatric services for inpatients with psychosis over a period of five years after first admission, and to identify factors that contribute to intensive service use in terms of cumulative length of in-patient treatment and readmission rate. A cohort of 424 patients with psychotic disorders (out of a sample of 2565 first-admitted patients from a catchment area in Switzerland) was examined by means of register data. Patients admitted for psychosis spent the longest time in hospital compared to other diagnoses, but there was considerable within-sample variation, and most patients (60.4%) had only one in-patient episode. Of the total time accumulated in this sample, 50.5% was 'consumed' by 10.7% of patients. Regarding the overlap between 'heavy use' and 'frequent use' (those 10% of the sample with the longest/ most frequent hospitalizations), only 39.5% of the 'frequent users' were also 'heavy users' (vice versa: 38.6%). 'Clinical' measures were the main predictors of the overall time spent as an in-patient (schizophrenia diagnosis, therapeutic measures, clinical improvement). Concerning 'heavy use', homelessness was yet another important risk factor. Sociodemographic variabl...Continue Reading

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Citations

Mar 1, 2012·Der Nervenarzt·M Jäger, W Rössler
Apr 24, 2007·Social Psychiatry and Psychiatric Epidemiology·Barbara LayWulf Rössler
Nov 10, 2009·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·José-Ignacio Antón, Rafael Muñoz de Bustillo
Mar 15, 2006·Journal of Affective Disorders·Christoph LauberWulf Rössler
Apr 18, 2016·Psychiatry Research·Anne Neeltje Scholte-StalenhoefRichard Bruggeman
Apr 12, 2008·European Psychiatry : the Journal of the Association of European Psychiatrists·A QureshiM Casas
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Nov 15, 2013·The Australian and New Zealand Journal of Psychiatry·Alessandra RaudinoVera A Morgan
Aug 26, 2014·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Stuart J LeeJayashri Kulkarni
Apr 25, 2013·The Australian and New Zealand Journal of Psychiatry·Christy L-M HuiEric Y-H Chen
Mar 31, 2016·The Journal of Nervous and Mental Disease·Courtney BeardThröstur Björgvinsson
Dec 14, 2019·The Journal of Nervous and Mental Disease·José Guzmán-ParraFermin Mayoral-Cleries
Feb 9, 2017·Community Mental Health Journal·Jose Guzman-ParraFermin Mayoral-Cleries

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