ArticleSocial psychiatry and psychiatric epidemiology2010
The revolving door phenomenon in psychiatry: comparing low-frequency and high-frequency users of psychiatric inpatient services in a developing country.
Article in Social psychiatry and psychiatric epidemiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
38 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The revolving door phenomenon in severe psychiatric disorders: A systematic review.The International journal of social psychiatry · 2023Pooled it
- Schizoaffective disorder in homeless patients: A systematic review.The International journal of social psychiatry · 2023Pooled it
- An intensive multimodal group programme for patients with psychotic disorders at risk of rehospitalization: a controlled intervention study.BMC psychiatry · 2019Trial
- Assessing the efficacy of a modified assertive community-based treatment programme in a developing country.BMC psychiatry · 2010Trial
- Profile of male acute admissions at a state psychiatric hospital in the Western Cape, South Africa.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2026Article
- Frequent Users in Psychiatric Consultations: A 6-Year Retrospective Study in the Emergency Department.International journal of environmental research and public health · 2025Observational
- Why Go to the Psychiatric Hospital? The Experiences of People Living with Mental Disorders Hospitalized Multiple Times in One Year: A Qualitative Study.Nursing reports (Pavia, Italy) · 2025Article
- The Revolving Door Phenomenon in the Romanian Mental Health System.Alpha psychiatry · 2025Article
- Risks for re-hospitalization of persons with severe mental illness living in rehabilitation care settings.Israel journal of health policy research · 2024Review
- Early and Frequent Psychiatric Readmissions in a Brazilian Cohort of Hospitalized Patients Between 2001 and 2013.Administration and policy in mental health · 2024Article
- Factors associated with the revolving door phenomenon in patients with schizophrenia: results from an acute psychiatric hospital in Romania.Frontiers in psychiatry · 2024Article
- Schizophrenia and schizoaffective disorder: Length of stay and associated factors.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2024Article
- Sociodemographic and Clinical Correlates Associated with the Frequent Service Users in an Italian Psychiatric Emergency Department.Diagnostics (Basel, Switzerland) · 2023Article
- Case report: Successful administration of cariprazine in a young, severely ill patient with recurrent relapses of schizophrenia and persistent negative symptoms.Frontiers in psychiatry · 2023Article
- Exploring sustainable care pathways - a scoping review.BMC health services research · 2022Article
- Service Providers Perspectives on Personal Recovery from Severe Mental Illness in Cape Town, South Africa: A Qualitative Study.Community mental health journal · 2022Article
- Caregiver perspectives on patient capacities and institutional pathways to person centered forensic psychiatric care.PloS one · 2022Article
- Descriptive outcomes for a cohort of high-frequency psychiatric service users in the Western Cape, South Africa after 10 years.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2022Article
- Recovering the Capacity to Live outside of a Psychiatric Hospital: Impact of a Specialized Inpatient Program.The Psychiatric quarterly · 2021Article
- Patterns and Predictors of Reincarceration among Prisoners with Serious Mental Illness: A Cohort Study: Modèles et prédicteurs de réincarcération chez les prisonniers souffrant de maladie mentale grave : Une étude de cohorte.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionDeinstitutionalization has led to a dramatic reduction of inpatient beds and subsequent increase in pressure on available beds. Another consequence of deinstitutionalization has been the phenomenon of the revolving door patient; high-frequency users (HFUs) admitted to hospital repeatedly, remaining well for only short periods of time. The purpose of the study was to determine factors that contribute to HFU of inpatient psychiatric services by schizophrenia and schizo-affective disorder subjects in a developing country with a view to understanding this phenomenon better.
methodsSubjects were divided into HFU and low-frequency user (LFUs) groups for comparison with regard to selected variables.
resultsHFUs had higher PANSS scores (p < 0.01), were more likely to admit to lifetime substance use (p = 0.01), be on mood stabilizers (p < 0.01) and also to have been crisis (premature) discharges (p < 0.01). LFUs were more likely to have been treated with depot medication (p < 0.01). Multivariate analysis showed crisis discharge (p = 0.03) and depot use (p = 0.03) to be the only remaining significant predictors of HFU versus LFU status. DISCUSSION: Our findings suggest HFUs' characteristics to be similar across different settings, with under-utilization of depot antipsychotics and early discharge from hospital as particular contributors to high-frequency use of services in our sample.
conclusionResults seem to indicate that HFU-specific interventions are vital to addressing these issues.
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