Observational studySocial psychiatry and psychiatric epidemiology2014
Rehospitalization risk of former voluntary and involuntary patients with schizophrenia.
Observational study in Social psychiatry and psychiatric epidemiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- An intensive multimodal group programme for patients with psychotic disorders at risk of rehospitalization: a controlled intervention study.BMC psychiatry · 2019Trial
- Relationship Between the Duration of Hospitalization and Readmission Status in Patients With Schizophrenia: A Saudi Arabian Cohort Study.Brain and behavior · 2025Article
- The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2025Article
- Exploring risk factors for re-hospitalization in a psychiatric inpatient setting: a retrospective naturalistic study.BMC psychiatry · 2022Article
- Analysis of hospital costs by morbidity group for patients with severe mental illness.Annals of medicine · 2022Article
- Risk factors for rehospitalization for patients following release from court-ordered evaluation: A retrospective study.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2020Article
- Five-year rehospitalization experience of a state-wide cohort of persons with schizophrenia.Social psychiatry and psychiatric epidemiology · 2019Article
- Optimal Network for Patients with Severe Mental Illness: A Social Network Analysis.Administration and policy in mental health · 2017Article
- Association between the high-dose use of benzodiazepines and rehospitalization in patients with schizophrenia: a 2-year naturalistic study.Neuropsychiatric disease and treatment · 2016Article
Corrections and comments
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Authors and funding
11 authors.
Funding
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Abstract
backgroundThe aim of the study was to examine the differences between former involuntary and voluntary patients with a schizophrenic disorder with regard to time to and frequency of rehospitalization.
methodsIn this prospective observational study, 374 patients with a diagnosis of schizophrenia or schizoaffective disorder were included. At the time of inclusion, 290 (77.5 %) were hospitalized voluntarily and 84 (22.5 %) involuntarily. Follow-up assessments were conducted half-yearly over a 2-year period with measures of PANSS, GAF, sociodemographic data and cognitive functioning. These data served as covariates for adjustment in statistical models that included a Cox regression model, a random-effect logit model and a random-effect tobit model.
resultsAfter adjustment for other relevant covariates, the Cox regression showed that involuntary treatment is a significant risk factor of subsequent rehospitalization (HR = 1.53; CI = 1.06, 2.19; p = 0.02). The involuntary group had higher half-year incidence rates of rehospitalization, and in case of rehospitalization the duration of hospital stay was longer.
conclusionsInvoluntary hospitalization seems to be associated with a higher risk of rehospitalization and longer subsequent hospital stays in patients with schizophrenia and schizoaffective disorders. Further studies are needed to examine in detail the processes and interventions that are suitable for interrupting circles of repeated hospitalizations, especially in former involuntary patients.
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