ArticleSocial psychiatry and psychiatric epidemiology2019
Identifying patterns in psychiatric hospital stays with statistical methods: towards a typology of post-deinstitutionalization hospitalization trajectories.
Article in Social psychiatry and psychiatric epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Risk stratification for long-term inpatient costs in mental disorders: a dual-track machine learning approach using baseline EHRs and hospitalization trajectories.BMC health services research · 2026Article
- Psychiatric Inpatient Length of Stay and Needs: A Cluster Analysis using Machine Learning Algorithms.The Psychiatric quarterly · 2025Article
- User, Admission and Discharge Characteristics at Secure Units in Residential Social Care Institutions in Slovenia.Zdravstveno varstvo · 2025Article
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- Identification of Patterns of Hospitalizations in Child and Adolescent Mental Health Service.The journal of behavioral health services & research · 2025Article
- 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
- Exploring correlates of high psychiatric inpatient utilization in Switzerland: a descriptive and machine learning analysis.BMC psychiatry · 2024Article
- Inside the Hospitalization Voyage of Schizophrenia Care: A Single-Center Journey.Medicina (Kaunas, Lithuania) · 2024Article
- Changes in Revolving-Door Mental Health Hospitalizations during the COVID-19 Pandemic: A 5-Year Chart Review Study.Journal of clinical medicine · 2023Article
- Predictors of Length of Hospitalization and Impact on Early Readmission for Mental Disorders.International journal of environmental research and public health · 2022Article
- Patterns of Service Use in Intensive Case Management: A Six Year Longitudinal Study.Administration and policy in mental health · 2022Article
- The scope of nursing practice in a psychiatric unit: A time and motion study.Journal of psychiatric and mental health nursing · 2022Observational
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- Treatment Bed Utilization Following Placement in a Foster Care Program for Veterans with Serious Mental Illness.Community mental health journal · 2021Article
- Effects of the Mental Health and Welfare Law revision on schizophrenia patients in Korea: an interrupted time series analysis.International journal of mental health systems · 2021Article
- Recovering the Capacity to Live outside of a Psychiatric Hospital: Impact of a Specialized Inpatient Program.The Psychiatric quarterly · 2021Article
- A sequence analysis of hospitalization patterns and service utilization in patients with major psychiatric disorders in China.BMC psychiatry · 2021Article
- Determinants of Revolving Door in an Acute Psychiatric Ward for Prison Inmates.Frontiers in psychiatry · 2021Article
- Pattern of inpatient care for depression: an analysis of 232,289 admissions.BMC psychiatry · 2020Article
- The French Integrative Psychosocial Rehabilitation Assessment for Complex Situations (FIPRACS): Modelization of an Adapted Assessment Method Toward Long-Term Psychiatric Inpatients With Disabling, Severe and Persistent Mental Illness.Frontiers in psychiatry · 2020Article
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeOver the past 50 years, deinstitutionalization changed the face of psychiatry. However, outpatient treatment in the community does not always fit the needs of those who left institutions and sometimes leads to frequent re-hospitalizations, a mechanism known as the "revolving door" phenomenon. The study aim was to identify different typologies of hospitalization trajectories.
methodsRecords of 892 inpatients from the Department of Psychiatry of Lausanne University Hospital were analyzed over a 3-year period with discrete sequential-state analysis.
resultsTrajectories could be split between atypical users (4.9% of patients totalling 30.6% of hospital days) and regular users. Within the atypical users group, three categories were identified: "Permanent stays" (3 patients totalling 6.3% of hospital days), "long stays" (1.7% patients/8.6% hospital days) and "revolving door" stays (2.9% patients/15.8% hospital days). The remaining 95.1% of the patients were classified into "unique episodes" (70.0% patients/24.5% hospital days) and "repeated episodes" (25.0% patients/44.9% hospital days). Diagnoses of schizophrenia were overrepresented among heavy users.
conclusionsMost patients went through a unique or low number of brief hospital admissions over the 3 years of the study. While the shift of previously institutionalized individuals towards high users of psychiatric hospital seems limited, this phenomenon should not be neglected since 4.9% of patients use about a third of hospital beds. Early identification of problematic profiles could allow the implementation of relapse prevention strategies and facilitate the development of alternatives to hospitalization such as assertive community treatment or housing first programs.
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