ArticleSchizophrenia bulletin2026
Psychiatric Hospitalization After Enrollment in Coordinated Specialty Care: Unexpected Gender- and Age-Related Disparities.
Article in Schizophrenia bulletin, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
background and hypothesesHospitalization is common during first-episode psychosis (FEP) and is linked to functional decline, stigma, and healthcare burden. Coordinated Specialty Care (CSC) programs aim to reduce hospitalization and improve outcomes through early, multidisciplinary intervention. This study examined hospitalization outcomes and predictors among participants in the Academic Community Early Psychosis Intervention Network that included 6 CSCs in the United States. STUDY
designParticipants with FEP (N = 701; mean age = 21.6 years, 64% male) were followed after CSC admission, with analyses restricted to the first 24 months. Primary outcomes included time to first hospitalization, number of hospitalizations, and length of stay (LOS). Kaplan-Meier survival and multivariable Cox regression examined predictors of time to first hospitalization, while negative binomial regression assessed hospitalization frequency and LOS. STUDY
resultsHospitalization rates declined after CSC enrollment. Females had shorter time to first hospitalization (HR = 2.79, 95% CI, 1.16-6.74) and more frequent admissions (IRR = 1.43, 95% CI, 1.10-1.85) than males. Younger age also predicted earlier (HR = 0.80, 95% CI, 0.67-0.95) and more frequent hospitalizations (IRR = 0.70 per 5 years, 95% CI, 0.58-0.84). Prior hospitalization predicted more admissions (IRR = 4.89, 95% CI, 3.32-7.19) and longer LOS (RR = 10.54, 95% CI, 6.70-16.59). Black/African American participants had longer LOS than White participants (RR = 1.59, 95% CI, 1.08-2.34).
conclusionsWhile hospitalization declined after CSC entry, females, younger individuals, and those with prior admissions remain at elevated risk. These findings underscore the need for tailored strategies to mitigate disparities and optimize early psychosis care.
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