Skip to content
Journal article

Factors contributing to frequent use of psychiatric inpatient services by schizophrenia patients

Roick C, Heider D, Kilian R, Matschinger H, Toumi M, Angermeyer M ...see all

Social Psychiatry and Psychiatric Epidemiology, vol. 39, issue 9 (2004) pp. 744-751

  • 33

    Readers

    Mendeley users who have this article in their library.
  • 41

    Citations

    Citations of this article.
  • N/A

    Views

    ScienceDirect users who have downloaded this article.
Sign in to save reference

Abstract

BACKGROUND: Although present findings about frequent users of psychiatric inpatient services vary from study to study, some potentially important predictors of frequent use were extracted. The purpose of this study was to examine the potentially contributory factors of frequent use of psychiatric inpatient services by schizophrenia patients and to test the influence single factors have in an overall model. METHODS: A total of 307 schizophrenia patients were interviewed five times with intervals of 6 months. Data were collected about service receipt and health care costs, strength of primary diagnosis and comorbidities, as well as about patients' needs for care and satisfaction with care. Patients with three or more psychiatric admissions within a 30-month period were defined as frequent users. RESULTS: According to this criterion, 12% of the study population were frequent users. Compared with ordinary users, these patients accounted for significantly higher costs in hospital- and community-based care. Important predictors for frequent use of psychiatric inpatient services were the number of previous hospitalizations and current scores of psychopathology. In addition, a longitudinal analysis showed the importance of social factors for the use of psychiatric inpatient care. Therefore, a number of the frequent users' multiple admissions could also be caused by social problems. CONCLUSIONS: The mental health system should, thus, provide well-directed community-based resources, which give frequent users support to solve their social problems.

Author-supplied keywords

  • Frequent users
  • Inpatients care
  • Schizophrenia
  • Social problems
  • Treatment costs

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Find this document

Get full text

Authors

  • Christiane Roick

  • Dirk Heider

  • Reinhold Kilian

  • Herbert Matschinger

  • Mondher Toumi

  • Matthias C. Angermeyer

Cite this document

Choose a citation style from the tabs below