Psychiatric Quarterly

, Volume 83, Issue 1, pp 53–64

Predictors of Rehospitalization in High-Utilizing Patients in the VA Psychiatric Medical System


    • Department of Veterans AffairsHealth Services Research and Development, Serious Mental Illness Treatment Research and Evaluation Center (SMITREC)
  • Stephen M. Saunders
    • Marquette University
  • Bertrand D. Berger
    • Milwuakee VA Hospital
    • Department of Psychiatry and Behavioral MedicineMedical College of Wisconsin
Original Paper

DOI: 10.1007/s11126-011-9182-2

Cite this article as:
Bowersox, N.W., Saunders, S.M. & Berger, B.D. Psychiatr Q (2012) 83: 53. doi:10.1007/s11126-011-9182-2


233 high-service-utilizing (HSU) psychiatric patients were recruited during an inpatient psychiatric treatment. They completed a questionnaire related to their treatment beliefs and were tracked via computerized medical records over 2 years. During the follow-up period, 79.8% were readmitted for additional inpatient psychiatric treatment. Survival analysis techniques were used to examine patients’ rates of readmittance during the follow-up period. Number of previous year inpatient psychiatric days served as a significant predictor of readmittance status and time to readmission. The survival plot was split by previous-year inpatient days to examine the effect of this variable on readmission. Implications of findings are discussed.


High-utilizing psychiatric patientsRehospitalizationSurvival analysisTheory of planned behavior

Copyright information

© Springer Science+Business Media, LLC (outside the USA)  2011