Original Paper

Psychiatric Quarterly

, Volume 83, Issue 1, pp 53-64

First online:

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

  • Nicholas W. BowersoxAffiliated withDepartment of Veterans Affairs, Health Services Research and Development, Serious Mental Illness Treatment Research and Evaluation Center (SMITREC) Email author 
  • , Stephen M. SaundersAffiliated withMarquette University
  • , Bertrand D. BergerAffiliated withMilwuakee VA HospitalDepartment of Psychiatry and Behavioral Medicine, Medical College of Wisconsin

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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 patients Rehospitalization Survival analysis Theory of planned behavior