Psychiatric Quarterly

, Volume 83, Issue 1, pp 53–64 | Cite as

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

  • Nicholas W. Bowersox
  • Stephen M. Saunders
  • Bertrand D. Berger
Original Paper


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 


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Copyright information

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

Authors and Affiliations

  • Nicholas W. Bowersox
    • 1
  • Stephen M. Saunders
    • 2
  • Bertrand D. Berger
    • 3
    • 4
  1. 1.Department of Veterans AffairsHealth Services Research and Development, Serious Mental Illness Treatment Research and Evaluation Center (SMITREC)Ann ArborUSA
  2. 2.Marquette UniversityMilwaukeeUSA
  3. 3.Milwuakee VA HospitalMilwaukeeUSA
  4. 4.Department of Psychiatry and Behavioral MedicineMedical College of WisconsinMilwaukeeUSA

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