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

Abstract

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.

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Correspondence to Nicholas W. Bowersox.

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Bowersox, N.W., Saunders, S.M. & Berger, B.D. Predictors of Rehospitalization in High-Utilizing Patients in the VA Psychiatric Medical System. Psychiatr Q 83, 53–64 (2012). https://doi.org/10.1007/s11126-011-9182-2

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Keywords

  • High-utilizing psychiatric patients
  • Rehospitalization
  • Survival analysis
  • Theory of planned behavior