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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 11/2014

01-11-2014 | Original Paper

Rehospitalization risk of former voluntary and involuntary patients with schizophrenia

Authors: Carmen Pfiffner, Tilman Steinert, Reinhold Kilian, Thomas Becker, Karel Frasch, Gerhard Eschweiler, Gerhard Längle, Daniela Croissant, Wiltrud Schepp, Prisca Weiser, Susanne Jaeger

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 11/2014

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Abstract

Background

The aim of the study was to examine the differences between former involuntary and voluntary patients with a schizophrenic disorder with regard to time to and frequency of rehospitalization.

Methods

In this prospective observational study, 374 patients with a diagnosis of schizophrenia or schizoaffective disorder were included. At the time of inclusion, 290 (77.5 %) were hospitalized voluntarily and 84 (22.5 %) involuntarily. Follow-up assessments were conducted half-yearly over a 2-year period with measures of PANSS, GAF, sociodemographic data and cognitive functioning. These data served as covariates for adjustment in statistical models that included a Cox regression model, a random-effect logit model and a random-effect tobit model.

Results

After adjustment for other relevant covariates, the Cox regression showed that involuntary treatment is a significant risk factor of subsequent rehospitalization (HR = 1.53; CI = 1.06, 2.19; p = 0.02). The involuntary group had higher half-year incidence rates of rehospitalization, and in case of rehospitalization the duration of hospital stay was longer.

Conclusions

Involuntary hospitalization seems to be associated with a higher risk of rehospitalization and longer subsequent hospital stays in patients with schizophrenia and schizoaffective disorders. Further studies are needed to examine in detail the processes and interventions that are suitable for interrupting circles of repeated hospitalizations, especially in former involuntary patients.
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Metadata
Title
Rehospitalization risk of former voluntary and involuntary patients with schizophrenia
Authors
Carmen Pfiffner
Tilman Steinert
Reinhold Kilian
Thomas Becker
Karel Frasch
Gerhard Eschweiler
Gerhard Längle
Daniela Croissant
Wiltrud Schepp
Prisca Weiser
Susanne Jaeger
Publication date
01-11-2014
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 11/2014
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-014-0892-2

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