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Cited by 61Schizophrenia research and treatmentPsychiatric care and mental health servicesHealthcare Decision-Making and Restraints

Hospitalization patterns in schizophrenia

Munk-Jørgensen, Povl, Bo Mortensen, Preben, Machón, Ricardo A.·1991·Schizophrenia Research
DOI 10.1016/0920-9964(91)90004-b
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Abstract

All first admitted patients in 1972 from a catchment area of 582,000 inhabitants aged 15 years or more who were diagnosed as schizophrenic at least once from 1972 until September 1983 (n = 53) were followed-up on average 13 years after first admission. About 20% of the cohort was hospitalized on any given day throughout the length of the follow-up period. The duration of hospitalization decreased from a mean of 8.2 months for the first admission to 1.7 months for the tenth or later admission. The readmission risk increased as a function of the number of previous admissions. Patients with income from occupation or from grants for education had shorter duration of first in-patient period. If the patients were diagnosed as schizophrenics already during the first hospitalization the risk for prolonged duration of the first in-patient period was increased but the readmission risk diminished. Furthermore, readmission risk after the first discharge was diminished by own income and by out-patient treatment and increased by low social status. High proportion of follow-up time in hospital (greater than or equal to 30%) was correlated to affective flattening present at first admission. Of the cohorts' total number of admissions (n = 493) 12% were involuntary. Involuntary admissions were more frequent in the first half of the follow-up period and were correlated to a previous involuntary admission.

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  • The association with involuntary readmission possibly indicates less therapeutic engagement.

    “By contrast, two studies found that overall readmission was not higher following involuntary admission (69,70) although there was an association with involuntary readmission, possibly indicating less therapeutic engagement (71–75).”

    From The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review (2025) · cites this paper as [75]

  • There was an association with involuntary readmission.

    “By contrast, two studies found that overall readmission was not higher following involuntary admission (69,70) although there was an association with involuntary readmission, possibly indicating less therapeutic engagement (71–75).”

    From The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review (2025) · cites this paper as [75]

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Authors
Munk-Jørgensen, P., Bo Mortensen, P., & Machón, R. A.
Affiliations
Loyola Marymount University (US)
Venue
Schizophrenia Research
Publisher
Elsevier BV
Published
1991-01
Volume
4
Issue
1
Pages
1-9
ISSN
0920-9964 (ISSN-L)
DOI
10.1016/0920-9964(91)90004-b
OpenAlex
W17599641
Cited by
61
References
34
Citations by year
2025: 1 · 2024: 1 · 2022: 1 · 2020: 2 · 2019: 1 · 2018: 2 · 2017: 1 · 2014: 2 · 2013: 4 · 2012: 4
FWCI
2.09
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Schizophrenia Research (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
Keywords
schizophrenia, hospitalization patterns
MeSH terms
Adult, Cross-Sectional Studies, Denmark, Female, Follow-Up Studies, Hospitalization, Hospitals, Psychiatric, Humans, Length of Stay, Male, Patient Readmission, Rehabilitation, Vocational, Schizophrenia, Schizophrenic Psychology, Social Adjustment, Social Environment, Socioeconomic Factors, Cohort Studies, Incidence

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