Characteristics of Frequent Users of an Acute Psychiatric Inpatient Unit: A Five-Year Study in Portugal
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OBJECTIVE: This study examined demographic and clinical characteristics of frequent users of a psychiatric inpatient unit in Portugal. METHODS: Data (2004-2008) for 1,348 consecutive psychiatric inpatients were reviewed. Frequent users (N=137), who had at least three admissions in the study period, were compared with nonfrequent users (N=1,211) on age, gender, race-ethnicity, diagnosis, and compulsory admissions. Data were analyzed with chi square and Student's t tests. RESULTS: Frequent users accounted for 29% of admissions. They were significantly younger than nonfrequent users (39±14 versus 44±17, p<.001), and a larger proportion had compulsory admissions (28% versus 14%, p<.001). The frequent user group also had significantly higher rates of bipolar disorder (61% versus 46%, p<.001) and schizophrenia (29% versus 18%, p<.003). CONCLUSIONS: Understanding characteristics of frequent users can inform development of appropriate services. Research should address other variables related to frequent admissions, including socioeconomic factors, general medical and psychiatric comorbidities, and treatment compliance.
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Some studies found that following an involuntary admission people were more likely to be re-hospitalised than following voluntary admissions, over a wide range of time-periods.
“Some studies found that following an involuntary admission people were more likely to be re-hospitalised than following voluntary admissions, over a wide range of time-periods (58–68).”
From The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review (2025) · cites this paper as [61]
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- Authors
- Graca, J., Klut, C., Trancas, B., Borja-Santos, N., & Cardoso, G.
- Affiliations
- University of Lisbon (PT)
- Venue
- Psychiatric Services
- Published
- 2013-02
- Volume
- 64
- Issue
- 2
- Pages
- 192-195
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- OpenAlex
- W2148615459
- Cited by
- 34
- References
- 14
- Citations by year
- 2024: 7 · 2023: 3 · 2022: 4 · 2021: 6 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 3 · 2016: 4 · 2015: 3
- FWCI
- 2.60
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- other-oa
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- psychiatric hospital admissions, involuntary admission, bipolar disorder, schizophrenia, demographic factors, clinical features, psychiatric service utilization, Portugal
- MeSH terms
- Adult, Mental Disorders, Commitment of Persons with Psychiatric Disorders, Commitment of Mentally Ill, Female, Hospital Units, Humans, Inpatients, Length of Stay, Male, Mental Health Services, Middle Aged, Patient Readmission, Portugal, Recurrence, Retrospective Studies, Severity of Illness Index, Socioeconomic Factors
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