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Cited by 10Schizophrenia research and treatmentPsychiatric care and mental health servicesHealthcare Decision-Making and Restraints

Correlates of rehospitalisation in schizophrenia

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Dey, Sangeeta, Menkes, David B, Obertova, Zuzana, Chaudhuri, Sreemanti, Mellsop, Graham·2016·Australasian Psychiatry
DOI 10.1177/1039856216632395
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Abstract

Objectives: Schizophrenia typically has a fluctuating course; rehospitalisation is common. We studied associations between discharge variables and subsequent two-year rehospitalisation rates. Method: Using a New Zealand national database, we obtained rehospitalisation rates and bed days for 451 patients with schizophrenia discharged from three inpatient facilities between July 2009 and December 2011. Results: Nearly half (44%) of the cohort were rehospitalised within two years. Patients over 50 were less likely [hazard ratio (HR) = 0.58, 95% confidence interval (CI) = 0.35–0.97, p = 0.04] to be rehospitalised. Patients whose index admission included compulsory treatment appeared more likely (HR = 1.3, 95% CI = 0.98–1.71, p = 0.06) to be rehospitalised and spent longer rehospitalised ( p = 0.05). Those whose index admission was three weeks or longer were less likely (HR = 0.53, 95% CI = 0.39–0.72, p = 0.001) to be rehospitalised. Antipsychotic types, routes and dosages were not significantly associated with rehospitalisation rate, except for those prescribed clozapine (HR = 0.61, 95% CI = 0.41–0.89, p = 0.01). Conclusions: Rehospitalisation rates were higher for patients under the age of 50 and those with shorter index admissions; the latter finding requires further study. Other than the beneficial effect of clozapine, the type and route of prescribed antipsychotics did not significantly affect rehospitalisation rates.

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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 [59]

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Authors
Dey, S., Menkes, D. B., Obertova, Z., Chaudhuri, S., & Mellsop, G.
Affiliations
  • University of Auckland (NZ)
  • Statistician, Waikato Clinical Campus, University of Auckland, Auckland, New Zealand
  • Psychiatrist (MRCP, Locum), Tairawhiti District Health Board, Gisborne, New Zealand
Corresponding author
Dey, Sangeeta
ORCID
Venue
Australasian Psychiatry
Publisher
SAGE Publications
Published
2016-07-10
Volume
24
Issue
4
Pages
356-359
ISSN
  • 1039-8562 (ISSN-L)
  • 1440-1665
DOI
10.1177/1039856216632395
OpenAlex
W2338352831
Cited by
9
References
17
Citations by year
2025: 1 · 2024: 2 · 2022: 1 · 2020: 2 · 2019: 2 · 2017: 1
FWCI
0.89
Type
journal article
Language
en
Open access
Licence
Locations
  • Australasian Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • ResearchSpace (University of Auckland) (submittedVersion, cc-by)
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, hospital readmission, involuntary treatment, clozapine, antipsychotic prescribing, age at admission, hospital discharge, bed days
MeSH terms
Adolescent, Adult, Age Factors, Aged, Clozapine, Female, Humans, Length of Stay, Male, Middle Aged, New Zealand, Patient Readmission, Regression Analysis, Schizophrenia, Sex Factors, Antipsychotic Agents, Cohort Studies, Databases, Factual, Treatment Outcome, Young Adult

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