Pattern of health service utilization and predictors of readmission after a first admission for psychosis: a 2-year follow-up study

Acta Psychiatr Scand. 2006 Apr;113(4):340-9. doi: 10.1111/j.1600-0447.2005.00694.x.


Objective: To explore the pattern of health service utilization over 2 years following a first admission for psychosis and the baseline characteristics predicting readmission.

Method: Patients included in a cohort of first-admitted subjects with psychosis (n = 84) were assessed at the end of a 2-year follow-up using multiple sources of information.

Results: At the end of the follow-up, one of three subjects had no contact with any mental health professional, and 38% of subjects had no contact with a psychiatrist. Half of the patients were readmitted over the 2-year follow-up. The baseline characteristics independently predicting psychiatric readmission were a high number of helping contacts before first admission and persistence of psychotic symptoms at discharge.

Conclusion: Decreasing the frequency of readmission in the early course of psychosis is a public health priority. Development of psychotherapeutic programs for subjects with early psychosis who have enduring psychotic symptoms at first discharge should be promoted.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Cohort Studies
  • Female
  • Follow-Up Studies
  • France
  • Hospitalization / statistics & numerical data
  • Humans
  • Male
  • Mental Health Services / statistics & numerical data*
  • Middle Aged
  • Patient Readmission / statistics & numerical data*
  • Psychotic Disorders / rehabilitation*