{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T04:40:42Z","timestamp":1785386442368,"version":"3.55.0"},"reference-count":37,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2020,4,16]],"date-time":"2020-04-16T00:00:00Z","timestamp":1586995200000},"content-version":"unspecified","delay-in-days":4976,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur. psychiatr."],"published-print":{"date-parts":[[2006,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0924933800262020_abs1\" sec-type=\"other\"><jats:title>Purpose:<\/jats:title><jats:p>The aim of this study is to examine the utilization of psychiatric services for inpatients with psychosis over a period of five years after first admission, and to identify factors that contribute to intensive service use in terms of cumulative length of in-patient treatment and readmission rate.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800262020_abs2\" sec-type=\"methods\"><jats:title>Methods:<\/jats:title><jats:p>A cohort of 424 patients with psychotic disorders (out of a sample of 2565 first-admitted patients from a catchment area in Switzerland) was examined by means of register data.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800262020_abs3\" sec-type=\"results\"><jats:title>Results:<\/jats:title><jats:p>Patients admitted for psychosis spent the longest time in hospital compared to other diagnoses, but there was considerable within-sample variation, and most patients (60.4%) had only one in-patient episode. Of the total time accumulated in this sample, 50.5% was \u2018consumed\u2019 by 10.7% of patients. Regarding the overlap between \u2018heavy use\u2019 and \u2018frequent use\u2019 (those 10% of the sample with the longest\/ most frequent hospitalizations), only 39.5% of the \u2018frequent users\u2019 were also \u2018heavy users\u2019 (vice versa: 38.6%). \u2018Clinical\u2019 measures were the main predictors of the overall time spent as an in-patient (schizophrenia diagnosis, therapeutic measures, clinical improvement). Concerning \u2018heavy use\u2019, homelessness was yet another important risk factor. Sociodemographic variables (age, level of education, living alone) particularly influenced the number of hospitalizations. A younger age at first admission was predictive of \u2018heavy\u2019 and \u2018frequent\u2019 use.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800262020_abs4\" sec-type=\"other\"><jats:title>Discussion:<\/jats:title><jats:p>Clinical and sociodemographic factors explain differences in in-patient service consumption among patients with psychosis. Efforts to devise effective interventions have to take both into account, but different measures are needed to address \u2018heavy\u2019 and \u2018frequent\u2019 use.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.eurpsy.2005.12.004","type":"journal-article","created":{"date-parts":[[2006,3,14]],"date-time":"2006-03-14T13:48:09Z","timestamp":1142344089000},"page":"401-409","source":"Crossref","is-referenced-by-count":39,"title":["Prediction of in-patient use in first-admitted patients with psychosis"],"prefix":"10.1017","volume":"21","author":[{"given":"Barbara","family":"Lay","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Lauber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wulf","family":"R\u00f6ssler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2020,4,16]]},"reference":[{"key":"S0924933800262020_bib37","volume-title":"The International Statistical Classification of Diseases and Related Health Problems, 10th revision. 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