This page was translated automatically from Turkish. Read the original

This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

EV0335

The revolving door in psychiatry: predictors of rapid psychiatric readmission

THE REVOLVING DOOR IN PSYCHIATRY: PREDICTORS OF RAPID PSYCHIATRIC READMISSION

The 30-day readmission rate of 4.8% was consistent with national data. Readmissions were substantially longer than index admissions and were associated with treatment nonadherence, residual symptoms at discharge, and poor social support.

The aim of the study was to characterize 30-day readmissions in an adult psychiatric unit and assess the associated clinical risk factors. A retrospective observational study was conducted in the Acute Psychiatric Inpatient Unit of Unidade Local de Saude de Lisboa Ocidental, including all patients readmitted within 30 days of discharge between January 2023 and April 2025. Sociodemographic and clinical variables were collected from electronic health records. Of the 629 admissions during the study period, 30 (4.8%) resulted in readmission within 30 days of discharge. Readmissions were substantially longer than index admissions (43.1 versus 26.5 days; standard deviations of 39.1 and 18.2, respectively), with this difference reaching statistical significance particularly among patients with poor social support, treatment nonadherence, and residual symptomatology at discharge (p<0.05). In the clinical profile of the 30 readmitted patients, schizophrenia spectrum disorders were the most common primary diagnosis (n=14); 12 patients had a comorbid substance use disorder, and 8 had returned to active substance use at the time of readmission. More than half of the patients (n=16) were assessed as having discontinued their treatment regimen, while 11 had documented residual clinical symptoms at their previous discharge. In conclusion, the 30-day readmission rate was comparable to national data and substantially below European estimates, suggesting effective coordination between hospital and community-based care. Treatment nonadherence, residual symptoms, and poor social support, as established predictors of decompensation, offer opportunities for early risk identification and targeted transitional care.

All WCP 2026 summaries