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The role of perceived social support after psychiatric hospitalisation: Post hoc analysis of a randomised controlled trial testing the effectiveness of a transitional intervention

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  • Michael P Hengartner
  • Silvia Passalacqua
  • Andreas Andreae
  • Wulf Rössler
  • Agnes von Wyl

Abstract

Background: The association between social support, readmissions and psychopathology following discharge from psychiatric hospitals is not clear. Aims: To examine the prospective effects of perceived social support on rehospitalisation rates and psychopathology and to focus on the moderators of a transitional intervention. Method: This post hoc analysis of a multisite randomised controlled trial included 151 patients with no more than three hospitalisations within the last 3 years, a Global Assessment of Functioning (GAF) score ≤60 and aged 18–64 years, assessed at two psychiatric hospitals from Zurich, Switzerland, between September 2011 and February 2014. Participants received either a transitional intervention aimed at improving social support during the transition from inpatient to outpatient care provided by a social worker or treatment as usual. Results: Lack of perceived social support at discharge significantly predicted subsequent rehospitalisation rates and increased psychopathological impairment across 12-month follow-up. Significant interaction effects between patient characteristics and the intervention on perceived social support comprised living at parent’s home, having no children and being of younger age. Conclusion: Perceived social support at discharge from inpatient care may reduce rehospitalisation rates and psychopathological impairment in the long term. A transitional intervention aimed at improving social support may negatively impact on the perceived social support in some patient groups.

Suggested Citation

  • Michael P Hengartner & Silvia Passalacqua & Andreas Andreae & Wulf Rössler & Agnes von Wyl, 2017. "The role of perceived social support after psychiatric hospitalisation: Post hoc analysis of a randomised controlled trial testing the effectiveness of a transitional intervention," International Journal of Social Psychiatry, , vol. 63(4), pages 297-306, June.
    • Handle: RePEc:sae:socpsy:v:63:y:2017:i:4:p:297-306
    DOI: 10.1177/0020764017700664
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    References listed on IDEAS

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