IDEAS home Printed from https://ideas.repec.org/a/sae/socpsy/v69y2023i5p1075-1089.html
   My bibliography  Save this article

The revolving door phenomenon in severe psychiatric disorders: A systematic review

Author

Listed:
  • Joana Fonseca Barbosa
  • João Gama Marques

Abstract

Background: The treatment of psychiatric patients has suffered a major change over the last decades, with long-term hospitalizations being replaced by short-term stays and appropriate aftercare in outpatient services. Some chronically ill patients exhibit a pattern of multiple hospitalizations, designated as the Revolving Door (RD) phenomenon. Aims: This review aims to analyse the existing literature regarding sociodemographic, clinical and other factors associated with multiple hospitalizations in psychiatric facilities. Method: The search performed in the PubMed database for the terms revolving[Title] AND (psyc*[Title] OR schizo*[Title] OR mental[Title]) presented 30 citations, 8 of which met the eligibility criteria. Four other studies found in references of these articles were also included in the review. Results: Albeit the use of different criteria to define the RD phenomenon, it is more likely to be associated with patients who are younger, single, with low educational level, unemployed, diagnosed with a psychotic disorder, particularly schizophrenia, and with alcohol and/or substance use. It is also associated with a younger age on disease onset, suicidality, noncompliance and voluntary type of admission. Conclusion: Recognizing patients with a RD pattern of admissions and prediction of rehospitalization can help the development of preventive intervention strategies and identify potential limitations in existing health care delivery systems.

Suggested Citation

  • Joana Fonseca Barbosa & João Gama Marques, 2023. "The revolving door phenomenon in severe psychiatric disorders: A systematic review," International Journal of Social Psychiatry, , vol. 69(5), pages 1075-1089, August.
    • Handle: RePEc:sae:socpsy:v:69:y:2023:i:5:p:1075-1089
    DOI: 10.1177/00207640221143282
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/00207640221143282
    Download Restriction: no
    File URL: https://libkey.io/10.1177/00207640221143282?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Yu-Yuan Hung & Hung-Yu Chan & Yi-Ju Pan, 2017. "Risk factors for readmission in schizophrenia patients following involuntary admission," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-11, October.
    2. Donald E Frederick & Tyler J VanderWeele, 2019. "Supported employment: Meta-analysis and review of randomized controlled trials of individual placement and support," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-26, February.
    3. Ulrich Frick & Hannah Frick & Berthold Langguth & Michael Landgrebe & Bettina Hübner-Liebermann & Göran Hajak, 2013. "The Revolving Door Phenomenon Revisited: Time to Readmission in 17’415 Patients with 37’697 Hospitalisations at a German Psychiatric Hospital," PLOS ONE, Public Library of Science, vol. 8(10), pages 1-9, October.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Tonje Fyhn & Simon Øverland & Silje E Reme, 2021. "Predictors of employment in people with moderate to severe mental illness participating in a randomized controlled trial of Individual Placement and Support (IPS)," International Journal of Social Psychiatry, , vol. 67(2), pages 150-157, March.
    2. Isabelle Weld-Blundell & Marissa Shields & Alexandra Devine & Helen Dickinson & Anne Kavanagh & Claudia Marck, 2021. "Vocational Interventions to Improve Employment Participation of People with Psychosocial Disability, Autism and/or Intellectual Disability: A Systematic Review," IJERPH, MDPI, vol. 18(22), pages 1-33, November.
    3. Won Sang Lee & So Young Sohn, 2017. "Identifying Emerging Trends of Financial Business Method Patents," Sustainability, MDPI, vol. 9(9), pages 1-21, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:socpsy:v:69:y:2023:i:5:p:1075-1089. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.