A report on the "worst" state hospital recidivists in the U.S

UMMS Affiliation

Department of Psychiatry

Publication Date


Document Type



Adult; Bipolar Disorder; Cross-Sectional Studies; Female; Hospitals, Psychiatric; Hospitals, State; Humans; Incidence; Male; Middle Aged; Patient Readmission; Personality Disorders; Psychotic Disorders; Recurrence; Schizophrenia; Schizophrenic Psychology; United States


Health Services Research | Mental and Social Health | Psychiatric and Mental Health | Psychiatry | Psychiatry and Psychology


A total of 196 nonspecialty state hospitals in the U.S. each identified one patient--referred to as the hospital's "worst" recidivist--admitted to the hospital in 1987 who had the most lifetime admissions to that hospital. Persons admitted for mental retardation or substance abuse detoxification were excluded. The mean age of the recidivists was 42.2 years; their mean age at first admission was 24.7. The number of admissions per patient ranged from five to 121, with a mean of 31. Compared with the national population of state hospital admissions, significantly larger proportions of recidivists had diagnoses of schizophrenia, bipolar disorder, and personality disorder. More research is needed to determine actual community tenure of patients who receive revolving-door care and whether alternative approaches would be more effective.


Hosp Community Psychiatry. 1992 Sep;43(9):904-8.

Journal/Book/Conference Title

Hospital and community psychiatry

Related Resources

Link to Article in PubMed

PubMed ID