S129. REHOSPITALIZATION RATE IN PEOPLE WITH FIRST-EPISODE PSYCHOSIS IN THE CZECH REPUBLIC: A REGISTER-BASED STUDY

BACKGROUND: Rehospitalization in a year after the first discharge for psychotic disorder is routinely considered as a principal health care outcome. However, there is a lack of data about the rehospitalization rate of people with first-episode psychosis in Central and Eastern Europe where the psychiatric care is predominantly based on inpatient care. METHODS: Data from nationwide register of inpatient hospitalizations were analysed. A retrospective analysis of first-ever admitted patients with psychosis (F2 according to ICD-10) in 2014 and younger than 60 years of age was conducted. Descriptive statistics aiming to identify the rehospitalization rate were performed. RESULTS: 1 963 patients with psychosis who were first admitted to psychiatric hospitalization in 2014 and discharged between 2014 and 2016 were identified. Of those, 480 (24,5 %) were readmitted in the first year after the first discharge. 101 (21,0%) of those were readmitted within 14 days, 144 (30,0%) within a month and 241 (50,2%) within a 3-month period after the first discharge. An average time between the first discharge and readmission was 124 days, the mean age of those readmitted was 33 years at the time of first admission. DISCUSSION: This register-based study confirms the existence of the revolving door phenomenon in people with first-episode psychosis in the Czech Republic. Each rehospitalization is a burden not only for a patient, as each hospitalization significantly worsens the overall prognosis, but for the whole psychiatric care system as well. Considering the rehospitalization rate in people with first-episode psychosis, more attention should be paid to the development of services which have a potential to lower the risk of rehospitalization such as early detection and early intervention services.