Subtypes Identification Of People With Schizophrenia Before Discharge

Background:People with schizophrenia lack care after discharged from hospital which leads to relapse and recurrent readmissions. So, how to provide transitional care for people with schizophrenia is current focus. Some foreign studies classified people with chronic heart failure, diabetes and hypertension into different subtypes in order to provide targeted interventions. Whether transitional care for people with schizophrenia can draw on this method is worth researching.Objectives:(1) To explore possible subtypes among people with schizophrenia before discharge by their self-management ability, self-efficacy and cognitive function status, then analyze characteristics of people with schizophrenia among different subtypes; (2) To build discrimination model for people with schizophrenia based on the above three variables.Methods:Totally 200 Chinese people with schizophrenia before discharged from a tertiary psychiatric hospital in Beijing were assessed by Self-management Instrument for People with Schizophrenia and Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). Cluster and discrimination analysis using SPSS20.0 package were performed to categorize and discriminate subjects based on their scores.Results:Five different types of subjects were revealed in this sample:high cognition with confidence and autonomy (26.5%), high cognition with blind confidence (20.5%), high cognition with no participation (13.5%), low cognition with blind confidence (27.0%) and low cognition with no participation (12.5%). These five types of subjects had significant differences in patient’s educational level (P= 0.002), use of antipsychotics in the past half year (P<0.001) and primary caregivers’educational level (P= 0.027).Conclusions:There are different subtypes among people with schizophrenia indeed. The finding may help health professionals give effective screening and targeted discharge measures which can further promote allocation of resources for mental health to a greater extent and promote the rehabilitation of people with schizophrenia.