Brief ReportFactors Associated With High Use of Hospital Psychiatric Services in Málaga, Spain Analysis of First AdmissionsGuzmán-Parra, José PhD*; Bordallo-Aragón, Antonio PhD*; Moreno-Küstner, Berta PhD†; Mayoral-Cleries, Fermin PhD*Author Information *Mental Health Research Unit, Biomedical Research Institute of Málaga, University General Hospital of Málaga †Departamento Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología, Universidad de Málaga, Málaga, Andalusia, Spain. Send reprint requests to José Guzmán-Parra, PhD, Mental Health Research Unit, Biomedical Research Institute of Málaga, University General Hospital of Málaga, Plaza Hospital Civil s/n, Hospital Civil 1ª Planta Pabellón 4, 29009 Málaga, Spain. E-mail: email@example.com. The Journal of Nervous and Mental Disease: January 2020 - Volume 208 - Issue 1 - p 65–69 doi: 10.1097/NMD.0000000000001088 Buy Metrics Abstract The early prediction of patients at risk may facilitate the efficient use of interventions that have been demonstrated to reduce readmissions. The aim of the study was to analyze variables during first admissions associated with further high use of an inpatient hospitalization psychiatric unit in Málaga, Spain. The risk of having three or more psychiatric admissions was analyzed in a sample of 1535 first-time admissions with multivariate Cox regression. In the multivariate model, the variables associated with the risk of high use were age at admission (p < 0.001), length of stay (p < 0.001), place of residence (p < 0.001), and previous history with mental health services (p < 0.001). The results suggest that there are several easily accessible characteristics at first admission that are potentially useful in detecting patients at risk. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.