Predicting Psychiatric Rehospitalization in Adolescents

被引：14

作者：

Joyce, Victoria W. ^{[1
]}

King, Christopher D. ^{[1
,2
]}

Nash, Carol C. ^{[1
]}

Lebois, Lauren A. M. ^{[2
,3
]}

Ressler, Kerry J. ^{[2
,3
]}

Buonopane, Ralph J. ^{[3
,4
]}

机构：

[1] Franciscan Childrens Franciscan Childrens, Mental Hlth Res Dept, 30 Warren St, Brighton, MA 02135 USA

[2] McLean Hosp, Div Depress & Anxiety, 115 Mill St, Belmont, MA 02178 USA

[3] Harvard Med Sch, Dept Psychiat, Cambridge, MA USA

[4] McLean Franciscan Child & Adolescent Inpatient Me, Brighton, MA USA

来源：

ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH | 2019年 / 46卷 / 06期

关键词：

Rehospitalization; Adolescence or adolescent; Risk factors; Inpatient; Suicidal ideation; Outcomes; Posttraumatic stress; SUICIDAL IDEATION; LONGITUDINAL TRAJECTORIES; RISK-FACTORS; READMISSION; CHILD; CARE; AFTERCARE; HOSPITALIZATIONS; RATES;

D O I：

10.1007/s10488-019-00982-7

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Adolescent psychiatric rehospitalizations are common, cause patients and their families severe psychological distress, and use tremendous healthcare resources. This study sought to identify predictors of rehospitalization in 783 adolescents in the 2 year period following psychiatric hospitalization at a major treatment facility in a large urban area. A current diagnosis of posttraumatic stress disorder, greater severity of lifetime suicidal ideation (SI) and stronger treatment alliance prior to hospitalization were associated with a greater likelihood of rehospitalization. Overall, severe lifetime SI was the strongest predictor of rehospitalization; although, within the first 4 months post-discharge, moderate lifetime SI was the strongest predictor. Future research should continue to identify additional factors that may influence rehospitalization, such as the intensity of post-discharge services.

引用

页码：807 / 820

页数：14

共 33 条

[1] Rates and predictors of rehospitalization among formerly hospitalized adolescents [J].