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This study examined the impact of clinical and family related factors on adolescent revolving door (RD) phenomenon, defined as having three or more psychiatric hospitalizations before the age of 18. A clinical sample of adolescents (N = 508) aged 13–17 years, admitted to psychiatric inpatient care between April 2001 through March 2006, were interviewed using the k-SADS-PL and the EuropASI instruments. The national Finnish Care Register for Health Care provided life-time data on child and adolescent psychiatric inpatient hospitalizations. RD boys were shown to be significantly more likely than non-RD boys to be admitted to psychiatric inpatient care from child welfare placements and have previous self-mutilative behavior (SMB) and suicide attempts. RD girls were more likely to come from child welfare placements, have unemployed mothers and a history of SMB. Mortality in RD boys was significantly higher compared to non-RD boys. Frequent use of psychiatric inpatient care warrants comprehensive assessment of suicidal behavior in adolescents.
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Rainio J, Räty T, Psychiatric specialist medical care (2013) National Institute for Health and Welfare—Official Statistics of Finland. Available at http://www.thl.fi/en/web/thlfi-en/statistics/statistics-by-topic/specialised-health-care-services/psychiatric-specialist-medical-care
Lehto-Salo P (2011) The Placement on a reform school—the second chance for an adolescent? Jyväskylä University, Jyväskylä. http://urn.fi/URN:ISBN:978-951-39-4435-3
- Gender Specific Characteristics of Revolving Door Adolescents in Acute Psychiatric Inpatient Care
- Springer US