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27-07-2017 | Original Article

Gender Specific Characteristics of Revolving Door Adolescents in Acute Psychiatric Inpatient Care

Auteurs: Noora Similä, Helinä Hakko, Pirkko Riipinen, Kaisa Riala

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 2/2018

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Abstract

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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Metagegevens
Titel
Gender Specific Characteristics of Revolving Door Adolescents in Acute Psychiatric Inpatient Care
Auteurs
Noora Similä
Helinä Hakko
Pirkko Riipinen
Kaisa Riala
Publicatiedatum
27-07-2017
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 2/2018
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-017-0744-x