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07-12-2015 | Original Article

Risk Factors for Seclusion and Restraint in a Pediatric Psychiatry Day Hospital

Auteurs: Wuroh Timbo, Aishwarya Sriram, Elizabeth K. Reynolds, Renee DeBoard-Lucas, Matthew Specht, Carolyn Howell, Colleen McSweeney, Marco A. Grados

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 5/2016

Abstract

The use of seclusion and restraints (SR) in acute hospital settings remains a controversial practice. Despite the focus on SR in the psychiatric services literature, data on SR use in pediatric day hospital settings is lacking. A case–control retrospective analysis for children admitted into a pediatric psychiatry day hospital in a 2-year span examined predictors of SR use. Demographic and clinical descriptors were examined in relation to SR events using univariate and multivariate regression models. Significant univariate risk factors for SR use were psychiatric morbidity, history of physical abuse, post-traumatic stress disorder, having any anxiety disorder, and younger age. Knowledge of risk factors for SR use in pediatric psychiatric day hospitals can avert use of SR and lead to improved safety in a trauma-informed care model.

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Titel: Risk Factors for Seclusion and Restraint in a Pediatric Psychiatry Day Hospital
Auteurs: Wuroh Timbo
Aishwarya Sriram
Elizabeth K. Reynolds
Renee DeBoard-Lucas
Matthew Specht
Carolyn Howell
Colleen McSweeney
Marco A. Grados
Publicatiedatum: 07-12-2015
Uitgeverij: Springer US
Gepubliceerd in: Child Psychiatry & Human Development / Uitgave 5/2016
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI: https://doi.org/10.1007/s10578-015-0608-1

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