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01.12.2014 | Research | Ausgabe 1/2014 Open Access

Child and Adolescent Psychiatry and Mental Health 1/2014

Risk factors for rehospitalization and inpatient care among pediatric psychiatric intake response center patients

Zeitschrift:
Child and Adolescent Psychiatry and Mental Health > Ausgabe 1/2014
Autoren:
Krystel Tossone, Eric Jefferis, Madhav P Bhatta, Sumru Bilge-Johnson, Patricia Seifert
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1753-2000-8-27) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

KT contributed to research design, carried out data collection, performed data analysis, and coordinated and drafted the manuscript; EJ led research team, coordinated research design, aided in data collection, coordinated the manuscript, and contributed to the manuscript; MB contributed to research design and contributed to the manuscript; SB contributed to research design and contributed to the manuscript; PS coordinated research design, aided in data collection, and contributed to the manuscript. All authors read and approved the final manuscript.

Abstract

Background

The study sought to explore the characteristics, risk factors for inpatient recommendation, and risk factors for revisits to a pediatric psychiatric intake response center (PIRC). There are three research questions: 1. What is the general profile of pediatric patients who present at the PIRC? 2. What are the risk factors for patients who repeatedly visit the PIRC? 3. What are the risk factors for PIRC patients who are recommended to inpatient care?

Methods

The study utilized a retrospective medical chart review of a random sample (n = 260). A PIRC profile was created using frequency and prevalence calculations, in addition to a survival analysis of patients who return to the PIRC in order to determine how long it takes for PIRC patients to return to the PIRC. Factors that contribute to increased odds of returning to PIRC and being recommended for inpatient treatment were calculated using two logistic regression analyses.

Results

The average pediatric PIRC patient is about 13 years old, Caucasian, with Medicaid and comes from a divorced or single parent household. About 43% of patients presented at PIRC for suicidal thoughts, ideation, intentions or actions. At least 63% of patients have a history of victimization. The average time to return to PIRC is about 90 days. Patients with a history of victimization, suicidal behavior, learning problems, problems with peers, and a history of violence were at an increased odds of returning to the PIRC. Those patients who were previously admitted to inpatient care and had a family history of mental health issues were at increased odds of being recommended to inpatient treatment.

Conclusions

This sample presents with a multitude of issues that contribute to increased odds of revisits to PIRC and inpatient recommendation. These issues seem to come from multiple levels of influence. Future research should expand to similar treatment facilities and use a prospective design to confirm risk factors. Treatment for pediatric psychiatric patients may focus on multiple factors that influence patients’ mental health.
Zusatzmaterial
Authors’ original file for figure 1
13034_2014_271_MOESM1_ESM.tif
Authors’ original file for figure 2
13034_2014_271_MOESM2_ESM.docx
Literatur
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