Adolescent inpatient psychiatric admission rates and subsequent one‐year mortality in England: 1998–2004

James, Anthony; Clacey, Joe; Seagroatt, Valerie; Goldacre, Michael J

doi:10.1111/j.1469-7610.2010.02293.x

Cited by 23 publications

(19 citation statements)

References 45 publications

(38 reference statements)

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“…Reported prevalence and hospital bed day rate for mental and DOI: 10.9790/0853-1605014749 www.iosrjournals.org 49 | Page behavioral problems are each 40% higher among teenagers. Second most common cause for admission was Injury and poisoning [3] which is in accordance with our study. The major causes of morbidity and mortality were infectious diseases with malaria and septicemia ranking highest, tetanus, Sickle cell anemia was the commonest disease [8].…”

Section: Discussionsupporting

confidence: 80%

Morbidity Pattern of Hospital Admissions among Rural Adolescents

Hussaini¹,

Vallidevi²

2017

IOSR JDMS

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Section: Discussionsupporting

confidence: 80%

Morbidity Pattern of Hospital Admissions among Rural Adolescents

Hussaini¹,

Vallidevi²

2017

IOSR JDMS

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“…Despite attempts to treat adolescents with mental disorders in community settings and an increased focus on earlier intervention, inpatient units remain an important care option in the absence of evidence‐based alternatives (Delaney, ). The importance of the inpatient role in mental health care is consistent with the increasing rates of adolescent admissions (Blader, ; Hiscock et al, ; James, Clacey, Seagroatt, & Goldacre, ; Torio, Encinosa, Berdahl, McCormick, & Simpson, ).…”

Section: Introductionmentioning

confidence: 82%

The unheard voice of the clinician: Perspectives on the key features of an adolescent inpatient model of care

Hayes

Simmons

Palmer

et al. 2019

Child Adoles Psych Nursing

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Problem Little has been reported from clinicians about the operations, interventions, and outcomes of inpatient units and how these comprise models of care in such units. The aim of this study was to explore an inpatient model of care in operation at the study site by defining key features of the model from the perspectives of clinicians. Methods Semi‐structured face to face interviews were conducted with ten clinicians working in a private inpatient unit in Melbourne, Australia. Interview data were analyzed using thematic analysis. Findings Analysis resulted in the identification of three thematic features relating to containment, engagement, and therapy. These included (a) an environment conducive to containment, (b) adolescent engagement through shared experiences, and (c) dialectical behavior therapy embedded culture. Conclusions The findings provide insights into often unheard clinician perspectives on what the key features of an adolescent inpatient model of care are. These features relate to the interventions that are currently offered on the unit and ways of working as informed by philosophies and practices. These findings should be used to improve clinical services and inform research aiming to articulate exemplary adolescent inpatient models of care. Furthermore, the findings provide guidance and practical information to commissioners, clinicians, and policy makers implementing models of care.

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“…Yataklý tedavi psikiyatri kliniðinin önemli bir parçasýdýr ve geçmiþ yýllara göre çocuk hastalarýnda psikiyatri hastanelerine yatýþ sayý ve oranlarýnda ciddi bir artýþ saptanmýþtýr (1,2). Ülkemizde yataklý hizmet veren çocuk ve ergen psikiyatri kliniklerinin sayýsýnýn az sayýda olmasý nedeniyle bu yaþ grubunda literatürde kýsýtlý veri bulunmaktadýr ve bu veriler çocuk psikiyatri servislerinin gerekli ve etkili olduðu yönündedir (3)(4)(5).…”

Section: Gýrýþunclassified

Factors Effecting Length of Stay in Child Psychiatry Hospital Setting

Usta¹,

Ürer²,

Aral³

et al. 2017

J Clin Psy

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SUMMARYObject: Due to the low number of children and adult psychiatric clinics serving in our country, there is limited data in this age group in the literature. In this study, it was aimed to determine the factors affecting the duration of admission in children and adolescents receiving treatment in Samsun Ondokuz Mayýs University Medical Faculty Psychiatry Clinic. Methods: Hospital records of 194 children and adolescents aged between 11 and 18 years who were hospitalized at Ondokuz Mayýs University Psychiatric Service between January 2013 and December 2015 were retrospectively reviewed. ANOVA and logistic regression analyzes were performed for clinical and sociodemographic data that could effect hospitalization times and multiple admission. Results: 138 of the patients were female and 56 were male. Major depressive disorder patients (n: 79, 41.1%) and the average duration of hospitalization were 8.43 days. The group with the longest mean duration of admission was the Psychotic Disorder group (n: 17, mean: 19.92 days, p: 0.01). In logistic regression analysis for multiple risk factors, Female gender (OR: 2.02) and MDD diagnosis (OR: 1.51) were found to be risk factors for multiple admission. Discussion: In our study, it was observed that the presence of Major Depresive Disorder and female gender was a risk factor for multiple admission. Clinical and sociodemographic features of the disease can be predictive of hospitalization within the treatment plan. 264 GÝRÝÞYataklý tedavi psikiyatri kliniðinin önemli bir parçasýdýr ve geçmiþ yýllara göre çocuk hastalarýnda psikiyatri hastanelerine yatýþ sayý ve oranlarýnda ciddi bir artýþ saptanmýþtýr (1,2). Ülkemizde yataklý hizmet veren çocuk ve ergen psikiyatri kliniklerinin sayýsýnýn az sayýda olmasý nedeniyle bu yaþ grubunda literatürde kýsýtlý veri bulunmaktadýr ve bu veriler çocuk psikiyatri servislerinin gerekli ve etkili olduðu yönündedir (3-5). Bir çok klinikte yatak sayýsýnýn kýsýtlý olmasý sebebiyle hastalarýn optimal tedaviyi alabilmesi için hastanede yatýþ süresini öngörmek ve bunu etkileyen faktörleri araþtýrmak gerekmektedir. Yatýþ süresi; yatýþ tanýsý, cinsiyet, mensubu olunan ýrk, aile, yaþanýlan þehir, ekonomik düzey gibi sosyokültürel faktörlere göre deðiþebilmektedir (6).Literatürde çocuk psikiyatri yatan hastalarýnýn tanýlarýyla ilgili farklýlýklar bulunmaktadýr. ABD'de psikiyatri servislerine yatan ergenlerin yarýsýný madde kullaným bozukluklarý oluþturmaktayken (7), Norveç'te dört ayrý çocuk ve ergen ruh saðlýðý yataklý servisinin katýldýðý bir çalýþmada en sýk yatýþ tanýsý depresif bozukluk olarak bildirilmiþtir (8). Ülkemizde çocuk ve ergen ruh saðlýðý yataklý servisinde yapýlan bir çalýþmada 149 hasta deðer-lendirilmiþ olup en sýk tanýnýn duygudurum bozukluklarý olduðu ve onu dikkat eksikliði hiperaktivite bozukluðunun izlediði belirtilmiþtir (9). Ülkemizde yapýlan diðer bir çalýþmada, eriþkin servisine yatýþý yapýlan ergenlerin sosyokültürel özellikleri, yatýþ tanýlarý ve yatýþ süreleri deðerlendirilmiþ ve yatýþ sürelerinin 4-70 gün arasýnda old...

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Adolescent inpatient psychiatric admission rates and subsequent one‐year mortality in England: 1998–2004

Abstract: Adolescent psychiatric disorders represent a serious public health issue, with a steep rise in hospital admissions during the teenage years, and a six-fold increased death rate within one year of discharge compared to the general population of the same age.

Cited by 23 publications

References 45 publications

Morbidity Pattern of Hospital Admissions among Rural Adolescents

Morbidity Pattern of Hospital Admissions among Rural Adolescents

The unheard voice of the clinician: Perspectives on the key features of an adolescent inpatient model of care

Factors Effecting Length of Stay in Child Psychiatry Hospital Setting

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