Why do adolescents return to an acute psychiatric unit?

Dawn Barker, Rajeev Jairam*, Antonella Rocca, Luke Goddard, Stephen Matthey

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

19 Citations (Scopus)

Abstract

Objective: The aim of this paper is to determine potentially modifiable factors associated with the high proportion of patients who are readmitted to adolescent psychiatric units.

Method: The case notes of 112 adolescents admitted over 1 year to an acute adolescent psychiatry unit were reviewed. Socio-demographic and clinical variables were compared between those who were readmitted over a 12-month period post discharge and those who were not.

Results: The readmission rate over a 12-month period was 31%. Males were significantly more likely to be readmitted. No other statistically significant predictors of readmission were identified. There was a trend towards readmission for those with bipolar disorder and a trend away from readmission for those with adjustment disorders. A history of sexual abuse and cluster B personality traits were significantly related to a history of previous admission, but not with subsequent readmission.

Conclusions: Readmission is influenced by a number of factors, which may not be easily identified by a chart review. Prospective studies which follow-up adolescents for several years after discharge are needed.

Original languageEnglish
Pages (from-to)551-555
Number of pages5
JournalAustralasian Psychiatry
Volume18
Issue number6
DOIs
Publication statusPublished - Dec 2010
Externally publishedYes

Keywords

  • adolescents
  • psychiatric admission
  • readmission
  • PREDICTORS
  • REHOSPITALIZATION
  • HOSPITALIZATION
  • READMISSION
  • CHILDREN
  • TRENDS
  • FAMILY

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