Citation

Gutterman EM, Markowitz JS, LoConte JS, Beier J. J. Am. Acad. Child Adolesc. Psychiatry 1993; 32(1): 114-122.

Affiliation

School of Social Work, Rutgers University, New Brunswick, NJ.

Copyright

(Copyright © 1993, American Academy of Child Adolescent Psychiatry, Publisher Lippincott Williams and Wilkins)

DOI

10.1097/00004583-199301000-00017

PMID

8428863

Abstract

There has been limited systematic study of determinants of acute psychiatric hospitalization of children and adolescents. This study reviewed the records of children and adolescents who received emergency mental health services in one New Jersey county during 6 months of 1990 (N = 226). Using a structured form to abstract data, information was obtained on demographics, precipitating problems, past mental health services, substance use, family problems, and disposition. While suicidal behavior was not a predictor of acute hospitalization, the interaction of assaultive and suicidal behavior was predictive. Other contributory factors identified in the multivariate analysis included: child's substance use, family member's substance use, and initial emergency screening site. Recognition of present utilization patterns will facilitate the development of intensive community-based options for those with acute mental health problems.

Language: en