Citation

Similä N, Hakko H, Riipinen P, Riala K. Child Psychiatry Hum. Dev. 2018; 49(2): 225-233.

Affiliation

Department of Psychiatry, Oulu University Hospital, P. O. Box 26, 90029 OYS, Oulu, Finland. kaisa.riala@oulu.fi.

Copyright

(Copyright © 2018, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s10578-017-0744-x

PMID

28752267

Abstract

This study examined the impact of clinical and family related factors on adolescent revolving door (RD) phenomenon, defined as having three or more psychiatric hospitalizations before the age of 18. A clinical sample of adolescents (N = 508) aged 13-17 years, admitted to psychiatric inpatient care between April 2001 through March 2006, were interviewed using the k-SADS-PL and the EuropASI instruments. The national Finnish Care Register for Health Care provided life-time data on child and adolescent psychiatric inpatient hospitalizations. RD boys were shown to be significantly more likely than non-RD boys to be admitted to psychiatric inpatient care from child welfare placements and have previous self-mutilative behavior (SMB) and suicide attempts. RD girls were more likely to come from child welfare placements, have unemployed mothers and a history of SMB. Mortality in RD boys was significantly higher compared to non-RD boys. Frequent use of psychiatric inpatient care warrants comprehensive assessment of suicidal behavior in adolescents.

Language: en

Keywords

Adolescent; Inpatient; Psychiatry; Readmission