TY - JOUR PY - 1995// TI - Hospitalizing the suicidal adolescent: an empirical investigation of decision-making criteria JO - Journal of the American Academy of Child and Adolescent Psychiatry A1 - Morrissey, R. F. A1 - Dicker, Rochelle A1 - Abikoff, Howard B. A1 - Alvir, J. M. A1 - DeMarco, A. A1 - Koplewicz, H. S. SP - 902 EP - 911 VL - 34 IS - 7 N2 - OBJECTIVE: The primary purpose of this research is to investigate the criteria used by child and adolescent clinicians in determining the appropriateness of hospitalization for suicidal adolescents. METHOD: A questionnaire containing 64 vignettes describing adolescent suicide attempters was completed by a sample of 36 child and adolescent clinicians. Six variables known to relate to lethality of attempt were systematically varied within the vignettes: gender, depression, conduct disorder/substance abuse, previous attempts, suicidal relative, and family supports. Respondents were asked to judge the appropriateness of hospitalization for each vignette. RESULTS: Hospitalization preference was found to be inversely related to professional experience and was significantly predicted by all risk factors except gender. Configural cue utilization added substantially to the efficacy of a linear model in predicting preference to hospitalize. CONCLUSIONS: Experienced clinicians use known risk factors for adolescent suicide in making recommendations to hospitalize, but results also suggest ongoing needs for education and training in adolescent suicidality.

Language: en

LA - en SN - 0890-8567 UR - http://dx.doi.org/ ID - ref1 ER -