TY - JOUR PY - 2018// TI - Gender specific characteristics of revolving door adolescents in acute psychiatric inpatient care JO - Child psychiatry and human development A1 - Similä, Noora A1 - Hakko, Helina A1 - Riipinen, Pirkko A1 - Riala, Kaisa SP - 225 EP - 233 VL - 49 IS - 2 N2 - 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

LA - en SN - 0009-398X UR - http://dx.doi.org/10.1007/s10578-017-0744-x ID - ref1 ER -