PMID- 32440727
OWN - NLM
STAT- MEDLINE
DCOM- 20210510
LR  - 20210510
IS  - 1435-165X (Electronic)
IS  - 1018-8827 (Print)
IS  - 1018-8827 (Linking)
VI  - 30
IP  - 5
DP  - 2021 May
TI  - Predictors of voluntary and compulsory admissions after psychiatric emergency 
      consultation in youth.
PG  - 747-756
LID - 10.1007/s00787-020-01558-9 [doi]
AB  - As hospital beds are scarce, and emergency admissions to a psychiatric ward are 
      major life-events for children and adolescents, it is essential to have insight 
      into the decision-making process that leads to them. To identify potentially 
      modifiable factors, we, therefore, studied the contextual and clinical 
      characteristics associated with the voluntary and compulsory emergency admission 
      of minors. We used registry data (2008-2017) on 1194 outpatient emergencies 
      involving children aged 6-18 who had been referred to the mobile psychiatric 
      emergency service in two city areas in The Netherlands. Demographic and 
      contextual factors were collected, as well as clinical characteristics including 
      diagnoses, psychiatric history, Global Assessment of Functioning (GAF), and the 
      Severity of Psychiatric Illness (SPI) scale. Logistic regression analyses were 
      used to identify factors that predict voluntary or compulsory admission. Of 1194 
      consultations, 227 (19.0%) resulted in an admission, with 137 patients (11.5%) 
      being admitted voluntarily and 90 (7.5%) compulsorily. Independently of legal 
      status, the following characteristics were associated with admission: severity of 
      psychiatric symptoms, consultation outside the patient's home, and high levels of 
      family disruption. Relative to voluntary admission, compulsory admission was 
      associated with more severe psychiatric problems, higher suicide risk, and prior 
      emergency compulsory admission. Two potentially modifiable factors were 
      associated with psychiatric emergency admission: the place where patients were 
      seen for consultation, and the presence of family problems. Psychiatric emergency 
      admissions may be reduced if, whenever possible, minors are seen in their homes 
      and if a system-oriented approach is used.
FAU - So, Pety
AU  - So P
AUID- ORCID: 0000-0003-3672-0029
AD  - Youz, Center for Youth Mental Healthcare, Rotterdam, The Netherlands. 
      p.so@youz.nl.
AD  - Parnassia Psychiatric Institute, Rotterdam, The Netherlands. p.so@youz.nl.
FAU - Wierdsma, Andre I
AU  - Wierdsma AI
AD  - Erasmus MC, University Medical Center, Epidemiological and Social Psychiatric 
      Research Institute and Department of Psychiatry, Rotterdam, The Netherlands.
FAU - Kasius, Marianne C
AU  - Kasius MC
AD  - Youz, Center for Youth Mental Healthcare, The Hague, The Netherlands.
FAU - Cornelis, Jurgen
AU  - Cornelis J
AD  - Department of Research, Arkin Mental Health Care, Amsterdam, The Netherlands.
AD  - Department of Emergency Psychiatry, Arkin Mental Health Care, Amsterdam, The 
      Netherlands.
FAU - Lommerse, Marion
AU  - Lommerse M
AD  - Department of Emergency Psychiatry, Arkin Mental Health Care, Amsterdam, The 
      Netherlands.
FAU - Vermeiren, Robert R J M
AU  - Vermeiren RRJM
AD  - Youz, Center for Youth Mental Healthcare, Rotterdam, The Netherlands.
AD  - Youz, Center for Youth Mental Healthcare, The Hague, The Netherlands.
AD  - Department of Child and Adolescent Psychiatry, Curium-LUMC, Leiden University 
      Medical Center, Leiden, The Netherlands.
FAU - Mulder, Cornelis L
AU  - Mulder CL
AD  - Parnassia Psychiatric Institute, Rotterdam, The Netherlands.
AD  - Erasmus MC, University Medical Center, Epidemiological and Social Psychiatric 
      Research Institute and Department of Psychiatry, Rotterdam, The Netherlands.
LA  - eng
PT  - Journal Article
DEP - 20200521
PL  - Germany
TA  - Eur Child Adolesc Psychiatry
JT  - European child & adolescent psychiatry
JID - 9212296
SB  - IM
MH  - Adolescent
MH  - Child
MH  - Commitment of Mentally Ill/*trends
MH  - Emergencies
MH  - Emergency Services, Psychiatric/*methods
MH  - Female
MH  - Hospitalization/*trends
MH  - Humans
MH  - Male
MH  - Mental Disorders/*therapy
MH  - Patient Admission/*trends
PMC - PMC8060175
OTO - NOTNLM
OT  - Child psychiatry
OT  - Emergency admission
OT  - Emergency mental health services
OT  - Intensive home treatment
OT  - Predictors of hospitalization
COIS- All authors declare that they have no conflict of interest.
EDAT- 2020/05/23 06:00
MHDA- 2021/05/11 06:00
PMCR- 2020/05/21
CRDT- 2020/05/23 06:00
PHST- 2019/07/14 00:00 [received]
PHST- 2020/05/08 00:00 [accepted]
PHST- 2020/05/23 06:00 [pubmed]
PHST- 2021/05/11 06:00 [medline]
PHST- 2020/05/23 06:00 [entrez]
PHST- 2020/05/21 00:00 [pmc-release]
AID - 10.1007/s00787-020-01558-9 [pii]
AID - 1558 [pii]
AID - 10.1007/s00787-020-01558-9 [doi]
PST - ppublish
SO  - Eur Child Adolesc Psychiatry. 2021 May;30(5):747-756. doi: 
      10.1007/s00787-020-01558-9. Epub 2020 May 21.