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Citation |
White CN, Ugueto AM. Evid. Based Pract. Child Adolesc. Ment. Health. 2022; 7(4): 463-476. |
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Copyright |
(Copyright © 2022, Informa - Taylor and Francis Group) |
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DOI |
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PMID |
unavailable |
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Abstract |
A significant number of adolescents in the U.S. experience traumatic events, putting them at risk for developing Posttraumatic Stress Disorder (PTSD). Despite this risk, PTSD is not a commonly assigned diagnosis in psychiatric settings. The current study examined rates of psychiatrist-reported PTSD (PR-PTSD) diagnoses compared to probable PTSD diagnoses based on adolescent self-reported PTSD (SR-PTSD) symptoms on a psychiatric inpatient unit (n = 151, age 13-17). Self-report measures included questions on exposure to trauma and The Child PTSD Symptom Scale for DSM-5 (CPSS-5). Approximately 60% of participants met criteria for a "probable PTSD diagnosis" on the CPSS-5; however, only 10 out of 151 (6.6%) and 58 out of 151 (38.4%) were given PR-PTSD at admission and at discharge, respectively. Chi-square analyses indicated adolescents with SR-PTSD were more likely to have previous psychiatric admissions, χ2(1, N = 149) = 3.87, p =.049. There was also a significant association between SR-PTSD and suicide risk, χ2(3, N = 148) = 9.93, p =.019. Both the null and low suicide risk groups contributed the most to predicting SR-PTSD based on the standardized residuals being ±1.96. Additionally, SR-PTSD and insurance status were significantly associated, χ2(1, N = 147) = 4.48, p =.034. All of the cells equally contributed to the significance. When comparing diagnosis given at admission to SR-PTSD, agreement was poor (κ=.070, p =.043), and there was no agreement between diagnosis given at discharge and SR-PTSD (κ=.116, p =.074). Language: en |
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Keywords |
adolescent; human; suicide; female; male; substance use; suicidal behavior; posttraumatic stress disorder; substance abuse; major clinical study; controlled study; hospital admission; length of stay; self report; high risk population; psychiatric department; hospital discharge; clinical decision making; Article; post hoc analysis; DSM-5 |