@article{ref1,
title="Predictors of rehospitalization for depressed adolescents admitted to acute psychiatric treatment",
journal="Journal of clinical psychiatry",
year="2016",
author="van Alphen, Nienke R. and Stewart, Jeremy G. and Esposito, Erika C. and Pridgen, Bryan and Gold, Joseph and Auerbach, Randy P.",
volume="78",
number="5",
pages="592-598",
abstract="OBJECTIVE: Presently, little is known about what factors predict adolescent psychiatric rehospitalization. Thus, the present study tested whether a battery of demographic and clinical characteristics predicted readmission within 6 months of discharge. <br><br>METHODS: Participants were 165 adolescents (112 females) aged 13-19 years (mean = 15.61, SD = 1.48) admitted to an acute residential treatment program between November 25, 2013, and November 18, 2014. Patients met diagnostic criteria (DSM-IV-TR) for current major depressive disorder or dysthymia. At admission, participants completed a battery of clinical interviews and questionnaires assessing demographics, early life stress, comorbid diagnoses, psychiatric symptoms, suicidality, self-injury, and risky behavior engagement. At discharge, psychiatric symptoms were reassessed. Readmission to the same residential service was monitored over a 6-month period following discharge. <br><br>RESULTS: Overall, 12.1% of adolescents were rehospitalized. We conducted a series of Cox regression survival analyses to test demographic and clinical predictors of patients' time to readmission. More frequent self-injurious behaviors in the month prior to hospitalization was significantly associated with a more rapid time to rehospitalization (β = 0.05, SE =.02, Wald₁ = 4.35, P =.037, OR = 1.05, 95% CI = 1.003-1.10). <br><br>CONCLUSIONS: It is critical to more effectively manage self-injury during the treatment of depressed adolescents, as this is the strongest predictor of later rehospitalization.<br><br>© Copyright 2016 Physicians Postgraduate Press, Inc.<p /> <p>Language: en</p>",
language="en",
issn="0160-6689",
doi="10.4088/JCP.15m10326",
url="http://dx.doi.org/10.4088/JCP.15m10326"
}