Determinants of emergency psychiatric admission for adolescents and adults.
The authors compared correlates of admission for 100 patients older than 18 years and 100 patients younger than 18 evaluated in a psychiatric emergency service. Stepwise linear logistic regression analysis identified a combination of variables that best predicted the odds of hospitalization for each group. For adolescents, these variables, in order of importance, were suicidal tendencies, physical abuse, a primary diagnosis of schizophrenia, age, and number of suicide attempts. For adults, the variables were delusions, aggressive behavior, suicidal tendencies, and a primary diagnosis of schizophrenia or affective disorder. The authors discuss the implications of these findings for acute psychiatric treatment of adolescents.
Hillard
J R
JR
Department of Psychiatry, University of Cincinnati, OH.
Slomowitz
M
M
Deddens
J
J
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000374:Aggression / Q000523:psychology; D003657:Decision Making; D004637:Emergency Services, Psychiatric; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis* / Q000628:therapy; D008605:Mental Health Services; D019964:Mood Disorders / Q000175:diagnosis / Q000628:therapy; D012559:Schizophrenia / Q000175:diagnosis / Q000628:therapy; D013405:Suicide / Q000523:psychology