title: Predictive factors for polypharmacy among child and adolescent psychiatry inpatients.
abstract: BACKGROUND
  Aim was to determine the predictive factors for polypharmacy among inpatient children and adolescents with psychiatric disorders.
  
  
  METHODS
  Blinded, case-note review of children and adolescents with ICD 10 diagnosis of psychiatric disorders on psychotropic medication was conducted. Data on demography, illness, and treatment was analyzed with univariate and multivariate techniques.
  
  
  RESULTS
  Proscribing non-pharmacological interventions (OR = 4.7) and pro re nata medication (OR = 3.3), increased the risk of polypharmacy. Prescribing physical restraint reduced the risk of receiving multiple medications (OR = 0.3).
  
  
  CONCLUSIONS
  Proscribing non-pharmacological interventions, pro re nata medication and physical restraints increased polypharmacy.
authors.affiliation: Child and Adolescent Psychiatry Unit, Department of Psychiatry, Christian Medical College, Vellore 632 002, India.
authors.forename: Paul S S
authors.initials: PS
authors.lastname: Russell
authors.forename: Christina
authors.initials: C
authors.lastname: George
authors.forename: Priya
authors.initials: P
authors.lastname: Mammen