title: Pregnant Adolescents Admitted to an Inpatient Child and Adolescent Psychiatric Unit: An Eight-Year Review.
abstract: OBJECTIVE
  To assess patient outcomes and describe demographic data of pregnant adolescents admitted to an inpatient child and adolescent psychiatric unit, as well as to determine if it is safe to continue to admit pregnant adolescents to such a unit.
  
  
  METHODS
  A descriptive retrospective chart review conducted at a free-standing pediatric hospital in northeast Ohio of all pregnant adolescents aged 13 to 17 years admitted to the inpatient child and adolescent psychiatric unit from July 2005 to April 2013.
  
  
  METHODS
  Data collection included details on demographic, pregnancy status, and psychiatric diagnoses.
  
  
  RESULTS
  Eighteen pregnant adolescents were admitted to the psychiatric unit during the time frame. Sixteen of those were in the first trimester of pregnancy. Pregnancy was found to be a contributing factor to the adolescent's suicidal ideation and admission in 11 of the cases. Admission to an inpatient psychiatric facility did not lead to adverse effects in pregnancy.
  
  
  CONCLUSIONS
  Pregnant adolescents did not have negative pregnancy outcomes related to admission to an inpatient psychiatric unit. Results of this study suggest that it is safe to continue to admit uncomplicated pregnant adolescents in their first trimester to an inpatient child and adolescent psychiatric unit for an acute stay.
authors.affiliation: Department of Adolescent Medicine, Akron Children's Hospital Medical Center of Akron, Akron, Ohio. Electronic address: tfletcher@chmca.org.
authors.forename: Teresa M
authors.initials: TM
authors.lastname: Fletcher
authors.affiliation: Department of Psychiatry, Akron Children's Hospital Medical Center of Akron, Akron, Ohio.
authors.forename: Laura A
authors.initials: LA
authors.lastname: Markley
authors.affiliation: Department of Maternal Fetal Medicine, Akron Children's Hospital Medical Center of Akron, Akron, Ohio.
authors.forename: Dana
authors.initials: D
authors.lastname: Nelson
authors.affiliation: Department of Maternal Fetal Medicine, Akron Children's Hospital Medical Center of Akron, Akron, Ohio.
authors.forename: Stephen S
authors.initials: SS
authors.lastname: Crane
authors.affiliation: Department of Adolescent Medicine, Akron Children's Hospital Medical Center of Akron, Akron, Ohio.
authors.forename: James J
authors.initials: JJ
authors.lastname: Fitzgibbon
mesh_terms: D000293:Adolescent; D005260:Female; D006776:Hospitals, Pediatric / Q000706:statistics & numerical data*; D006778:Hospitals, Psychiatric / Q000706:statistics & numerical data*; D006801:Humans; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D009820:Ohio; D011247:Pregnancy; D011248:Pregnancy Complications / Q000523:psychology / Q000628:therapy*; D011256:Pregnancy Outcome; D011253:Pregnancy in Adolescence / Q000523:psychology*; D012189:Retrospective Studies; D059020:Suicidal Ideation
keywords: Adolescents; Depression; Inpatient psychiatric care; Pregnancy; Suicidal ideation