Factors associated with a six-month return to emergency services among child and adolescent psychiatric patients

Amy B. Goldstein, Emily Jane Frosch, Sarah Davarya, Philip Leaf

Research output: Contribution to journalArticle

Abstract

Objectives: This analysis identified factors associated with emergency department recidivism among pediatric psychiatric patients and factors that may differentiate repeat and one-time visits. Methods: The researchers examined six-month recidivism among a sample of 509 patients of ages four to 18 years who made mental health visits to an urban pediatric emergency department in 2004. Results: Patients who made repeat visits were more likely to be involved in mental health and social services than patients who did not return to the emergency department. Repeat visitors were also more likely to be African American, have a history of psychiatric hospitalization, and present with suicidal or disruptive behaviors. Conclusions: These results suggest that the emergency department is being used as part of the continuum of care for patients already in treatment, particularly those displaying disruptive behavior. Additional research is needed to determine whether this recidivism is clinically indicated or reflects a lack of available or appropriate care in community settings.

Original languageEnglish (US)
Pages (from-to)1489-1492
Number of pages4
JournalPsychiatric Services
Volume58
Issue number11
DOIs
StatePublished - Nov 2007

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Adolescent Psychiatry
Child Psychiatry
Emergencies
mental health
Hospital Emergency Service
adolescent
hospitalization
mobile social services
factor analysis
health service
Psychiatry
lack
Pediatrics
Continuity of Patient Care
community
Mental Health Services
Social Work
African Americans
Statistical Factor Analysis
Mental Health

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)

Cite this

Factors associated with a six-month return to emergency services among child and adolescent psychiatric patients. / Goldstein, Amy B.; Frosch, Emily Jane; Davarya, Sarah; Leaf, Philip.

In: Psychiatric Services, Vol. 58, No. 11, 11.2007, p. 1489-1492.

Research output: Contribution to journalArticle

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