Predictors of Hospitalization in a Cohort of Children with Elevated Symptoms of Mania

Sarah Mc Cue Horwitz, Kimberly Eaton Hoagwood, Fei Guo, L. Eugene Arnold, H. Gerry Taylor, Andrea S. Young, Eric A. Youngstrom, Mary A. Fristad, Boris Birmaher, Robert L. Findling

Research output: Contribution to journalArticlepeer-review


Describe hospitalization rates in children with elevated symptoms of mania and determine predictors of psychiatric hospitalizations during the 96 month follow-up. Eligible 6–12.9 year olds and their parents visiting 9 outpatient mental health clinics were invited to be screened with the Parent General Behavior Inventory 10-item Mania Scale. Of 605 children with elevated symptoms of mania eligible for follow-up, 538 (88.9%) had ≥ 1 of 16 possible follow-up interviews and are examined herein. Multivariate Cox regression indicated only four factors predicted hospitalizations: parental mental health problems (HR 1.80; 95% CI 1.21, 2.69); hospitalization prior to study entry (HR 3.03; 95% CI 1.80, 4.43); continuous outpatient mental health service use (HR 3.73; 95% CI 2.40, 5.50); and low parental assessment of how well treatment matched child’s needs (HR 3.97; 95% CI 2.50, 6.31). Parental perspectives on mental health services should be gathered routinely, as they can signal treatment failures.

Original languageEnglish (US)
Pages (from-to)171-180
Number of pages10
JournalAdministration and Policy in Mental Health and Mental Health Services Research
Issue number1
StatePublished - Jan 2021
Externally publishedYes


  • Treatment match
  • Youth psychiatric hospitalizations

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health


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