P.R.N. medications in child state hospital inpatients

B. Vitiello, A. J. Ricciuti, D. Behar

Research output: Contribution to journalArticle

Abstract

The authors reviewed the administration of p.r.n. medications over 12 months in 49 child psychiatry inpatients. There were 1263 p.r.n. administrations (mean ± SD = 25.6 ± 36.7 administrations/patient). Only 7 (14%) of the 49 patients had none; 9 (18%) had more than 50. The number of p.r.n. administrations correlated with the dose of regular neuroleptics and with the time spent in seclusion. Age, race, sex, diagnosis, neurological disorders, IQ, and self-injurious behavior were poor predictors of the number of p.r.n. administrations. Antihistaminics accounted for 54% (683) of the p.r.n. administrations, neuroleptics for 24% (303), and chloral hydrate for 17% (214). Seventy percent (891) of the p.r.n. drugs were given for disruptive behavior. Only 32% (403) of the 1263 administrations were clearly effective, 14% (170) were ineffective, and 54% (690) were dubious. A controlled trial is needed to assess the efficacy of this ubiquitous psychiatric practice.

Original languageEnglish (US)
Pages (from-to)351-354
Number of pages4
JournalJournal of Clinical Psychiatry
Volume48
Issue number9
StatePublished - 1987
Externally publishedYes

Fingerprint

State Hospitals
Antipsychotic Agents
Inpatients
Chloral Hydrate
Self-Injurious Behavior
Child Psychiatry
Nervous System Diseases
Psychiatry
Pharmaceutical Preparations
Problem Behavior

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

Vitiello, B., Ricciuti, A. J., & Behar, D. (1987). P.R.N. medications in child state hospital inpatients. Journal of Clinical Psychiatry, 48(9), 351-354.

P.R.N. medications in child state hospital inpatients. / Vitiello, B.; Ricciuti, A. J.; Behar, D.

In: Journal of Clinical Psychiatry, Vol. 48, No. 9, 1987, p. 351-354.

Research output: Contribution to journalArticle

Vitiello, B, Ricciuti, AJ & Behar, D 1987, 'P.R.N. medications in child state hospital inpatients', Journal of Clinical Psychiatry, vol. 48, no. 9, pp. 351-354.
Vitiello B, Ricciuti AJ, Behar D. P.R.N. medications in child state hospital inpatients. Journal of Clinical Psychiatry. 1987;48(9):351-354.
Vitiello, B. ; Ricciuti, A. J. ; Behar, D. / P.R.N. medications in child state hospital inpatients. In: Journal of Clinical Psychiatry. 1987 ; Vol. 48, No. 9. pp. 351-354.
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