Risk Factors for Seclusion and Restraint in a Pediatric Psychiatry Day Hospital

Wuroh Timbo; Aishwarya Sriram; Elizabeth K. Reynolds; Renee DeBoard-Lucas; Matthew Specht; Carolyn Howell; Colleen McSweeney; Marco A. Grados

doi:10.1007/s10578-015-0608-1

Risk Factors for Seclusion and Restraint in a Pediatric Psychiatry Day Hospital

Wuroh Timbo, Aishwarya Sriram, Elizabeth K. Reynolds, Renee DeBoard-Lucas, Matthew Specht, Carolyn Howell, Colleen McSweeney, Marco A. Grados

School of Medicine

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

The use of seclusion and restraints (SR) in acute hospital settings remains a controversial practice. Despite the focus on SR in the psychiatric services literature, data on SR use in pediatric day hospital settings is lacking. A case–control retrospective analysis for children admitted into a pediatric psychiatry day hospital in a 2-year span examined predictors of SR use. Demographic and clinical descriptors were examined in relation to SR events using univariate and multivariate regression models. Significant univariate risk factors for SR use were psychiatric morbidity, history of physical abuse, post-traumatic stress disorder, having any anxiety disorder, and younger age. Knowledge of risk factors for SR use in pediatric psychiatric day hospitals can avert use of SR and lead to improved safety in a trauma-informed care model.

Original language	English (US)
Pages (from-to)	771-779
Number of pages	9
Journal	Child Psychiatry and Human Development
Volume	47
Issue number	5
DOIs	https://doi.org/10.1007/s10578-015-0608-1
State	Published - Oct 1 2016

Keywords

Abuse
Pediatric
Restraint
Seclusion
Trauma

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Developmental and Educational Psychology
Psychiatry and Mental health

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10.1007/s10578-015-0608-1

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title = "Risk Factors for Seclusion and Restraint in a Pediatric Psychiatry Day Hospital",

abstract = "The use of seclusion and restraints (SR) in acute hospital settings remains a controversial practice. Despite the focus on SR in the psychiatric services literature, data on SR use in pediatric day hospital settings is lacking. A case–control retrospective analysis for children admitted into a pediatric psychiatry day hospital in a 2-year span examined predictors of SR use. Demographic and clinical descriptors were examined in relation to SR events using univariate and multivariate regression models. Significant univariate risk factors for SR use were psychiatric morbidity, history of physical abuse, post-traumatic stress disorder, having any anxiety disorder, and younger age. Knowledge of risk factors for SR use in pediatric psychiatric day hospitals can avert use of SR and lead to improved safety in a trauma-informed care model.",

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AU - Reynolds, Elizabeth K.

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AU - Specht, Matthew

AU - Howell, Carolyn

AU - McSweeney, Colleen

AU - Grados, Marco A.

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Risk Factors for Seclusion and Restraint in a Pediatric Psychiatry Day Hospital

Abstract

Keywords

ASJC Scopus subject areas

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