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

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)771-779
Number of pages9
JournalChild Psychiatry and Human Development
Volume47
Issue number5
DOIs
StatePublished - 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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