Emergency-related inpatient admissions in child and adolescent psychiatry: comparison of clinical characteristics of involuntary and voluntary admissions from a survey in Bavaria, Germany

URN to cite this document:

urn:nbn:de:bvb:355-epub-538208 Copy

DOI to cite this document:

10.5283/epub.53820 Copy

Kandsperger, Stephanie ; Ecker, Angelika ; Schleicher, Daniel ; Wirth, Michael ; Brunner, Romuald ; Jarvers, Irina

License: Creative Commons Attribution 4.0 PDF - Published Version (722kB)

Date of publication of this fulltext: 21 Feb 2023 07:05

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This publication is part of the DEAL contract with Springer.

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Details

Item type:	Article
Open Access Type:	DEAL (Springer)
Journal or Publication Title:	European Child & Adolescent Psychiatry
Publisher:	Springer
Volume:	33
Page Range:	pp. 303-313
Date:	16 February 2023
Institutions:	Medicine > Lehrstuhl für Kinder- und Jugendmedizin Medicine > Lehrstuhl für Psychiatrie und Psychotherapie
Projects (Historical):	Medical Faculty of the University of Regensburg
Identification Number:	Value Type 10.1007/s00787-023-02154-3 DOI
Keywords:	Inpatient admissions · Emergency · Adolescents · Mental health · Involuntary presentations · Accompanying persons
Dewey Decimal Classification:	600 Technology > 610 Medical sciences Medicine
Status:	Published
Refereed:	Yes, this version has been refereed
Created at the University of Regensburg:	Yes
Item ID:	53820

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Abstract

Emergency inpatient admissions of children and adolescents are more difficult if the patient is admitted involuntarily and/or the caregivers or custodians of institutional care are absent. The present study aimed to clinically characterize involuntary versus voluntary admissions by examining the reasons for presentation and associated factors. We retrospectively analyzed patients who presented to ...

Abstract

Emergency inpatient admissions of children and adolescents are more difficult if the patient is admitted involuntarily and/or the caregivers or custodians of institutional care are absent. The present study aimed to clinically characterize involuntary versus voluntary admissions by examining the reasons for presentation and associated factors. We retrospectively analyzed patients who presented to the emergency department of a hospital for child and adolescent psychiatry in Bavaria, Germany, and were admitted as inpatients for crisis intervention in the 4th quarter of 2014–2018. Reasons for presentation, clinical and sociodemographic characteristics, and type of admission (voluntary versus involuntary) were analyzed for 431 emergency inpatient admissions. A total of 106 (24.6%) patients were involuntarily admitted. In a binominal logistic regression, presentation due to alcohol consumption, deviant social behavior, and psychosocial burden was positively associated, whereas difficulties at school and depression were negatively associated, with the likelihood of involuntary admission. 58.5% of the 123 unaccompanied patients were admitted involuntarily. Reasons for the presentation of unaccompanied and voluntary inpatient admissions were suicidal thoughts, psychosocial burden, and externalized aggression. A substantial number of child and adolescent psychiatric admissions represent emergency admissions. Involuntarily admitted patients and unaccompanied children/adolescents represent a non-negligible proportion of clinical routine and the clinical and legal background factors need to be further clarified in future studies. This study is registered in the German Clinical Trials Register (24 September 2019, DRKS00017689).

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Metadata last modified: 16 Jan 2025 15:00

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