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  • Title: Why do adolescents return to an acute psychiatric unit?
    Author: Barker D, Jairam R, Rocca A, Goddard L, Matthey S.
    Journal: Australas Psychiatry; 2010 Dec; 18(6):551-5. PubMed ID: 21117843.
    Abstract:
    OBJECTIVE: The aim of this paper is to determine potentially modifiable factors associated with the high proportion of patients who are readmitted to adolescent psychiatric units. METHOD: The case notes of 112 adolescents admitted over 1 year to an acute adolescent psychiatry unit were reviewed. Socio-demographic and clinical variables were compared between those who were readmitted over a 12-month period post discharge and those who were not. RESULTS: The readmission rate over a 12-month period was 31%. Males were significantly more likely to be readmitted. No other statistically significant predictors of readmission were identified. There was a trend towards readmission for those with bipolar disorder and a trend away from readmission for those with adjustment disorders. A history of sexual abuse and cluster B personality traits were significantly related to a history of previous admission, but not with subsequent readmission. CONCLUSIONS: Readmission is influenced by a number of factors, which may not be easily identified by a chart review. Prospective studies which follow-up adolescents for several years after discharge are needed.
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