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Background State psychiatrics in Public Health Departments in Israel can involuntary hospitalize patients (IHP) in psychotic status. IHP who are unsatisfied with the involuntary hospitalization can appeal to a Psychiatric Committee (PC) in the institution to ask to shorten their hospitalization. The PC can decide to discharge the patient to ambulatory treatment. This cohort study aimed to assess re-admission of IHP among patients who shortened their involuntary hospitalization in Tel-Aviv. Methods IHP whose involuntary hospitalization was shortened by PC (research arm) were compared to IHP patients who completed the entire hospitalization length, as was initially recommended by the psychiatrist (control arm). Re-admission was defined as hospitalization within one year after release by the PC/end of hospitalization. Results From 3,160 IHR between 2010 and 2015, 1,338 were re-hospitalized during a year after release, 317 (41.7%) from the research arm and 1,012 (42.6%) from the control arm, p < 0.7. Discharge of IHP by PC during first month of the involuntary hospitalization resulted in a higher re-admission rates than IHR from the control group (58.4% vs. 46.4%, respectively, p < 0.001). Yet, discharge of IHR by the PC after one month of hospitalization (or end of the hospitalization) resulted in lower re-admission rates (14.8% vs. 53.6%, respectively, p < 0.001). Risks factors for re-admission included male gender, Israeli born, single and diagnosis of schizophrenia. Conclusions Re-admission rates were higher in IHR who were released by the PC during the first month of hospitalization. The first month is important for mental and therapeutic stabilization of IHP. After 30 days, release of IHP can be re-assessed according to the patients’ situation. Early discharge of males who were diagnosed with schizophrenia should be carefully assessed. Key messages • Early discharge of psychiatric patients from involuntary hospitalization should be assesses only after the first 30 days of hospital admission, especially among young males with schizophrenia. • Early discharge of psychiatric patients from involuntary hospitalization should be assesses only after the first 30 days of hospital admission, especially among young males with schizophrenia.

This research explored young children’s online writing with the support of their parents. In this pioneering study, we explored the nature of the online discourse. We studied parents’ potential influence on their children’s executive function (EF) development by directing their online discourse. After a workshop in the preschools on supporting children’s writing and the promotion of ethics in online discourse, we encouraged parents to support their children in writing messages to their friends within a closed online forum. We asked them to help their children in responding to a child who had not yet received any comments and in writing new posts. The participants were 174 Hebrew-speaking parents and their children (M = 65.57 months) from eight preschools in Israel. We analyzed the written messages (N = 1167), including posts and comments. Parents guided their children to write positive, friendly messages that included empathic expressions. We identified 14 themes (e.g., sharing experience) in the posts and 4 in the comments. Despite the positive nature of the online discourse, 49 children did not receive any comments, while others received several. We suggest that guided writing in closed forums can be a good platform for promoting EF and teaching children to use the network empathetically.