Correlates of psychiatric hospitalization in a clinical sample of Canadian adolescents with bipolar disorder

Shapiro, Joshua A.; Timmins, Vanessa; Swampillai, Brenda; Scavone, Antonette; Collinger, Katelyn; Boulos, Carolyn; Hatch, Jessica; Goldstein, Benjamin I.

doi:10.1016/j.comppsych.2014.08.048

Cited by 7 publications

(4 citation statements)

References 60 publications

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“…Significant findings on age (aged 23-30 vs. aged [15][16][17][18][19][20][21][22] and parental education levels (high average vs. low) emerging as possible barriers to seeking/receiving lifetime treatment among Saudi youth contrasted with previous American and Mexican studies on age and lifetime treatment 106 , and parental education and 12-month treatment 108,109 . There was, however, some evidence from North America 110,111 to support family history of disorders as a significant predictor of seeking lifetime treatment among Saudi youth.…”

Section: Discussionmentioning

confidence: 99%

Lifetime prevalence and treatment of mental disorders in Saudi youth and adolescents

Altwaijri

Kazdin

Al‐Subaie

et al. 2023

Sci Rep

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Previous global and regional studies indicate that adolescents and young adults (i.e., youth) are affected by various mental disorders with lifelong consequences. However, there are no national estimates of mental disorders prevalent among Saudi youth. Using data from the Saudi National Mental Health Survey (SNMHS), we examined the lifetime prevalence, treatment, and socio-demographic correlates of mental disorders among Saudi youth (aged 15–30). A total of 4004 interviews were conducted using the adapted Composite International Diagnostic Interview (CIDI 3.0). Cross tabulations and logistic regression were used to generate estimates for the SNMHS youth sample (n = 1881). The prevalence of a mental disorder among Saudi youth was 40.10%, where anxiety disorders affected 26.84% of the sample, followed by disruptive behavior disorders (15.44%), mood disorders (9.67%), substance use disorders (4%) and eating disorders (7.06%). Sex, education, parental education, income, marital status, region, and family history of disorders were significant correlates of various classes of mental disorders. Only 14.47% of Saudi youth with any mental disorder received treatment for a lifetime disorder. Age, parental education, and family history of disorders emerged as significant correlates of mental health treatment. Lifetime mental disorders are highly prevalent among Saudi youth. There is an unmet need for culturally sensitive and age-appropriate treatment of lifetime mental disorders among youth in Saudi Arabia.

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Section: Discussionmentioning

confidence: 99%

Lifetime prevalence and treatment of mental disorders in Saudi youth and adolescents

Altwaijri

Kazdin

Al‐Subaie

et al. 2023

Sci Rep

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“…Sussman et al (15) showed that compared to BD I patients without antidepressant use, those with antidepressant use had 1.43 to 1.50 times the odds of re-hospitalization in the follow-up period. Among adolescence patients with BD, it was also found that using of SGAs and SSRIs was positively associated with hospitalization (16). Therefore, clinicians should increase medication adherence prior to adding another agent to medication regimens.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with hospitalization times and length of stay in patients with bipolar disorder

Shi,

Zhao,

Yang

et al. 2023

Front. Psychiatry

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AimAppraise the clinical features and influencing factors of the hospitalization times and length of stay in bipolar disorder (BD) patients.MethodsThis is a multicenter, observational, cohort study of patients diagnosed of type I or type II bipolar disorder. Five hundred twenty outpatients in seven hospitals from six cities in China were recruited from February 2013 to June 2014 and followed up using a continuous sampling pattern. The research included a retrospective period of 12 months and the prospective period of 9 months. The demographic and clinical features of the patients were collected. The influencing factors that could affect the length of stay (number of days spent in the hospital in the prospective period) were analyzed by poisson's regression and the hospitalization times (times of hospitalization in the prospective and retrospective period) was analyzed by general linear model. The selected variables included gender, age, years of education, occupational status, residence status, family history of mental disease, comorbid substance abuse, comorbid anxiety disorder, times of suicide (total suicide times that occurred in the retrospective and prospective period), polarity of the first mood episode, and BD type(I/II).ResultsPoisson's regression analysis showed that suicide times [Incidence Rate Ratio (IRR) = 1.20, p < 0.001], use of antipsychotic (IRR = 0.62, p = 0.011), and use of antidepressant (IRR = 0.56, p < 0.001) were correlated to more hospitalization times. Linear regression analysis showed that BD type II (β = 0.28, p = 0.005) and unemployment (β = 0.16, p = 0.039) which might mean longer duration of depression and poor function were correlated to longer length of stay. However, patients who experienced more suicide times (β = −0.21, p = 0.007) tended to have a shorter length of stay.ConclusionOverall, better management of the depressive episode and functional rehabilitation may help to reduce the length of stay. BD patients with more hospitalization times were characterized by higher risk of suicide and complex polypharmacy. Patients at high risk of suicide tended to have inadequate therapy and poor compliance, which should be assessed and treated adequately during hospitalization.Clinical trial registrationwww.ClinicalTrials.gov, Identifier: NCT01770704.

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“…In 2011, the World Health Organization listed bipolar spectrum disorder as the fourth leading cause of disability among adolescent ages 15–19 years worldwide [50]. Annual rates of BD diagnosis [51] and related hospitalization [52] in youth are increasing. Compared to adult-onset BD, children and adolescents experience more symptoms, comorbidities and mood switches and have a poorer prognosis [53, 54].…”

Section: Discussionmentioning

confidence: 99%

Safety and efficacy of lithium in children and adolescents: A systematic review in bipolar illness

Amerio

Ossola

Scagnelli³

et al. 2018

Eur. psychiatr.

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Correlates of psychiatric hospitalization in a clinical sample of Canadian adolescents with bipolar disorder

Cited by 7 publications

References 60 publications

Lifetime prevalence and treatment of mental disorders in Saudi youth and adolescents

Lifetime prevalence and treatment of mental disorders in Saudi youth and adolescents

Factors associated with hospitalization times and length of stay in patients with bipolar disorder

Safety and efficacy of lithium in children and adolescents: A systematic review in bipolar illness

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