Emergency mental health admissions for children: A naturalistic study

Kyriakopoulos, Marinos; Ougrin, Dennis; Fraser, Carmel; Thomas, G. J.; McMahon, Rachel

doi:10.1177/1359104513493430

Cited by 8 publications

(11 citation statements)

References 12 publications

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“…Children and parent/carer satisfaction were measured using the Acorn Satisfaction Questionnaire (ASQ), a nine-item self-report measure (seven items for parents/carers and two items for children) which has been previously used with this population. Each item is rated on a Likert scale (1-5), with higher scores indicating higher satisfaction [60].…”

Section: Measures and Proceduresmentioning

confidence: 99%

Prevalence and clinical correlates of self-harm and suicidality during admission of children in a mental health inpatient unit

2020

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Background Self-harm and suicidality are common presentations in children and adolescents requiring a mental health inpatient admission. Although there are several studies on adolescents, there is relatively limited research into childhood self-harm and suicidality during such admissions. Methods A retrospective electronic file review was conducted on all children discharged from a national mental health inpatient children’s unit over a 6-year period. Several independent variables were compared between self-harm/suicidal and non-self-harm/non-suicidal children. Separate analyses investigated changes in self-harm/suicidality, functional outcomes, and risk assessment ratings between admission and discharge. Results A total of 105 children were included in this study. During admission, 65.7% of them reported self-harm thoughts, 61% engaged in self-harm, 50.5% expressed suicidal thoughts, and 14.3% engaged in suicidal behavior. Thoughts and acts of self-harm were associated with previous self-harm, longer admissions, and Attention Deficit Hyperactivity Disorder. Suicidality overlapped with self-harm and was strongly predicted by previous self-harm. The prevalence of self-harm and suicidal thoughts and acts significantly decreased during admission. Children in the non-self-harm group had marginally better functional outcomes upon discharge compared to those in the self-harm group. Children and parents/caregivers were similarly satisfied with treatment, irrespective of children’s self-harm/suicidality. Conclusions Self-harm and suicidality were widespread among children admitted to hospital. Better understanding of the mechanisms and factors related to self-harm and suicidality in this age group could help mitigate associated risks and improve existing safety strategies.

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Section: Measures and Proceduresmentioning

confidence: 99%

Prevalence and clinical correlates of self-harm and suicidality during admission of children in a mental health inpatient unit

2020

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“…Such increase has been noted in the United States [2][3][4][5], Canada [6][7][8], and Europe [9][10][11]. Over the same period, most countries have reduced the number of child and adolescent psychiatric inpatient beds [12][13][14]. Together with this reduction in inpatient beds, the increase in psychiatric emergencies makes it important to identify factors leading children and adolescents in an emergency situation to be admitted to a psychiatric hospital.…”

Section: Introductionmentioning

confidence: 99%

Predictors of voluntary and compulsory admissions after psychiatric emergency consultation in youth

Wierdsma

Kasius

et al. 2020

Eur Child Adolesc Psychiatry

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As hospital beds are scarce, and emergency admissions to a psychiatric ward are major life-events for children and adolescents, it is essential to have insight into the decision-making process that leads to them. To identify potentially modifiable factors, we, therefore, studied the contextual and clinical characteristics associated with the voluntary and compulsory emergency admission of minors. We used registry data (2008-2017) on 1194 outpatient emergencies involving children aged 6-18 who had been referred to the mobile psychiatric emergency service in two city areas in The Netherlands. Demographic and contextual factors were collected, as well as clinical characteristics including diagnoses, psychiatric history, Global Assessment of Functioning (GAF), and the Severity of Psychiatric Illness (SPI) scale. Logistic regression analyses were used to identify factors that predict voluntary or compulsory admission. Of 1194 consultations, 227 (19.0%) resulted in an admission, with 137 patients (11.5%) being admitted voluntarily and 90 (7.5%) compulsorily. Independently of legal status, the following characteristics were associated with admission: severity of psychiatric symptoms, consultation outside the patient's home, and high levels of family disruption. Relative to voluntary admission, compulsory admission was associated with more severe psychiatric problems, higher suicide risk, and prior emergency compulsory admission. Two potentially modifiable factors were associated with psychiatric emergency admission: the place where patients were seen for consultation, and the presence of family problems. Psychiatric emergency admissions may be reduced if, whenever possible, minors are seen in their homes and if a system-oriented approach is used.

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“…Acorn Satisfaction Questionnaire (ASQ) at discharge: (8) This is a 9-item questionnaire, with seven items responded by parents and two by children, which has been previously used in this population (7). In this study, we only used the report from parents.…”

Section: Methodsmentioning

confidence: 99%

“…Children's inpatient mental health units are a particularly specialized National Health Service provision for young people up to the age of 12 years with complex or/and severe mental health problems. These units offer comprehensive and individualized assessment and multidimensional treatment, including specialist educational input, that can lead to significant positive changes for both children and their families (7, 8). The multidimensional treatment includes behavioral management, psychological and family interventions and, commonly, medication.…”

Section: Introductionmentioning

confidence: 99%

“…For example, symptomatology can be assessed using parent reported symptoms questionnaires such as the Strengths and Difficulties Questionnaire (SDQ) (53), or clinician reported functionality questionnaires such as the Children's Global Assessment Scale (CGAS) (54) or the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) (55). There are also instruments used to assess client satisfaction regarding the care provided by mental health services, such as Acorn Satisfaction Questionnaire (7). So far, there has been no comprehensive tool to assess the caregivers' perceived helpfulness of different treatments offered in an inpatient mental health care service whether alone or in combination.…”

Section: Introductionmentioning

confidence: 99%

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What Was Helpful Questionnaire (WHQ): Psychometric Properties of a Novel Tool Designed to Capture Parental Perceived Helpfulness of Interventions in Children Requiring Mental Health Inpatient Care

et al. 2019

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Background: Children in mental health inpatient care require multiple treatments. There is not a comprehensive instrument to assess perceived helpfulness of this combination of interventions. Aims: To develop and evaluate the psychometric properties of the What was Helpful Questionnaire (WHQ), a tool designed to capture parental perceived helpfulness of the multidimensional management approach used in inpatient children's units. Methods: A total of 73 inpatients and their families were included in this study. The WHQ consists of six items exploring the perceived helpfulness of different aspects of care. Demographic and clinical variables were collected on admission and discharge. An exploratory factor analysis using polychoric correlations was performed to assess the item structure of the scale and the Cronbach's alpha coefficient was used for internal reliability. Associations were assessed using regressions models. Results: WHQ is a unidimensional scale with an internal reliability of 0.77. No associations were identified between WHQ total score and age, gender, and Children's Global Assessment Scale scores change. A strong relationship between the WHQ total score and parental Acorn Satisfaction Questionnaire total score was found. Conclusions: Results add evidence for the validity and the reliability of the WHQ to measure parental perceived helpfulness of interventions offered in inpatient children's units.

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Emergency mental health admissions for children: A naturalistic study

Abstract: EA for children are an appropriate, clinically indicated and safe alternative to PA, associated with higher parental satisfaction.

Cited by 8 publications

References 12 publications

Prevalence and clinical correlates of self-harm and suicidality during admission of children in a mental health inpatient unit

Prevalence and clinical correlates of self-harm and suicidality during admission of children in a mental health inpatient unit

Predictors of voluntary and compulsory admissions after psychiatric emergency consultation in youth

What Was Helpful Questionnaire (WHQ): Psychometric Properties of a Novel Tool Designed to Capture Parental Perceived Helpfulness of Interventions in Children Requiring Mental Health Inpatient Care

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