Factors Associated With Involuntary Psychiatric Hospitalization of Youths in China Based on a Nationally Representative Sample

Abstract

Objective: This nationally representative sample investigates demographic, diagnostic and clinical features associated with both voluntary and involuntary psychiatric hospitalization among children and adolescents psychiatrically hospitalized in China.Method: As part of an official national survey, 41 provincial tertiary psychiatric hospitals in China were selected. Data from 196 children and adolescents who were discharged from these psychiatric hospitals from March 19 to 31, 2019 were retrieved and analyzed.Results: 1. Psychotic symptoms, depressive symptoms and self-injury/suicide were the most common reasons of admission. Girls were significantly likely to be admitted due to depressive symptoms, whereas boys were more likely to be admitted due to aggressive behaviors. 2. The overall rate of involuntary admission was 32.1% (N = 63). Compared to patients who were admitted voluntarily, those who were admitted involuntarily had lower GAF scores on admission, were older, were more likely to present with psychotic symptoms, manic symptoms or aggressive behavior as primary reason for admission, were less likely to present with depressive symptoms, had a significantly longer length of stay, were more likely to be diagnosed with schizophrenia and were less likely to be diagnosed as depressive disorder. 3. A logistic regression showed that depressive symptom as primary reason for admission was significantly associated with voluntary admission (OR = 0.159, p < 0.001), along with two other factors: age (p < 0.01) and a lower GAF score at admission (p < 0.001) were significantly associated with involuntary admission.Conclusion: The rate of involuntary psychiatric hospitalization among children and adolescents is higher in China than in other regions. Developing more specific and more operational criteria to guide involuntary psychiatric admission for child and adolescent patients is of urgency and great importance to ensure appropriate treatment of these patients and protect their rights.

Factors Associated With Utilization of Electroconvulsive Therapy During Psychiatric Hospitalization Among Children and Adolescents in China

“…This study was a part of a large research project (the National Survey for the Evaluation of Psychiatric Hospital Performance), which gathers clinical data from 41 tertiary psychiatric hospitals in 29 provinces in Mainland China 19 . Our data analysis included all patients who had a psychiatric hospitalization and were discharged from these hospitals between March 19 and 31, 2019.…”

“…This study was a part of a large research project (the National Survey for the Evaluation of Psychiatric Hospital Performance), which gathers clinical data from 41 tertiary psychiatric hospitals in 29 provinces in Mainland China. 19 Our data analysis included all patients who had a psychiatric hospitalization and were discharged from these hospitals between March 19 and 31, 2019. Data were retrieved from semistructured interviews and discharge medical records, which included age, sex, primary reasons for admission (multiple choices), primary diagnosis according to the International Classification of Diseases, Tenth Revision, Global Assessment of Functioning (GAF) score on admission, length of stay (LOS), voluntary or involuntary status, history of prior psychiatric hospitalizations, history of aggressive behaviors, and either self-injury or suicide attempts during the hospitalization.…”

A Review of the Role of Interleukin-2 in the Pathophysiology of Major Depressive Disorder in Hospitalized Patients

“…37 After the hospitalization, depression causes the patient to be unmotivated and uninterested and reduces cooperation with the treatment, thus delaying recovery and prolonging hospitalization. 38 Hospitalization is a potentially healing incident associated with fear, anxiety, and depression, and psychological and psychological factors significantly impact its outcome. 39 The major depressive disorder may occur alone or be part of bipolar disorder.…”