Post-Discharge Services and Psychiatric Rehospitalization Among Children and Youth
Post-Discharge Services and Psychiatric Rehospitalization Among Children and Youth
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DOI：
10.1007/s10488-009-0263-6
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发表时间：
2010-09-01
影响因子：
2.6
通讯作者：
Freeman, Kimberly
中科院分区：
文献类型：
--
作者：
James, Sigrid;Charlemagne, Sherma J.;Freeman, Kimberly
本研究探讨了儿童和青少年（n = 186）第一次精神病住院后再住院的风险和决定因素。它具体审查了出院后服务的作用。通过与护理人员的结构化电话访谈和病例记录摘要收集了30个月随访期的数据。43%的青少年在随访期间经历了再入院。出院后的前30天内再住院的风险最高，并在3个月内持续升高。72%的青少年在随访期间接受了284次出院后服务，显著降低了再住院的风险。首次住院时间越长，入院时风险评分越高，风险越高。
This study examined risk and determinants of rehospitalization of children and adolescents (n = 186) following a first psychiatric hospitalization. It specifically examined the role of post-discharge services. Data were collected for a 30-month follow-up period through structured telephone interviews with caregivers and case record abstractions. 43% of youth experienced readmissions during the follow-up period. Risk of rehospitalization was highest during the first 30 days following discharge and remained elevated for 3 months. 72% of youth received 284 post-discharge services during the follow-up period, which significantly reduced the risk of rehospitalization. Longer first hospitalizations and a higher risk score at admission increased risk.