Risk Factors for Revolving Door in Children and Adolescents with Psychiatric Disorders

Revolving Door (RD) is a frequent phenomenon afflicting children and adolescents with psychiatric diagnoses. Nevertheless, risk factors for RD are still a matter of debate. To better understand RD phenomenon, we conducted a retrospective study on 224 children and adolescents (165 females and 59 male...

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Autores principales:	Barbara D’Aiello, Deny Menghini, Roberto Averna, Milena Labonia, Stefano Vicari
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	psychiatric readmissions psychiatric rehospitalizations self-injurious suicidal ideation behavioural and emotional symptoms dysregulated profile Medicine R
Acceso en línea:	https://doaj.org/article/d1b62ab71b62432286eadede841d0b4a
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spelling	oai:doaj.org-article:d1b62ab71b62432286eadede841d0b4a2021-11-11T17:37:52ZRisk Factors for Revolving Door in Children and Adolescents with Psychiatric Disorders10.3390/jcm102150042077-0383https://doaj.org/article/d1b62ab71b62432286eadede841d0b4a2021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5004https://doaj.org/toc/2077-0383Revolving Door (RD) is a frequent phenomenon afflicting children and adolescents with psychiatric diagnoses. Nevertheless, risk factors for RD are still a matter of debate. To better understand RD phenomenon, we conducted a retrospective study on 224 children and adolescents (165 females and 59 males, aged 6–16 years) with a psychiatric hospitalization, taking the multiple risk factors together. At this aim, 108 patients with multiple hospitalizations and 116 patients with only one hospitalization were compared on demographic characteristics, clinical conditions, psychiatric ward stay, and post-discharge management factors. More than half of psychiatric patients were readmitted within three months of discharge. RD patients presented greater severity of illness, needed longer stays, and were more frequently placed in residential facilities than non-RD patients. Non-suicidal self-injurious and adoption were the main predictors of RD. Clinical instruments that detected behavioural and emotional symptoms, suicidal ideation severity, and level of impairment of the person’s functioning were useful to identify patients at high risk for RD. In conclusion, our findings pointed out that several risk factors have to be considered to better understand and, in the future, prevent RD phenomenon.Barbara D’AielloDeny MenghiniRoberto AvernaMilena LaboniaStefano VicariMDPI AGarticlepsychiatric readmissionspsychiatric rehospitalizationsself-injurioussuicidal ideationbehavioural and emotional symptomsdysregulated profileMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5004, p 5004 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	psychiatric readmissions psychiatric rehospitalizations self-injurious suicidal ideation behavioural and emotional symptoms dysregulated profile Medicine R
spellingShingle	psychiatric readmissions psychiatric rehospitalizations self-injurious suicidal ideation behavioural and emotional symptoms dysregulated profile Medicine R Barbara D’Aiello Deny Menghini Roberto Averna Milena Labonia Stefano Vicari Risk Factors for Revolving Door in Children and Adolescents with Psychiatric Disorders
description	Revolving Door (RD) is a frequent phenomenon afflicting children and adolescents with psychiatric diagnoses. Nevertheless, risk factors for RD are still a matter of debate. To better understand RD phenomenon, we conducted a retrospective study on 224 children and adolescents (165 females and 59 males, aged 6–16 years) with a psychiatric hospitalization, taking the multiple risk factors together. At this aim, 108 patients with multiple hospitalizations and 116 patients with only one hospitalization were compared on demographic characteristics, clinical conditions, psychiatric ward stay, and post-discharge management factors. More than half of psychiatric patients were readmitted within three months of discharge. RD patients presented greater severity of illness, needed longer stays, and were more frequently placed in residential facilities than non-RD patients. Non-suicidal self-injurious and adoption were the main predictors of RD. Clinical instruments that detected behavioural and emotional symptoms, suicidal ideation severity, and level of impairment of the person’s functioning were useful to identify patients at high risk for RD. In conclusion, our findings pointed out that several risk factors have to be considered to better understand and, in the future, prevent RD phenomenon.
format	article
author	Barbara D’Aiello Deny Menghini Roberto Averna Milena Labonia Stefano Vicari
author_facet	Barbara D’Aiello Deny Menghini Roberto Averna Milena Labonia Stefano Vicari
author_sort	Barbara D’Aiello
title	Risk Factors for Revolving Door in Children and Adolescents with Psychiatric Disorders
title_short	Risk Factors for Revolving Door in Children and Adolescents with Psychiatric Disorders
title_full	Risk Factors for Revolving Door in Children and Adolescents with Psychiatric Disorders
title_fullStr	Risk Factors for Revolving Door in Children and Adolescents with Psychiatric Disorders
title_full_unstemmed	Risk Factors for Revolving Door in Children and Adolescents with Psychiatric Disorders
title_sort	risk factors for revolving door in children and adolescents with psychiatric disorders
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/d1b62ab71b62432286eadede841d0b4a
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Risk Factors for Revolving Door in Children and Adolescents with Psychiatric Disorders

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