FRIDAY, May 14, 2021 (HealthDay News) – Children and adolescents with involuntary psychiatric hospitalization are more likely to be diagnosed with psychosis, substance abuse, or intellectual disability than those who are admitted voluntarily, according to a review published online April 27 in The Lancet Health for children and adolescents.
Susan Walker, MB, B.Ch., Ph.D., from University College London, and colleagues conducted a systematic review, meta-analysis, and narrative synthesis to explore the social and clinical factors associated with involuntary psychiatric hospitalization in children and adolescents using data from 19 studies with 31,212 participants.
The researchers found that involuntary rather than voluntary hospitalization of minors correlated with a diagnosis of psychosis, drug abuse, or intellectual disability in meta-analyzes (odds ratios 3.63, 1.87, and 3.33, respectively) and with an observed risk of harm. . to oneself or to others (odds ratios, 2.05 and 2.37, respectively). Involuntary hospitalization was also correlated with age 12 or older and belonging to a black versus white ethnic group (odds ratios, 3.57 and 2.72, respectively). For most of the factors included in the meta-analysis, there was significant heterogeneity between studies (I², 51.3 to 92.3 percent). More severe illness and poorer global functioning correlated with involuntary hospitalization in a narrative synthesis.
“We hope that a better understanding of the factors associated with involuntary psychiatric hospitalization of children and adolescents will help create more equitable pathways to psychiatric treatment for patients of all ages and, ultimately, reduce long-term health inequalities. , ”’the authors write.
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