Gutterman E M, Markowitz J S, LoConte J S, Beier J
School of Social Work, Rutgers University, New Brunswick, NJ.
J Am Acad Child Adolesc Psychiatry. 1993 Jan;32(1):114-22. doi: 10.1097/00004583-199301000-00017.
There has been limited systematic study of determinants of acute psychiatric hospitalization of children and adolescents. This study reviewed the records of children and adolescents who received emergency mental health services in one New Jersey county during 6 months of 1990 (N = 226). Using a structured form to abstract data, information was obtained on demographics, precipitating problems, past mental health services, substance use, family problems, and disposition. While suicidal behavior was not a predictor of acute hospitalization, the interaction of assaultive and suicidal behavior was predictive. Other contributory factors identified in the multivariate analysis included: child's substance use, family member's substance use, and initial emergency screening site. Recognition of present utilization patterns will facilitate the development of intensive community-based options for those with acute mental health problems.
关于儿童和青少年急性精神病住院的决定因素，系统研究一直有限。本研究回顾了1990年6个月期间在新泽西州一个县接受紧急心理健康服务的儿童和青少年的记录（N = 226）。使用结构化表格提取数据，获取了关于人口统计学、诱发问题、既往心理健康服务、物质使用、家庭问题和处置情况的信息。虽然自杀行为不是急性住院的预测因素，但攻击性行为和自杀行为的相互作用具有预测性。多变量分析中确定的其他促成因素包括：儿童的物质使用、家庭成员的物质使用以及初始紧急筛查地点。认识当前的利用模式将有助于为有急性心理健康问题的人开发基于社区的强化方案。
