Factors ID’d for Pediatric Involuntary Psychiatric Hospitalization

An increased risk for the development of psychiatric disorders such as schizophrenia and social anxiety disorder has been found with the use of cannabis; depression to a lesser extent. Individuals who are heavy cannabis users are more likely to report suicidal thoughts than non-users. For patients with bipolar disorder, near-daily cannabis use seemed to increase symptoms of the disorder. However, for patients with schizophrenia or other psychoses, a history of cannabis use has been associated with better performance on learning and memory tasks.
An increased risk for the development of psychiatric disorders such as schizophrenia and social anxiety disorder has been found with the use of cannabis; depression to a lesser extent. Individuals who are heavy cannabis users are more likely to report suicidal thoughts than non-users. For patients with bipolar disorder, near-daily cannabis use seemed to increase symptoms of the disorder. However, for patients with schizophrenia or other psychoses, a history of cannabis use has been associated with better performance on learning and memory tasks.
Children and adolescents with involuntary psychiatric hospitalization are more likely to have a diagnosis of psychosis, substance misuse, or intellectual disability than those admitted voluntarily.

HealthDay News — Children and adolescents with involuntary psychiatric hospitalization are more likely to have a diagnosis of psychosis, substance misuse, or intellectual disability than those admitted voluntarily, according to a review published online April 27 in The Lancet Child & Adolescent Health.

Susan Walker, M.B., B.Ch., Ph.D., from University College London, and colleagues conducted a systematic review, meta-analysis, and narrative synthesis to examine the social and clinical factors associated with involuntary psychiatric hospitalization among 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, substance misuse, or intellectual disability in meta-analyses (odds ratios, 3.63, 1.87, and 3.33, respectively) and with presenting with a perceived risk for harm to self or to others (odds ratios, 2.05 and 2.37, respectively). Involuntary hospitalization also correlated with being aged 12 years or older and being from a Black versus White ethnic group (odds ratios, 3.57 and 2.72, respectively). For most factors included in the meta-analysis, there was substantial between-study heterogeneity (, 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 greater understanding of the factors associated with involuntary psychiatric hospitalization of children and adolescents will contribute to the creation of more equitable pathways to psychiatric treatment for patients of all ages and, ultimately, a reduction in long-standing health care inequalities,” the authors write.

Abstract/Full Text

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