Risk Factors for Seclusion and Restraint in a Pediatric Psychiatry Day Hospital

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• 作者：Wuroh Timbo ; Aishwarya Sriram…
• 关键词：Seclusion ; Restraint ; Trauma ; Abuse ; Pediatric
• 刊名：Child Psychiatry and Human Development
• 出版年：2016
• 出版时间：October 2016
• 年：2016
• 卷：47
• 期：5
• 页码：771-779
• 全文大小：415 KB
• 刊物类别：Behavioral Science
• 刊物主题：Psychology
  Child and School Psychology
  Psychiatry
  
• 出版者：Springer Netherlands
• ISSN：1573-3327
• 卷排序：47

文摘

The use of seclusion and restraints (SR) in acute hospital settings remains a controversial practice. Despite the focus on SR in the psychiatric services literature, data on SR use in pediatric day hospital settings is lacking. A case–control retrospective analysis for children admitted into a pediatric psychiatry day hospital in a 2-year span examined predictors of SR use. Demographic and clinical descriptors were examined in relation to SR events using univariate and multivariate regression models. Significant univariate risk factors for SR use were psychiatric morbidity, history of physical abuse, post-traumatic stress disorder, having any anxiety disorder, and younger age. Knowledge of risk factors for SR use in pediatric psychiatric day hospitals can avert use of SR and lead to improved safety in a trauma-informed care model.