Evidence map›Paper›PMID 15187804›Full record

ArticleJournal of the American Academy of Child and Adolescent Psychiatry2004

Symptom, family, and service predictors of children's psychiatric rehospitalization within one year of discharge.

Joseph C Blader

Abstract read
In one paragraph

Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Predicting Psychiatric Readmission of Children and Adolescents Using Machine Learning.Journal of child and adolescent psychopharmacology · 2026
    Article
  5. Article
  6. Article
  7. Review
  8. Predictors of adolescent psychiatric rehospitalization: A multi-level framework.International journal of nursing studies advances · 2026
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Readmission of adolescent psychiatric patients to a specialised unit in Gauteng, South Africa.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. School Reintegration Following Psychiatric Hospitalization: A Review of Available Transition Programs.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2022
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Joseph C BladerDepartment of Psychiatry, Schneider Children's Hospital and Hillside Hospital, North Shore-Long Island Jewish Health System, New Hyde Park, NY, USA. Joseph.Blader@StonyBrook.edu

Funding

Stepped Pharmacotherapy for Aggressive Youth with ADHDK23MH064975 · NIMH · STATE UNIVERSITY NEW YORK STONY BROOK · PI BLADER, JOSEPH C · 2002 to 2006
$913k
PROSPECTIVE FOLLOWUP OF CHILD PSYCHIATRIC INPATIENTSR03MH058456 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BLADER, JOSEPH C · 1997 to 1998
–
NIMH NIH HHS K23 MH064975NIMH NIH HHS R03 MH058456NIMH NIH HHS R03MH058456
6 · The paper itself

Abstract

objectiveTo investigate predictors of readmission to inpatient psychiatric treatment for children aged 5 to 12 discharged from acute-care hospitalization.

methodOne hundred nine children were followed for 1 year after discharge from inpatient care. Time to rehospitalization was the outcome of interest. Predictors of readmission, examined via the Cox proportional hazards model, were symptom and family factors assessed at admission, aspects of psychiatric treatment, and demographic variables.

resultsThe Kaplan-Meier rehospitalization risk within 1 year of discharge, taking into account known readmissions and censored observations, was 0.37. Most readmissions (81%) occurred within 90 days of discharge. Four variables contributed simultaneously to predicting readmission risk. More severe conduct problems, harsh parental discipline, and disengaged parent-child relations conferred a higher risk for rehospitalization; these risks were attenuated when parents disclosed higher stress in their parenting roles.

conclusionsFindings showed that psychiatric rehospitalization of children is common, most likely in the trimester after discharge, and highly related to both child symptoms and family factors measurable at admission. Results suggest that efforts to improve postdischarge outcomes of children should target the initial period following inpatient care, address vigorously the complex treatment needs of those with severe conduct problems, and aim to improve parent-child relations.

Indexed as

Mental Health ServicesParent-Child RelationsChildChild, PreschoolFemaleForecastingHumansMaleMental DisordersPatient ReadmissionProportional Hazards ModelsProspective StudiesRecurrenceRisk FactorsSurvival AnalysisUnited States

Identifiers

PMID15187804
PMCPMC2953818

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.