Evidence map›Paper›PMID 18954182›Full record

ArticleThe American journal of orthopsychiatry2008

The influence of clinical, treatment, and healthcare system characteristics on psychiatric readmission of adolescents.

Cynthia A Fontanella

Abstract read
In one paragraph

Article in The American journal of orthopsychiatry, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
–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

47 citing papers in PubMed.

  1. Trial
  2. Predicting Psychiatric Readmission of Children and Adolescents Using Machine Learning.Journal of child and adolescent psychopharmacology · 2026
    Article
  3. Review
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  15. Article
  16. Factors affecting readmission of adolescent mental healthcare users to a psychiatric hospital.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2023
    Article
  17. 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
  18. Article
  19. Review
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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.

Cynthia A FontanellaCollege of Social Work, The Ohio State University, Columbus, OH 43210, USA. fontanella.4@osu.edu

Funding

Mental Health Services &Systems Training ProgramT32MH016242 · NIMH · RUTGERS THE ST UNIV OF NJ NEW BRUNSWICK · PI MECHANIC, DAVID · 1985 to 2013
$4.8M
NIMH NIH HHS T32 MH016242PHS HHS T32
6 · The paper itself

Abstract

This study examined predictors of readmission for a sample of 522 adolescents enrolled in Medicaid and admitted to three inpatient psychiatric hospitals in Maryland. Comprehensive data on clinical, treatment, and health care system characteristics were collected from archival sources (medical records, Medicaid claims, and the Area Resource File). Predictors of readmission were examined with bivariate (Kaplan Meier) and multivariate (Cox Regression) survival techniques. One-year readmission rates were 38% with the majority occurring within 3 months after discharge. Adolescent demographic (age and gender), clinical (severity of symptoms, comorbidity, suicidality) and family characteristics (level of family risk) were associated with readmission. However, treatment factors including type of aftercare, postdischarge living environment, medication noncompliance, and hospital provider were among the strongest predictors of readmission. Study findings underscore the importance of careful discharge planning and linkage to appropriate aftercare. The differing rates of readmission across hospitals also suggest that organizational level factors may play a vital role in determining treatment outcomes.

Indexed as

Patient ReadmissionAdolescentAftercareDelivery of Health CareHospitalizationHospitals, PsychiatricHumansLength of StayMedicaidMental DisordersPatient AdmissionPatient CompliancePatient DischargeProbabilityProportional Hazards ModelsUnited States

Identifiers

PMID18954182
PMCPMC2596608

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.