ArticleSocial psychiatry and psychiatric epidemiology2011
A comparison of two hospital districts with low and high figures in the compulsory care of minors: an ecological study.
Article in Social psychiatry and psychiatric epidemiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 21 citations in OpenAlex.
- Detention of children and adolescents under mental health legislation: a scoping review of prevalence, risk factors, and legal frameworks.BMC pediatrics · 2024Article
- [Coercion in psychiatric hospitalizations in Chile: madness and suffering in the 21st century].Salud colectiva · 2023Article
- Psychiatric Emergency in Children and Adolescents: A Retrospective Study in Parma Local Health Unit.Behavioural neurology · 2021Article
- Geographic variations in involuntary care and associations with the supply of health and social care: results from a nationwide study.BMC health services research · 2018Article
- Factors associated with quality of services for marginalized groups with mental health problems in 14 European countries.BMC health services research · 2014Article
- The use of coercive measures in adolescent psychiatric inpatient treatment: a nation-wide register study.Social psychiatry and psychiatric epidemiology · 2012Article
- Admissions to acute adolescent psychiatric units: a prospective study of clinical severity and outcome.International journal of mental health systems · 2011Article
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Authors and funding
5 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe last decade in Finland has seen a vast increase both in involuntary psychiatric treatment of adolescents and in the numbers of adolescents taken into care under the Child Welfare Act. Moreover, the variation in figures between different hospital districts is remarkable. The reasons for this are not known, but it cannot be due to variation in the epidemiology of mental disorders in minors.
aimThe aim of the study was to explore features associated with compulsory care of adolescents at regional level by comparing two hospital districts clearly differing in this regard. The characteristics of involuntarily treated adolescents and adolescents taken into care, the resources and structures of adolescent psychiatric services and child welfare services, and the environmental factors associated with adolescent well-being and adaptation, such as indicators of social deprivation of families were all considered. MATERIALS AND
methodsFor the present study, 2 out of the 22 hospital districts in Finland were selected, one using compulsory psychiatric care and taking into care of 13-17-year olds above and the other below the average in Finland. Register data on patient characteristics, services, and social deprivation were used. Absolute and population adjusted figures (95% confidence intervals) from the variables are given. The differences in incidences between health care districts were compared using Poisson regression analysis.
resultsProportions of divorces, single parent families, social exclusion and outpatient mental health service use, and detoxification treatment use of adults were higher in the health care district with above average coercion figures than in the area with below average coercion figures. The numbers of adolescent psychiatric outpatient visits were higher in the health care district with coercion figures below average despite the fact that the number of positions in adolescent outpatient services was lower than in the health care district with above average coercion figures.
conclusionFactors other than the characteristics of the adolescents themselves are associated with use of compulsory care on them, although an ecological study design cannot establish causality.
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