Evidence map›Paper›PMID 26725287›Full record

Trial reportPsychiatric services (Washington, D.C.)2016

Rehospitalization of Suicidal Adolescents in Relation to Course of Suicidal Ideation and Future Suicide Attempts.

Ewa K Czyz, Johnny Berona, Cheryl A King

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychiatric services (Washington, D.C.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. 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
  9. 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
  10. A Pre-Adolescent and Adolescent Clinical Sample Study about Suicidal Ideation, Suicide Attempt, and Self-Harming.European journal of investigation in health, psychology and education · 2022
    Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Observational
  16. Predicting Psychiatric Rehospitalization in Adolescents.Administration and policy in mental health · 2019
    Article
  17. Article
  18. Article
  19. 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

3 authors.

Ewa K CzyzThe authors were with the Department of Psychiatry and Department of Psychology, University of Michigan, Ann Arbor, at the time of the study (e-mail: ewac@umich.edu ). Dr. Czyz is now with the Department of Psychiatry at the university.
Johnny BeronaThe authors were with the Department of Psychiatry and Department of Psychology, University of Michigan, Ann Arbor, at the time of the study (e-mail: ewac@umich.edu ). Dr. Czyz is now with the Department of Psychiatry at the university.
Cheryl A KingThe authors were with the Department of Psychiatry and Department of Psychology, University of Michigan, Ann Arbor, at the time of the study (e-mail: ewac@umich.edu ). Dr. Czyz is now with the Department of Psychiatry at the university.

Funding

Youth Support Team Intervention for Suicidal AdolescentsR01MH063881 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KING, CHERYL A · 2002 to 2006
$3.2M
MidCareer Investigator Award: Health Behavior Interventions for Suicidal YouthK24MH077705 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KING, CHERYL A. · 2007 to 2011
$788k
NIMH NIH HHS K24 MH077705NIMH NIH HHS K24MH77705NIMH NIH HHS R01 MH063881NIMH NIH HHS R01 MH63881
6 · The paper itself

Abstract

objectivePsychiatric hospitalization is essential in the clinical management of suicidal adolescents, and a considerable number of hospitalized adolescents are rehospitalized, yet little is known about how this experience may influence postdischarge outcomes. This study examined the association between rehospitalization within three months of index hospitalization and subsequent suicide attempts and suicidal ideation among adolescents.

methodsParticipants were 373 youths (13-17 years old) hospitalized because of suicide risk, and they were followed for one year. Using Cox regression, the investigators examined rehospitalization within three months of index hospitalization as a predictor of time to suicide attempt during the subsequent nine months. Using latent-class growth modeling, they also examined whether rehospitalization predicted a change in the nine-month course of three suicidal ideation trajectories (subclinical, elevated but fast declining, and chronically elevated).

resultsRehospitalization was associated with greater risk of suicide attempts, above the effects of key covariates. Rehospitalization also predicted distinct changes in suicidal ideation trajectories: Within the elevated-fast declining and chronically elevated groups, rehospitalization predicted increases in ideation during the follow-up, with larger magnitude for the chronic group. In contrast, rehospitalization was associated with a decrease in follow-up suicidal ideation in the subclinical group.

conclusionsRehospitalization predicted a more severe course of suicide ideation for most of the adolescents, but it was protective for only a smaller subgroup with subclinical levels of ideation at index hospitalization. Our findings also suggest that rehospitalization is a strong indicator of future risk of suicide attempt. These findings have important implications for intervening with rehospitalized adolescents.

Indexed as

Suicidal IdeationAdolescentAdolescent BehaviorDepressionFemaleHumansMalePatient ReadmissionProportional Hazards ModelsProspective StudiesRisk FactorsSex FactorsSuicide, AttemptedUnited States

Identifiers

PMID26725287
PMCPMC5037573

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.