Evidence map›Paper›PMID 27529444›Full record

ArticleThe Journal of clinical psychiatry2017

Predictors of Rehospitalization for Depressed Adolescents Admitted to Acute Psychiatric Treatment.

Nienke R van Alphen, Jeremy G Stewart, Erika C Esposito, Bryan Pridgen, Joseph Gold, Randy P Auerbach

Open access · greenAbstract read
In one paragraph

Article in The Journal of clinical psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
6.6field-weighted citation impact, top 4% of its field
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

23 citing papers in PubMed, 51 citations in OpenAlex.

  1. Predicting Psychiatric Readmission of Children and Adolescents Using Machine Learning.Journal of child and adolescent psychopharmacology · 2026
    Article
  2. Predicting the trajectory of non-suicidal self-injury among adolescents.Journal of child psychology and psychiatry, and allied disciplines · 2025
    Article
  3. Article
  4. Stress exposure in at-risk, depressed, and suicidal adolescents.Journal of child psychology and psychiatry, and allied disciplines · 2024
    Article
  5. Article
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  7. Article
  8. Article
  9. 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
  10. 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
  11. Article
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  13. Article
  14. Factors Associated With Multiple Psychiatric Readmissions for Youth With Mood Disorders.Journal of the American Academy of Child and Adolescent Psychiatry · 2020
    Article
  15. Article
  16. Predicting Psychiatric Rehospitalization in Adolescents.Administration and policy in mental health · 2019
    Article
  17. Life Stress and Suicide in Adolescents.Journal of abnormal child psychology · 2019
    Article
  18. Inpatient Psychiatric Care Outcomes for Adolescents: A Test of Clinical and Psychosocial Moderators.Evidence-based practice in child and adolescent mental health · 2019
    Article
  19. 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

6 authors at 2 institutions in 2 countries.

Nienke R van AlphenFaculty of Psychology and Neuroscience, Maastricht University, the Netherlands.
Jeremy G StewartDivision of Child and Adolescent Psychiatry, McLean Hospital, Belmont, Massachusetts, USA.
Erika C EspositoDivision of Child and Adolescent Psychiatry, McLean Hospital, Belmont, Massachusetts, USA.
Bryan PridgenDivision of Child and Adolescent Psychiatry, McLean Hospital, Belmont, Massachusetts, USA.
Joseph GoldDivision of Child and Adolescent Psychiatry, McLean Hospital, Belmont, Massachusetts, USA.
Randy P AuerbachMcLean Hospital, 115 Mill St, Mailstop 331, de Marneffe Bldg, Room 240, Belmont, MA 02478. rauerbach@mclean.harvard.edu.
Harvard University · USMaastricht University · NL

Funding

Examination of Reward Processing in the Treatment of Adolescent Major DepressionK23MH097786 · NIMH · MCLEAN HOSPITAL · PI AUERBACH, RANDY PATRICK · 2013 to 2016
$686k
NIMH NIH HHS K23 MH097786
6 · The paper itself

Abstract

objectivePresently, little is known about what factors predict adolescent psychiatric rehospitalization. Thus, the present study tested whether a battery of demographic and clinical characteristics predicted readmission within 6 months of discharge.

methodsParticipants were 165 adolescents (112 females) aged 13-19 years (mean = 15.61, SD = 1.48) admitted to an acute residential treatment program between November 25, 2013, and November 18, 2014. Patients met diagnostic criteria (DSM-IV-TR) for current major depressive disorder or dysthymia. At admission, participants completed a battery of clinical interviews and questionnaires assessing demographics, early life stress, comorbid diagnoses, psychiatric symptoms, suicidality, self-injury, and risky behavior engagement. At discharge, psychiatric symptoms were reassessed. Readmission to the same residential service was monitored over a 6-month period following discharge.

resultsOverall, 12.1% of adolescents were rehospitalized. We conducted a series of Cox regression survival analyses to test demographic and clinical predictors of patients' time to readmission. More frequent self-injurious behaviors in the month prior to hospitalization was significantly associated with a more rapid time to rehospitalization (β = 0.05, SE = .02, Wald₁ = 4.35, P = .037, OR = 1.05, 95% CI = 1.003-1.10).

conclusionsIt is critical to more effectively manage self-injury during the treatment of depressed adolescents, as this is the strongest predictor of later rehospitalization.

Indexed as

Residential TreatmentAdolescentCase ManagementCombined Modality TherapyDepressive DisorderFemaleHumansInterview, PsychologicalLikelihood FunctionsMaleMassachusettsPatient ReadmissionPsychometricsRisk AssessmentSelf-Injurious BehaviorSurveys and Questionnaires

Identifiers

PMID27529444
PMCPMC5313382
OpenAlexW2517944829

What OpenQuestion holds

Textmetadata
LicenceTDM
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.