Evidence map›Paper›PMID 30484776›Full record

ArticleJournal of hospital medicine2018

Readmissions after Pediatric Hospitalization for Suicide Ideation and Suicide Attempt.

Stephanie Doupnik, Jonathan Rodean, Bonnie T Zima, Tumaini R Coker, Diana Worsley, Kris P Rehm, James C Gay, Matt Hall, Steve Marcus

Open access · greenAbstract read
In one paragraph

Article in Journal of hospital medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

9 citing papers in PubMed, 32 citations in OpenAlex.

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  6. 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
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 1 country.

Stephanie DoupnikDivision of General Pediatrics, Center for Pediatric Clinical Effectiveness, and PolicyLab, The Children's Hospital of Philadelphia, Phildelphia, Pennsylvania, USA. DoupnikS@chop.edu.
Jonathan RodeanChildren's Hospital Association, Washington, DC, and Overland Park, Kansas, USA.
Bonnie T ZimaUCLA Semel Institute for Neuroscience and Human Behavior, University of California at Los Angeles, Los Angeles, California, USA.
Tumaini R CokerDepartment of Pediatrics, University of Washington School of Medicine, Seattle Children's Hospital, Seattle, Washington; Monroe Carell Children's Hospital at Vanderbilt, Nashville, Tennessee, USA.
Diana WorsleyDivision of General Pediatrics, Center for Pediatric Clinical Effectiveness, and PolicyLab, The Children's Hospital of Philadelphia, Phildelphia, Pennsylvania, USA.
Kris P RehmDepartment of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
James C GayDepartment of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Matt HallChildren's Hospital Association, Washington, DC, and Overland Park, Kansas, USA.
Steve MarcusCenter for Health Equity Research and Promotion, Philadelphia VA Medical Center, and School of Social Policy and Practice and Center for Mental Health Policy and Services Research, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Children's Hospital Association · USUniversity of Pennsylvania · USVanderbilt University · USPhiladelphia VA Medical Center · USSeattle Children's Hospital · USUniversity of California, Los Angeles · US

Funding

Continuity of Mental Health Care after Youth Hospitalization for Suicide Attempt - Administrative SupplementK23MH115162 · NIMH · CHILDREN'S HOSP OF PHILADELPHIA · PI DOUPNIK, STEPHANIE · 2018 to 2021
$794k
NIMH NIH HHS K23 MH115162
6 · The paper itself

Abstract

objectiveTo inform resource allocation toward a continuum of care for youth at risk of suicide, we examined unplanned 30-day readmissions after pediatric hospitalization for either suicide ideation (SI) or suicide attempt (SA).

methodsWe conducted a retrospective cohort study of a nationally representative sample of 133,516 hospitalizations for SI or SA among 6- to 17-year-olds to determine prevalence, risk factors, and characteristics of 30-day readmissions using the 2013 and 2014 Nationwide Readmissions Dataset (NRD). Risk factors for readmission were modeled using logistic regression.

resultsWe identified 95,354 hospitalizations for SI and 38,162 hospitalizations for SA. Readmission rates within 30 days were 8.5% for SI and SA hospitalizations. Among 30-day readmissions, more than one-third (34.1%) occurred within 7 days. Among patients with any 30-day readmission, 11% had more than one readmission within 30 days. The strongest risk factors for readmission were SI or SA hospitalization in the 30 days preceding the index SI/SA hospitalization (adjusted odds ratio [AOR]: 3.14, 95% CI: 2.73-3.61) and hospitalization for other indications in the previous 30 days (AOR: 3.18, 95% CI: 2.67-3.78). Among readmissions, 94.5% were for a psychiatric condition and 63.4% had a diagnosis of SI or SA.

conclusionsQuality improvement interventions to reduce unplanned 30-day readmissions among children hospitalized for SI or SA should focus on children with a recent prior hospitalization and should be targeted to the first week following hospital discharge.

fundingDr. Zima received funding from the Behavioral Health Centers of Excellence for California (SB852).

Indexed as

HospitalizationSuicidal IdeationAdolescentCaliforniaChildFemaleHospitals, PediatricHumansMalePatient DischargePatient ReadmissionRetrospective StudiesRisk FactorsSuicide, AttemptedTime Factors

Identifiers

PMID30484776
PMCPMC7253152
OpenAlexW2899679805

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.