ArticleChild psychiatry and human development2020
Risk Factors for Seclusion in Children and Adolescents Inpatient Psychiatry: The Role of Demographic Characteristics, Clinical Severity, Life Experiences and Diagnoses.
Article in Child psychiatry and human development, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Key features of adolescent inpatient units and development of a checklist to improve consistency in reporting of settings.Journal of psychiatric and mental health nursing · 2023Pooled it
- Experiences of restrictive practices in child and adolescent mental health inpatient care: an integrative review.Child and adolescent psychiatry and mental health · 2026Review
- Mental disorders in the Black population: a scoping review.Frontiers in public health · 2026Article
- Breaking the Cycle: Predicting Agitation Crises in Child and Adolescent Inpatient Psychiatry.Child psychiatry and human development · 2025Article
- National Seclusion and Restraint Trends within Child Residential Treatment Facilities: 2010-2020 in Review.The Psychiatric quarterly · 2024Article
- Children and adolescents at risk for seclusion and restraint in inpatient psychiatric treatment: a case control study.Child and adolescent psychiatry and mental health · 2024Article
- Racial disparities with PRN medication usage in inpatient psychiatric treatment.Schizophrenia (Heidelberg, Germany) · 2024Article
- Race-Based Disparities in the Frequency and Duration of Restraint Use in a Psychiatric Inpatient Setting.Psychiatric services (Washington, D.C.) · 2024Article
- The Role of Psychiatrists in Seclusion and Restraint Episodes: a Curriculum for Psychiatric Trainees.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2023Article
- Understanding staff perceptions on adolescent seclusions.Evidence-based nursing · 2023Article
- Associations of Restraint and Seclusion With Race and Ethnicity on an Adolescent Inpatient Psychiatry Service.Journal of the American Academy of Child and Adolescent Psychiatry · 2023Article
- Ethical Considerations in Balancing Use of Seclusion and Restraint With Risk of COVID-19 Exposure: Recommendations for Youth Inpatient Psychiatry Units.Journal of the American Academy of Child and Adolescent Psychiatry · 2022Article
- When Structural Inequity Is Ubiquitous, Can Force Ever Be Compassionate?AMA journal of ethics · 2021Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo understand the risk factors for seclusion in a sample of children and adolescents admitted to an inpatient psychiatry unit looking at demographic, clinical severity, life experience, and diagnostic characteristics.
methodsAn unmatched case-control retrospective analysis of psychiatric records in a pediatric inpatient unit from December 2011 to December 2015 (N = 1986)
resultsIndividual characteristics, including demographics, clinical severity, and clinical presentation as per the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) jointly predicted seclusion in adolescents, with younger age, male sex, black race, having a prior admission, and having a disruptive behavior or bipolar and related disorder diagnoses being predictive of seclusion. While demographic and clinical severity factors were predictive of seclusion in multivariate models, clinical diagnoses only added modestly to the variance explained.
conclusionsHigh-risk demographic and clinical characteristics for seclusion events in children and adolescents can provide valuable information to guide interventions to prevent seclusion events during their hospitalization.
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Registered trials
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