scholarly journals Factors Associated With Involuntary Psychiatric Hospitalization of Youths in China Based on a Nationally Representative Sample

2020 ◽  
Vol 11 ◽  
Author(s):  
Feng Geng ◽  
Feng Jiang ◽  
Rachel Conrad ◽  
Tingfang Liu ◽  
Yuanli Liu ◽  
...  

Objective: This nationally representative sample investigates demographic, diagnostic and clinical features associated with both voluntary and involuntary psychiatric hospitalization among children and adolescents psychiatrically hospitalized in China.Method: As part of an official national survey, 41 provincial tertiary psychiatric hospitals in China were selected. Data from 196 children and adolescents who were discharged from these psychiatric hospitals from March 19 to 31, 2019 were retrieved and analyzed.Results: 1. Psychotic symptoms, depressive symptoms and self-injury/suicide were the most common reasons of admission. Girls were significantly likely to be admitted due to depressive symptoms, whereas boys were more likely to be admitted due to aggressive behaviors. 2. The overall rate of involuntary admission was 32.1% (N = 63). Compared to patients who were admitted voluntarily, those who were admitted involuntarily had lower GAF scores on admission, were older, were more likely to present with psychotic symptoms, manic symptoms or aggressive behavior as primary reason for admission, were less likely to present with depressive symptoms, had a significantly longer length of stay, were more likely to be diagnosed with schizophrenia and were less likely to be diagnosed as depressive disorder. 3. A logistic regression showed that depressive symptom as primary reason for admission was significantly associated with voluntary admission (OR = 0.159, p < 0.001), along with two other factors: age (p < 0.01) and a lower GAF score at admission (p < 0.001) were significantly associated with involuntary admission.Conclusion: The rate of involuntary psychiatric hospitalization among children and adolescents is higher in China than in other regions. Developing more specific and more operational criteria to guide involuntary psychiatric admission for child and adolescent patients is of urgency and great importance to ensure appropriate treatment of these patients and protect their rights.

2017 ◽  
Vol 7 (2) ◽  
pp. 105-120 ◽  
Author(s):  
Zoe Caplan

The author uses a nationally representative sample of cisgender young adults to examine the relationship between sexual orientation concordance and the prevalence of depressive symptoms. In these analyses, the author differentiates between those with an exclusive identity (100 percent gay or 100 percent straight) and those with a nonexclusive identity (“mostly gay,” “mostly straight,” or bisexual). Among those with an exclusive identity, the author differentiates between those with behavior and attraction that is in line with (concordant) or goes against (discordant) a claimed gay or straight identity. Those with a concordant sexual orientation report significantly lower depressive symptoms scores than do those with either a discordant sexual orientation or a nonexclusive identity. When accounting for orientation, concordance is significantly associated with depressive symptoms for straight- but not gay-identified young adults. These findings generally hold for women, but not for men when change in identity is controlled for.


2019 ◽  
Vol 25 (2) ◽  
pp. 203-214 ◽  
Author(s):  
Ateret Gewirtz-Meydan ◽  
David Finkelhor

The present study sought to examine features of sexual abuse cases among a U.S. nationally representative sample of 13,052 children and adolescents, ages 0–17 years. The National Survey of Children’s Exposure to Violence was collected in three different years (2008, 2011, and 2014) via telephone interviews. Information about sexual abuse and assault was obtained from youth themselves (ages 10–17) or caregivers (for children ages 0–9) using the Juvenile Victimization Questionnaire. Results indicate most offenses are at the hands of other juveniles (76.7% for males and 70.1% for females), primarily acquaintances, and occurring more frequently for adolescents aged 14–17. Whereas girls are mostly abused by males (88.4%), boys are abused by both males (45.6%) and females (54.4%). In 15% of cases, penetration is part of the abuse. Victims report being very afraid in 37.5% of episodes but not at all afraid in 19.8%. Among 10- to 17-year-olds, 66.3% of episodes are not reported to parents or any adult. Police reports occur for 19.1% of all cases. The results in the present study indicate that children and youth are exposed to sexual abuse and assault in varied ways, which require moving beyond conventional stereotypes of the problem.


2015 ◽  
Vol 52 (4) ◽  
pp. 335-348 ◽  
Author(s):  
Caroline Scheiber ◽  
Matthew R. Reynolds ◽  
Daniel B. Hajovsky ◽  
Alan S. Kaufman

2015 ◽  
Vol 12 (3) ◽  
pp. 335-342 ◽  
Author(s):  
Roya Kelishadi ◽  
Hamid Reza Marateb ◽  
Marjan Mansourian ◽  
Gelayol Ardalan ◽  
Ramin Heshmat ◽  
...  

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