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Inpatient Psychiatric Treatment of Serious Behavioral Problems in Children with Autism Spectrum Disorder (ASD): Specialized Versus General Inpatient Units / B. J. TAYLOR in Journal of Autism and Developmental Disorders, 49-3 (March 2019)
[article]
Titre : Inpatient Psychiatric Treatment of Serious Behavioral Problems in Children with Autism Spectrum Disorder (ASD): Specialized Versus General Inpatient Units Type de document : Texte imprimé et/ou numérique Auteurs : B. J. TAYLOR, Auteur ; K. B. SANDERS, Auteur ; M. KYLE, Auteur ; K. A. PEDERSEN, Auteur ; J. VEENSTRA-VANDERWEELE, Auteur ; M. SIEGEL, Auteur Article en page(s) : p.1242-1249 Langues : Anglais (eng) Mots-clés : Autism Inpatient Psychiatric hospitalization Specialized unit Index. décimale : PER Périodiques Résumé : Psychiatric hospitalization of children with autism spectrum disorder (ASD) is common, but there is little comparative information available on different psychiatric hospital treatment models. Children with ASD ages 4-20 were enrolled upon admission to either a specialized (N = 53) or a general child psychiatric unit (N = 27). Caregivers completed the Aberrant Behavioral Checklist-Irritability Sub-scale (ABC-I) at admission, discharge, and 2 months post-discharge and reported information on crisis service utilization 2 months post-discharge. Children treated in the specialized unit had lower ABC-I scores at discharge and 2 months post-discharge (F = 8.98, p = 0.003) and were significantly less likely to experience an ER visit within 2 months post-discharge (X(2) = 5.51, p = 0.019). Specialized inpatient units may be more effective for children with ASD in need of psychiatric hospitalization. En ligne : http://dx.doi.org/10.1007/s10803-018-3816-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=386
in Journal of Autism and Developmental Disorders > 49-3 (March 2019) . - p.1242-1249[article] Inpatient Psychiatric Treatment of Serious Behavioral Problems in Children with Autism Spectrum Disorder (ASD): Specialized Versus General Inpatient Units [Texte imprimé et/ou numérique] / B. J. TAYLOR, Auteur ; K. B. SANDERS, Auteur ; M. KYLE, Auteur ; K. A. PEDERSEN, Auteur ; J. VEENSTRA-VANDERWEELE, Auteur ; M. SIEGEL, Auteur . - p.1242-1249.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 49-3 (March 2019) . - p.1242-1249
Mots-clés : Autism Inpatient Psychiatric hospitalization Specialized unit Index. décimale : PER Périodiques Résumé : Psychiatric hospitalization of children with autism spectrum disorder (ASD) is common, but there is little comparative information available on different psychiatric hospital treatment models. Children with ASD ages 4-20 were enrolled upon admission to either a specialized (N = 53) or a general child psychiatric unit (N = 27). Caregivers completed the Aberrant Behavioral Checklist-Irritability Sub-scale (ABC-I) at admission, discharge, and 2 months post-discharge and reported information on crisis service utilization 2 months post-discharge. Children treated in the specialized unit had lower ABC-I scores at discharge and 2 months post-discharge (F = 8.98, p = 0.003) and were significantly less likely to experience an ER visit within 2 months post-discharge (X(2) = 5.51, p = 0.019). Specialized inpatient units may be more effective for children with ASD in need of psychiatric hospitalization. En ligne : http://dx.doi.org/10.1007/s10803-018-3816-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=386 Adolescent inpatient psychiatric admission rates and subsequent one-year mortality in England: 1998–2004 / Anthony JAMES in Journal of Child Psychology and Psychiatry, 51-12 (December 2010)
[article]
Titre : Adolescent inpatient psychiatric admission rates and subsequent one-year mortality in England: 1998–2004 Type de document : Texte imprimé et/ou numérique Auteurs : Anthony JAMES, Auteur ; Joe CLACEY, Auteur ; Valerie SEAGROATT, Auteur ; Michael GOLDACRE, Auteur Année de publication : 2010 Article en page(s) : p.1395-1404 Langues : Anglais (eng) Mots-clés : Adolescence inpatient mortality rates psychiatric Index. décimale : PER Périodiques Résumé : Background: Adolescence is a time of very rapid change not only in physical but also psychological development. During the teenage years there is a reported rise in the prevalence of psychiatric disorders. The aim of this study was to investigate age- and sex-specific National Health Service (NHS) hospital inpatient admission rates for psychiatric conditions in adolescents in England, and to examine their mortality within one year of discharge.
Method: Using a record-linked NHS Hospital Episode Statistics (HES) dataset for England, and linked death certificates, age- and sex-specific admission rates and subsequent mortality rates were analysed by single year of age for people aged 10–19 years.
Results: There were similar numbers of admissions for males and females: 29,595 and 28,188 respectively. Admission rates increased substantially with increasing age, from .2 per 1000 population per year aged 10 years to 2.2 per 1000 aged 19 years. There was no appreciable difference in death rates for males and females in the year following discharge – males .23% (based on 68 deaths), females .18% (52 deaths). However, these death rates were significantly higher than those found in the general population of equivalent age: expressed as standardised mortality ratios (SMRs), setting the SMRs for males and females in the general population each as 100, the SMR in the psychiatric population were 518 (95% CI 402–657) for males and 937 (692–1225) for females. The diagnostic groups with the highest mortality were development disorders (SMR 3017, 95% CI 1757–4831), eating disorders (SMR 1103, 443–2272), and affective disorders (SMR 940, 589–1423).
Conclusion: Adolescent psychiatric disorders represent a serious public health issue, with a steep rise in hospital admissions during the teenage years, and a six-fold increased death rate within one year of discharge compared to the general population of the same age.En ligne : http://dx.doi.org/10.1111/j.1469-7610.2010.02293.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=113
in Journal of Child Psychology and Psychiatry > 51-12 (December 2010) . - p.1395-1404[article] Adolescent inpatient psychiatric admission rates and subsequent one-year mortality in England: 1998–2004 [Texte imprimé et/ou numérique] / Anthony JAMES, Auteur ; Joe CLACEY, Auteur ; Valerie SEAGROATT, Auteur ; Michael GOLDACRE, Auteur . - 2010 . - p.1395-1404.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 51-12 (December 2010) . - p.1395-1404
Mots-clés : Adolescence inpatient mortality rates psychiatric Index. décimale : PER Périodiques Résumé : Background: Adolescence is a time of very rapid change not only in physical but also psychological development. During the teenage years there is a reported rise in the prevalence of psychiatric disorders. The aim of this study was to investigate age- and sex-specific National Health Service (NHS) hospital inpatient admission rates for psychiatric conditions in adolescents in England, and to examine their mortality within one year of discharge.
Method: Using a record-linked NHS Hospital Episode Statistics (HES) dataset for England, and linked death certificates, age- and sex-specific admission rates and subsequent mortality rates were analysed by single year of age for people aged 10–19 years.
Results: There were similar numbers of admissions for males and females: 29,595 and 28,188 respectively. Admission rates increased substantially with increasing age, from .2 per 1000 population per year aged 10 years to 2.2 per 1000 aged 19 years. There was no appreciable difference in death rates for males and females in the year following discharge – males .23% (based on 68 deaths), females .18% (52 deaths). However, these death rates were significantly higher than those found in the general population of equivalent age: expressed as standardised mortality ratios (SMRs), setting the SMRs for males and females in the general population each as 100, the SMR in the psychiatric population were 518 (95% CI 402–657) for males and 937 (692–1225) for females. The diagnostic groups with the highest mortality were development disorders (SMR 3017, 95% CI 1757–4831), eating disorders (SMR 1103, 443–2272), and affective disorders (SMR 940, 589–1423).
Conclusion: Adolescent psychiatric disorders represent a serious public health issue, with a steep rise in hospital admissions during the teenage years, and a six-fold increased death rate within one year of discharge compared to the general population of the same age.En ligne : http://dx.doi.org/10.1111/j.1469-7610.2010.02293.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=113 Specialized Inpatient Psychiatry Units for Children with Autism and Developmental Disorders: A United States Survey / Matthew SIEGEL in Journal of Autism and Developmental Disorders, 42-9 (September 2012)
[article]
Titre : Specialized Inpatient Psychiatry Units for Children with Autism and Developmental Disorders: A United States Survey Type de document : Texte imprimé et/ou numérique Auteurs : Matthew SIEGEL, Auteur ; Kathleen DOYLE, Auteur ; Bruce CHEMELSKI, Auteur ; David PAYNE, Auteur ; BETH ELLSWORTH, Auteur ; Jamie HARMON, Auteur ; Douglas ROBBINS, Auteur ; Briana MILLIGAN, Auteur ; Martin LUBETSKY, Auteur Année de publication : 2012 Article en page(s) : p.1863-1869 Langues : Anglais (eng) Mots-clés : Autism Inpatient Developmental Admission Index. décimale : PER Périodiques Résumé : A cross sectional survey was performed to obtain the characteristics of specialized inpatient psychiatry units exclusively serving children with autism and other developmental disorders in the United States. Identified units were surveyed on basic demographic characteristics, clinical challenges and therapeutic modalities. Average length of stay was 42.3 days, children with autism spectrum disorders constituted the majority of the inpatient population (62.5–87.5%), and obtaining adequate post-discharge services was identified as the greatest challenge. Health policy implications and future research directions are suggested. En ligne : http://dx.doi.org/10.1007/s10803-011-1426-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=180
in Journal of Autism and Developmental Disorders > 42-9 (September 2012) . - p.1863-1869[article] Specialized Inpatient Psychiatry Units for Children with Autism and Developmental Disorders: A United States Survey [Texte imprimé et/ou numérique] / Matthew SIEGEL, Auteur ; Kathleen DOYLE, Auteur ; Bruce CHEMELSKI, Auteur ; David PAYNE, Auteur ; BETH ELLSWORTH, Auteur ; Jamie HARMON, Auteur ; Douglas ROBBINS, Auteur ; Briana MILLIGAN, Auteur ; Martin LUBETSKY, Auteur . - 2012 . - p.1863-1869.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 42-9 (September 2012) . - p.1863-1869
Mots-clés : Autism Inpatient Developmental Admission Index. décimale : PER Périodiques Résumé : A cross sectional survey was performed to obtain the characteristics of specialized inpatient psychiatry units exclusively serving children with autism and other developmental disorders in the United States. Identified units were surveyed on basic demographic characteristics, clinical challenges and therapeutic modalities. Average length of stay was 42.3 days, children with autism spectrum disorders constituted the majority of the inpatient population (62.5–87.5%), and obtaining adequate post-discharge services was identified as the greatest challenge. Health policy implications and future research directions are suggested. En ligne : http://dx.doi.org/10.1007/s10803-011-1426-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=180 Talking About Death or Suicide: Prevalence and Clinical Correlates in Youth with Autism Spectrum Disorder in the Psychiatric Inpatient Setting / L. M. HOROWITZ in Journal of Autism and Developmental Disorders, 48-11 (November 2018)
[article]
Titre : Talking About Death or Suicide: Prevalence and Clinical Correlates in Youth with Autism Spectrum Disorder in the Psychiatric Inpatient Setting Type de document : Texte imprimé et/ou numérique Auteurs : L. M. HOROWITZ, Auteur ; A. THURM, Auteur ; C. FARMER, Auteur ; C. MAZEFSKY, Auteur ; E. LANZILLO, Auteur ; Jeffrey A. BRIDGE, Auteur ; R. GREENBAUM, Auteur ; M. PAO, Auteur ; M. SIEGEL, Auteur Article en page(s) : p.3702-3710 Langues : Anglais (eng) Mots-clés : Autism Inpatient Collection (AIC) Autism spectrum disorder Inpatient Psychiatric patients Screening Suicidal ideation Suicide Index. décimale : PER Périodiques Résumé : Little is known about suicidal ideation in youth with autism spectrum disorder (ASD), making it difficult to identify those at heightened risk. This study describes the prevalence of thoughts about death and suicide in 107 verbal youth with ASD with non-verbal IQ >55, assessed during inpatient psychiatric admission. Per parent report, 22% of youth with ASD had several day periods when they talked about death or suicide "often," or "very often." Clinical correlates included the presence of a comorbid mood (OR 2.71, 95% CI 1.12-6.55) or anxiety disorder (OR 2.32, 95% CI 1.10-4.93). The results suggest a need for developmentally appropriate suicide risk screening measures in ASD. Reliable detection of suicidal thoughts in this high-risk population will inform suicide prevention strategies. En ligne : http://dx.doi.org/10.1007/s10803-017-3180-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=370
in Journal of Autism and Developmental Disorders > 48-11 (November 2018) . - p.3702-3710[article] Talking About Death or Suicide: Prevalence and Clinical Correlates in Youth with Autism Spectrum Disorder in the Psychiatric Inpatient Setting [Texte imprimé et/ou numérique] / L. M. HOROWITZ, Auteur ; A. THURM, Auteur ; C. FARMER, Auteur ; C. MAZEFSKY, Auteur ; E. LANZILLO, Auteur ; Jeffrey A. BRIDGE, Auteur ; R. GREENBAUM, Auteur ; M. PAO, Auteur ; M. SIEGEL, Auteur . - p.3702-3710.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 48-11 (November 2018) . - p.3702-3710
Mots-clés : Autism Inpatient Collection (AIC) Autism spectrum disorder Inpatient Psychiatric patients Screening Suicidal ideation Suicide Index. décimale : PER Périodiques Résumé : Little is known about suicidal ideation in youth with autism spectrum disorder (ASD), making it difficult to identify those at heightened risk. This study describes the prevalence of thoughts about death and suicide in 107 verbal youth with ASD with non-verbal IQ >55, assessed during inpatient psychiatric admission. Per parent report, 22% of youth with ASD had several day periods when they talked about death or suicide "often," or "very often." Clinical correlates included the presence of a comorbid mood (OR 2.71, 95% CI 1.12-6.55) or anxiety disorder (OR 2.32, 95% CI 1.10-4.93). The results suggest a need for developmentally appropriate suicide risk screening measures in ASD. Reliable detection of suicidal thoughts in this high-risk population will inform suicide prevention strategies. En ligne : http://dx.doi.org/10.1007/s10803-017-3180-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=370 The Severe End of the Spectrum: Insights and Opportunities from the Autism Inpatient Collection (AIC) / M. SIEGEL in Journal of Autism and Developmental Disorders, 48-11 (November 2018)
[article]
Titre : The Severe End of the Spectrum: Insights and Opportunities from the Autism Inpatient Collection (AIC) Type de document : Texte imprimé et/ou numérique Auteurs : M. SIEGEL, Auteur Article en page(s) : p.3641-3646 Langues : Anglais (eng) Mots-clés : Aic Autism Inpatient Psychiatric Verbal ability Index. décimale : PER Périodiques Résumé : Research on individuals severely affected by autism, including those who are minimally verbal, have intellectual disability or challenging behaviors, has become less common. The Autism Inpatient Collection (AIC) was initiated so data on this group is available to the research community. Ten studies utilizing phenotypic data from the first 350 AIC participants are presented. Greater autism severity, sleep disturbance, and psychiatric disorders are risks for hospitalization; fluently verbal youth experience more depression and oppositional symptoms; lower adaptive/coping skills are associated with increased problem behaviors; lower IQ is a risk for SIB; post-traumatic and suicidal symptoms are common; and challenging behaviors improve with specialized inpatient treatment. A new measure of emotion regulation and prescribing practices are described and future research discussed. En ligne : http://dx.doi.org/10.1007/s10803-018-3731-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=370
in Journal of Autism and Developmental Disorders > 48-11 (November 2018) . - p.3641-3646[article] The Severe End of the Spectrum: Insights and Opportunities from the Autism Inpatient Collection (AIC) [Texte imprimé et/ou numérique] / M. SIEGEL, Auteur . - p.3641-3646.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 48-11 (November 2018) . - p.3641-3646
Mots-clés : Aic Autism Inpatient Psychiatric Verbal ability Index. décimale : PER Périodiques Résumé : Research on individuals severely affected by autism, including those who are minimally verbal, have intellectual disability or challenging behaviors, has become less common. The Autism Inpatient Collection (AIC) was initiated so data on this group is available to the research community. Ten studies utilizing phenotypic data from the first 350 AIC participants are presented. Greater autism severity, sleep disturbance, and psychiatric disorders are risks for hospitalization; fluently verbal youth experience more depression and oppositional symptoms; lower adaptive/coping skills are associated with increased problem behaviors; lower IQ is a risk for SIB; post-traumatic and suicidal symptoms are common; and challenging behaviors improve with specialized inpatient treatment. A new measure of emotion regulation and prescribing practices are described and future research discussed. En ligne : http://dx.doi.org/10.1007/s10803-018-3731-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=370 Brief Report: Meeting the Needs of Medically Hospitalized Adults with Autism: A Provider and Patient Toolkit / Jocelyn CARTER in Journal of Autism and Developmental Disorders, 47-5 (May 2017)
PermalinkObserved emotional reactivity in response to frustration tasks in psychiatrically hospitalized youth with autism spectrum disorder / Jessie B. NORTHRUP in Autism, 24-4 (May 2020)
PermalinkSluggish cognitive tempo is associated with suicide risk in psychiatrically hospitalized children / Stephen P. BECKER in Journal of Child Psychology and Psychiatry, 57-12 (December 2016)
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