Similä N, et al. – Authors performed this study to investigate the effect of clinical and family related factors on adolescent revolving door (RD) phenomenon, defined as having 3 or more psychiatric hospitalizations before the age of 18. They discovered that mortality in RD boys was significantly higher compared to non–RD boys. However, frequent use of psychiatric inpatient care warrants comprehensive assessment of suicidal behavior in adolescents.

Methods

• Using the k-SADS-PL and the EuropASI instruments, a clinical sample of adolescents (N = 508) aged 13–17 years, admitted to psychiatric inpatient care between April 2001 through March 2006, were interviewed.
• The national Finnish Care Register for Health Care gave life-time data on child and adolescent psychiatric inpatient hospitalizations. 

Results

• Results of this study suggested that RD boys were shown to be significantly more probable than non-RD boys to be admitted to psychiatric inpatient care from child welfare placements and have previous self-mutilative behavior (SMB) and suicide attempts.
• In addition, RD girls were more likely to come from child welfare placements, have unemployed mothers and a history of SMB.