A long-term follow-up study of adolescent psychiatric in-patients. Part IV. Predictors of a non-negative outcome

Journal/Book: Acta Psychiat Scand. 1999; 99: 35 Norre Sogade, PO Box 2148, Dk-1016 Copenhagen, Denmark. Munksgaard Int Publ Ltd. 247-251.

Abstract: Fifteen years after first hospitalization 932 patients were followed up by record linkage to national registers of criminality, disability and causes of death. On the basis of hospital records, all patients were rediagnosed according to DSM-IV and scored on factors postulated to have predictive power with regard to a non-negative outcome, defined as having avoided entry into the above-mentioned registers at follow-up. Logistic regression showed that in males psychiatric diagnosis (odds ratio (OR) = 2.4, 95% confidence interval (CI)= 1.3-4.3), no psychoactive substance use (OR = 3.2, CI = 1.2-8.0), no disciplinary problems in school (OR = 4.1, CI = 2.4-6.9) and an IQ of greater than or equal to 90 (OR = 1.9, CI = 1.03-3.4) were strong and independent predictors of a non-negative outcome. In females, psychiatric diagnosis (OR = 2.2, CI = 1.3-3.6), no psychoactive substance use (OR = 2.4, CI = 1.5-3.8), DSM-IV GAF greater than or equal to 40 at admission (OR = 2.9, CI = 1.8-4.6) and an IQ of greater than or equal to 90 (OR = 1.7, CI = 1.01-2.8) were strong and independent predictors of a non-negative outcome. Only 5.1% of male patients with psychoactive substance use disorder and disciplinary problems in school had a nonnegative outcome, while as many as 76.6% of female patients without psychoactive substance use and a DSM-TV GAF of greater than or equal to 40 at hospitalization had a non-negative outcome at 15 years follow-up.

Note: Article Kjelsberg E, Univ Oslo, Natl Ctr Child & Adolescent Psychiat, Dept Grp Psychiat, POB 26, N-0319 Oslo, NORWAY

Keyword(s): adolescent psychiatry; outcome assessment; risk factors; follow-up studies; in-patients; CONDUCT DISORDER; INPATIENTS; CHILDREN

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