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Related Experiment Videos

Changes in suicidal behavior in child psychiatric inpatients.

C R Pfeffer1, R Plutchik, M S Mizruchi

  • 1Department of Clinical Psychiatry, Cornell University Medical College.

Acta Psychiatrica Scandinavica
|May 1, 1989
PubMed
Summary

This study found that psychiatric hospitalization significantly reduced suicidal behavior, assaultiveness, and depression in preadolescent patients. Initial suicidal behavior severity was the strongest predictor of improvement.

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Area of Science:

  • Child and Adolescent Psychiatry
  • Clinical Psychology
  • Behavioral Health

Background:

  • Preadolescent psychiatric inpatients often exhibit severe behavioral and emotional disturbances.
  • Assessing treatment efficacy in this population requires evaluating changes in key symptom domains.

Purpose of the Study:

  • To evaluate changes in suicidal behavior, assaultiveness, depression, hopelessness, and global functioning in preadolescent psychiatric inpatients.
  • To identify predictors of treatment response, specifically changes in suicidal behavior.

Main Methods:

  • A cohort of 49 preadolescent psychiatric inpatients (aged 6-12 years) was assessed.
  • Standardized research instruments measured suicidal behavior, assaultiveness, depression, hopelessness, and global functioning at admission and after 7 weeks of hospitalization.

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Main Results:

  • Significant decreases were observed in suicidal behavior, assaultiveness, and depression over the 7-week hospitalization period.
  • A significant increase in global functioning assessment was noted.
  • Admission severity of suicidal behavior and assaultive behavior predicted subsequent changes in suicidal behavior levels.

Conclusions:

  • Seven weeks of inpatient psychiatric treatment led to significant improvements in behavioral and emotional symptoms for preadolescent patients.
  • The severity of suicidal behavior at admission is a critical factor in predicting treatment outcomes for suicidal behavior.