Research on planning, method choice, and method substitution in adolescents' suicide attempts is limited. We conducted in-depth interviews with 20 adolescents following their suicide attempt to learn the extent to which the attempt was planned, why they used the method they did, and whether they would have substituted another method if the one…

We examined the relationship between sleep duration and awakenings to Aberrant Behavior Checklist-Community (ABC-C) and Autism Diagnostic Observation Schedule (ADOS-2) scores in hospitalized youth with ASD and behavioral disturbance. Participants included 106 patients with a stay of at least 10 nights. Sleep in the hospital was recorded by staff…

Children and adolescents with autism spectrum disorder (ASD) are at risk for emotional dysregulation and behavior problems that can escalate to levels requiring psychiatric hospitalization. Evaluating the etiology of such behaviors can be challenging for health care providers, as individuals with ASD can have difficulty self-reporting concerns.…

To ascertain whether children and adolescents whose ages ranged from 9 to 17 years described distinct profiles of personal resiliency, the Resiliency Scales for Children and Adolescents (RSCA) were administered to 100 youth who were admitted to an inpatient psychiatric unit and were diagnosed with various "DSM-IV-TR" disorders along with the Beck…

Parents' responses to their children's emotional expressivity have been shown to significantly influence children's subsequent psychosocial functioning. This study hypothesized that adolescents' deliberate self-harm (DSH) may be an outcome associated with poor emotion regulation as well as an invalidating family environment. The mediational role…

Aberrant salience is the unusual or incorrect assignment of salience, significance, or importance to otherwise innocuous stimuli and has been hypothesized to be important for psychosis and psychotic disorders such as schizophrenia. Despite the importance of this concept in psychosis research, no questionnaire measures are available to assess…

Traumatized youngsters are frequently admitted to psychiatric hospitals and residential treatment facilities (RFTs; Lawson, 1998). Institutionalization can be a traumatic event that involves an assault on personal autonomy and self-direction (Mohr, Mahon, & Noone, 1998). According to Visalli, McNasser, Johnstone, and Lazzaro, (1997) external…

Overdiagnosis or misdiagnosis of schizophrenia among African American clients is a longstanding and critical disparity in mental health services. Overdiagnosis of schizophrenia is detrimental because it increases the potential for treatment with the wrong medications. Inadequate assessment of mood disorders, co-occurring substance abuse, and…

The article describes the educational approach used at the Adolescent Unit of the Austin State Hospital for seriously mentally ill children (16 to 20 years old). (SBH)

Presents a followup of 61 physicians hospitalized for emotional impairment. Results showed recovery rates varied from 57 percent to 71 percent depending on calculation criteria. Interviews suggested rest, spirituality, workload modification, and colleague support were important factors in recovery. (JAC)

The author traces the case histories of five anorexic female patients treated in the therapeutic milieu in a psychiatric inpatient unit. The history of anorexia nervosa is reviewed, incidence of the disorder is cited, and common characteristics are described. Case histories are presented in terms of events precipitating the weight loss, behavior…

Investigated relation of emotions to depression in 145 child and adolescent psychiatric inpatients. Shyness, anger, enjoyment, and shame explained 51.4 percent of variance in depression scores. Profiles of emotions experienced by youths with depressive disorder differed significantly from emotion profiles of nondepressed youths on several…

This article discusses the response of Illinois Department of Children and Family Services (IDCFS) to the perceived problems with long-term residential treatment and psychiatric hospitalization. The IDCFS implemented a process of residential placement review and a system of residential facility gatekeepers to ensure more appropriate placement and…

Contingencies operating in the health care industry can have direct effects upon applications of behavioral technology to the hospital treatment of psychiatric patients. Although behavioral technology has made little impact upon the general practice of psychiatry, shifting economic and political contingencies may favor the specificity,…

The article explores the feasibility of integrating child and adolescent inpatient psychiatric care. Aspects to consider in setting up such a program include the nature of the integration (partial at first, using a child/adolescent tutorial model), the diagnostic categories to be integrated, the age ranges of patients, and staff preferences. (PHR)