Predicting Psychiatric Rehospitalization in Adolescents

Adm Policy Ment Health. 2019 Nov;46(6):807-820. doi: 10.1007/s10488-019-00982-7.


Adolescent psychiatric rehospitalizations are common, cause patients and their families severe psychological distress, and use tremendous healthcare resources. This study sought to identify predictors of rehospitalization in 783 adolescents in the 2 year period following psychiatric hospitalization at a major treatment facility in a large urban area. A current diagnosis of posttraumatic stress disorder, greater severity of lifetime suicidal ideation (SI) and stronger treatment alliance prior to hospitalization were associated with a greater likelihood of rehospitalization. Overall, severe lifetime SI was the strongest predictor of rehospitalization; although, within the first 4 months post-discharge, moderate lifetime SI was the strongest predictor. Future research should continue to identify additional factors that may influence rehospitalization, such as the intensity of post-discharge services.

Keywords: Adolescence or adolescent; Inpatient; Outcomes; Posttraumatic stress; Rehospitalization; Risk factors; Suicidal ideation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Boston
  • Child
  • Electronic Health Records
  • Female
  • Forecasting
  • Hospitalization*
  • Humans
  • Male
  • Mental Disorders*
  • Patient Discharge
  • Patient Readmission / trends*
  • Risk Factors
  • Stress Disorders, Post-Traumatic
  • Suicidal Ideation