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P01-225 - Hospital Admissions and Personality Pathology in Adolescents with Psychiatric Disorders

Published online by Cambridge University Press:  17 April 2020

E. Magallón-Neri ,
G. Canalda ,
M. Forns ,
J.E. De la Fuente ,
R. García ,
E. González  and
J. Castro-Fornieles
E. Magallón-Neri
Affiliation:
Department of Child and Adolescent Psychiatry and Psychology, Hospital Clínic Universitari of Barcelona; Biomedical Research Center in Mental Health Network CIBER-SAM, Spain, Hospital Clínic Universitari of Barcelona, Barcelona, Spain Department of Personality, Assessment and Psychological Treatment, Faculty of Psychology., Universitat de Barcelona, Barcelona, Spain
G. Canalda
Affiliation:
Department of Child and Adolescent Psychiatry and Psychology, Hospital Clínic Universitari of Barcelona; Biomedical Research Center in Mental Health Network CIBER-SAM, Spain, Hospital Clínic Universitari of Barcelona, Barcelona, Spain
M. Forns
Affiliation:
Department of Personality, Assessment and Psychological Treatment, Faculty of Psychology., Universitat de Barcelona, Barcelona, Spain
J.E. De la Fuente
Affiliation:
Department of Child and Adolescent Psychiatry and Psychology, Hospital Clínic Universitari of Barcelona; Biomedical Research Center in Mental Health Network CIBER-SAM, Spain, Hospital Clínic Universitari of Barcelona, Barcelona, Spain
R. García
Affiliation:
Department of Child and Adolescent Psychiatry and Psychology, Hospital Clínic Universitari of Barcelona; Biomedical Research Center in Mental Health Network CIBER-SAM, Spain, Hospital Clínic Universitari of Barcelona, Barcelona, Spain
E. González
Affiliation:
Department of Child and Adolescent Psychiatry and Psychology, Hospital Clínic Universitari of Barcelona; Biomedical Research Center in Mental Health Network CIBER-SAM, Spain, Hospital Clínic Universitari of Barcelona, Barcelona, Spain
J. Castro-Fornieles
Affiliation:
Department of Child and Adolescent Psychiatry and Psychology, Hospital Clínic Universitari of Barcelona; Biomedical Research Center in Mental Health Network CIBER-SAM, Spain, Hospital Clínic Universitari of Barcelona, Barcelona, Spain

Abstract

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The use of psychiatric services has been associated with a wide range of clinical variables. However, information about the impact of adolescent personality pathology related to hospital admissions is limited.

Objective

To analyze the different combination of personality pathology associated to variables of psychiatric hospital admissions (number of admissions, total of days spent as psychiatric inpatient, average of days for admission, and number of admissions in a day care hospital).

Method

The ICD-10 and DSM-IV modules of the semi-structured interview IPDE (International Personality Disorders Examination) were administered, in a sample of 107 adolescent psychiatric patients (M=15.8, SD=0.8 years old; age rank 15-17; 79% female).

Results

Personality pathology group identified by the IPDE showed significantly higher number (p< .001) of psychiatric admissions (M=1.48) than no personality pathology group (M=0.57), but not significant higher number of admissions in a day care hospital. Psychotic patients showed the highest rate of admissions (M=2.88). In present sample, between 30% and 38% of all hospital admitted patients showed a Cluster B personality disorder (PD).The users of psychiatric inpatient services with a complex PD (two o more PD from different clusters) presents in average: 2-2.5 admissions, 34-53 total days spent as psychiatric inpatient, and 11-16 days on each admission.

Conclusion

Patients with psychotic disorders or complex PD were the highest users of inpatients services, but not of day care hospital admissions.

Type
Child and adolescent psychiatry
Information
European Psychiatry , Volume 25 , Issue S1: 18th European Congress of Psychiatry. February 27, March 2, 2010 - Munich, Germany , 2010 , 25-E431
Copyright
Copyright © European Psychiatric Association 2010
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