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Risk Factors for Seclusion and Restraint in a Pediatric Psychiatry Day Hospital

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Abstract

The use of seclusion and restraints (SR) in acute hospital settings remains a controversial practice. Despite the focus on SR in the psychiatric services literature, data on SR use in pediatric day hospital settings is lacking. A case–control retrospective analysis for children admitted into a pediatric psychiatry day hospital in a 2-year span examined predictors of SR use. Demographic and clinical descriptors were examined in relation to SR events using univariate and multivariate regression models. Significant univariate risk factors for SR use were psychiatric morbidity, history of physical abuse, post-traumatic stress disorder, having any anxiety disorder, and younger age. Knowledge of risk factors for SR use in pediatric psychiatric day hospitals can avert use of SR and lead to improved safety in a trauma-informed care model.

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Authors and Affiliations

  1. Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, 1800 Orleans St., 12th Floor, Baltimore, MD, 21287, USA

    Wuroh Timbo, Elizabeth K. Reynolds, Matthew Specht, Carolyn Howell & Marco A. Grados

  2. Johns Hopkins University, Baltimore, MD, USA

    Aishwarya Sriram

  3. Johns Hopkins Hospital, Baltimore, MD, USA

    Renee DeBoard-Lucas

  4. Susquehanna University, Selinsgrove, PA, USA

    Colleen McSweeney

Authors
  1. Wuroh Timbo
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  2. Aishwarya Sriram
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  3. Elizabeth K. Reynolds
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  4. Renee DeBoard-Lucas
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  5. Matthew Specht
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  6. Carolyn Howell
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  7. Colleen McSweeney
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  8. Marco A. Grados
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Correspondence to Marco A. Grados.

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Timbo, W., Sriram, A., Reynolds, E.K. et al. Risk Factors for Seclusion and Restraint in a Pediatric Psychiatry Day Hospital. Child Psychiatry Hum Dev 47, 771–779 (2016). https://doi.org/10.1007/s10578-015-0608-1

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