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<td><h1><a name="h1" id="h1"></a>Child/Adolescent Health </h1>
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<h2>Hospital type and location influence discharge disposition of adolescents hospitalized for suicide attempts</h2>
<p>The likelihood of an adolescent transferring to another facility after hospital discharge for a suicide attempt appears to be influenced by the geographic location of the admitting hospital and whether it caters to children. According to a study supported in part by the Agency for Healthcare Research and Quality (HS000002), about two-thirds (66 percent) of adolescent hospitalizations for suicide end with discharge to their home; 21 percent with transfer to a psychiatric, rehabilitation, or chronic care (P/R/C) facility; 10 percent with transfer to a skilled nursing facility, intermediate care facility, or short-term acute care facility; and 2 percent with death or departure against medical advice.</p>
<p>Researchers analyzed 2000 data from the Kids' Inpatient Database, a nationally representative database of children's hospitalizations in the United States, to examine transfer to home or another facility among adolescents (aged 10 to 19 years) hospitalized for a suicide attempt or self-inflicted injury. Care for 32,655 adolescents who attempted suicide that year was provided in adult hospitals (83 percent), children's units in general hospitals (10 percent), and children's hospitals (4 percent).</p>
<p>Children's units in general hospitals were 44 percent more likely than adult hospitals to transfer adolescent patients to a P/R/C facility. Patients cared for outside the Northeast were significantly less likely to be transferred to a P/R/C facility. These findings suggest that factors other than the needs of these vulnerable adolescents are driving care, conclude the researchers.</p>
<p>See "Discharge disposition of adolescents admitted to medical hospitals after attempting suicide," by Leonard J. Levine, M.D., Donald F. Schwarz, M.D., M.P.H., Jesse Argon, and others, in the September 2005 <em>Archives of Pediatric and Adolescent Medicine</em> 159, pp. 860-866.</p>
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