Adolescent psychiatric hospitalization and mortality distress levels, and educational attainment - Follow-up after 11 and 20 years

Harvard University, Cambridge, Massachusetts, United States
Archives of Pediatrics and Adolescent Medicine (Impact Factor: 4.25). 09/2004; 158(8):749-52. DOI: 10.1001/archpedi.158.8.749
Source: PubMed

ABSTRACT Adolescents with early psychiatric hospitalization are likely to be at a significant risk for long-term difficulties.
To examine early adulthood outcomes of psychiatrically hospitalized adolescents.
Inception cohort recruited from 1978 to 1981 and observed until 2002.
Northeastern United States.
Adolescents (aged 12-15 years) from 2 matched cohorts were recruited and assessed repeatedly across 20 years: 70 psychiatrically hospitalized youths and 76 public high school students.
Death, emotional distress, high school completion, and educational attainment.
Psychiatrically hospitalized youths were significantly more likely to die and to report higher levels of emotional distress. Hospitalized youths were significantly less likely to graduate from high school and complete college and graduate school.
The association between psychiatric symptoms sufficient to result in psychiatric hospitalization during adolescence and later mortality, emotional distress, high school completion, and educational attainment is striking. Further study is needed to identify and understand linkages between adolescent psychiatric impairment and decrements in adult functioning, particularly the processes that may underlie these linkages. Increasing school completion and educational attainment among hospitalized youths may minimize decrements in adult adaptation.

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Available from: J. Heidi Gralinski-Bakker, Dec 18, 2013
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    • "Rutter and colleagues (2006) found that about 40-70 percent of adolescents with depression have a recurrence of depression later in life, and that adolescents with depression are about two to seven times more likely to have a recurrence of depression in adulthood. Best and colleagues (2004) followed a group of 70 individuals who were hospitalized for psychiatric disorders between the ages of twelve and fifteen in 1978-1981 until 2002 and compared their outcomes to a matched control group of 76 public high school students from the same geographic area, a metropolitan area in the northeastern United States. The authors found that, by the end of the twentyyear follow-up, the hospitalized youth were more likely to have died, had higher scores on a scale measuring emotional distress, were less likely to complete high school, to receive a bachelor's or master's degree. "
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