A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Temporal patterns in adolescent psychiatric treatment and outcomes : a nationwide register-based cohort follow-up (2024)


Bergström, T., Valtanen, K., Miettunen, J., Gauffin, T., & Kurtti, M. (2024). Temporal patterns in adolescent psychiatric treatment and outcomes : a nationwide register-based cohort follow-up. European Child and Adolescent Psychiatry, Early online. https://doi.org/10.1007/s00787-024-02554-z


JYU-tekijät tai -toimittajat


Julkaisun tiedot

Julkaisun kaikki tekijät tai toimittajatBergström, Tomi; Valtanen, Kari; Miettunen, Jouko; Gauffin, Tapio; Kurtti, Mia

Lehti tai sarjaEuropean Child and Adolescent Psychiatry

ISSN1018-8827

eISSN1435-165X

Julkaisuvuosi2024

Ilmestymispäivä14.08.2024

VolyymiEarly online

KustantajaSpringer Nature

JulkaisumaaSaksa

Julkaisun kielienglanti

DOIhttps://doi.org/10.1007/s00787-024-02554-z

Julkaisun avoin saatavuusAvoimesti saatavilla

Julkaisukanavan avoin saatavuusOsittain avoin julkaisukanava

Julkaisu on rinnakkaistallennettu (JYX)https://jyx.jyu.fi/handle/123456789/96670

Julkaisu on rinnakkaistallennettuhttps://oulurepo.oulu.fi/handle/10024/51466


Tiivistelmä

The rise in mental health problems among adolescents in high-income countries presents a challenge to service systems. For the development of services, there is a need for better insight into temporal psychiatric treatment-trends and outcomes. This study aims to analyze time-trends in both psychiatric treatment patterns and outcomes, utilizing a national sample of all adolescents receiving psychiatric treatment in Finland from 2003 to 2013. For time-trend-analysis, the sample was divided into two cohorts, using the onset year of 2008 as a cutoff. For each case, information on psychiatric treatment was gathered from registers within a five-year follow-up period from the onset of treatment or to death. The association between the inclusion year and outcome variables was studied via weighted generalized linear models. Adolescents in the latter cohort had a greater proportion (p < 0.001) of mood and anxiety diagnoses, a lower likelihood of hospitalization, a higher average of outpatient visits, and greater usage of psychotropics (excluding benzodiazepines). Those whose treatment began after 2008 were more likely to be alive (baseline characteristic adjusted Odds Ratio (aOR): 0.7, 95%CI: 0.6–0.8) and still in treatment contact (aOR: 1.4, 95%CI: 1.3–1.4) after four years from the onset. There was no difference in the long-term disability ratio. The results indicate favorable developments towards outpatient care in mental health services for adolescents with a significant decrease in mortality. Approaches to further developing cost-effective, personalized mental health services are discussed.


YSO-asiasanatnuoretmielenterveysongelmatpsykiatriset potilaatmielenterveyspalvelutavohoitolääkehoitosairaalahoitohoitotuloksethyvinvointivaltiokohorttitutkimus

Vapaat asiasanatcohort study; adolescents; mental health services; real-world outcome


Liittyvät organisaatiot

JYU-yksiköt:


OKM-raportointiKyllä

VIRTA-lähetysvuosi2024

Alustava JUFO-taso2


Viimeisin päivitys 2025-03-02 klo 10:57