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Table 2 Risk factors for more frequent restraint episodes

From: Characteristics of adolescents frequently restrained in acute psychiatric units in Norway: a nationwide study

 

Unadjusted model

Adjusted model

IRRb

95% CIa

p

IRRb

95% CIa

p

Gender (ref: male)

 Female

1.69

.99–2.90

.055

2.04

1.1–3.74

.021

Social characteristics

Immigrant background (ref: yes)

 No

1.09

.37–3.18

.876

   

Living arrangement (ref: with both parents)

 With one parent (with or without stepparent)

.42

.19–.94

.034

   

 Foster care or institution

.81

.42–1.57

.530

   

 Other

1.18

.40–3.46

.767

   

Current involvement with the child protection service (ref: no)

 Yes

.85

.46–1.57

.610

   

Mental health characteristics

Main psychiatric disorder (ref: no Axis One disorder)

 Psychotic or pervasive developmental disorder

4.08

1.50–11.09

.006

   

 Manic episode or bipolar affective disorder

6.45

1.93–21.52

.002

   

 Internalizing disorder

3.85

2.09–21.52

<.001

   

 Externalizing disorders

3.74

1.99–7.05

<.001

   

Global psychosocial functioning

 CGAS (ref 45–75)

  1–34

2.35

1.27–4.35

.006

2.59

1.34–5.04

.005

  35–44

1.48

.67–3.26

.334

1.70

.71–4.11

.236

Treatment characteristics

Number of admissions in the study period (ref: 1)

 2–3

2.33

1.07–5.09

.034

2.32

1.08–4.95

.030

 4–19

2.78

1.40–5.51

.003

3.28

1.76–6.13

<.001

Length of last admission in days (ref: 1–4)

 5–21

1.12

.55–2.28

.757

1.02

.51–2.03

.956

 22–425

2.43

1.14–5.20

.022

2.63

1.21–5.66

.014

Involuntary referral (ref: no)

 Yes

1.70

.93–3.08

.083

   

Concomitant use of restraint (ref: no)

 Yes

3.97

2.01–7.84

<.001

3.44

1.90–6.22

<.001

  1. Based on zero-truncated Poisson regression analysis
  2. a CI confidence interval
  3. b IRR incidence rate ratio