{
  "abstract": "Background: Rehospitalization is a key indicator of clinical instability in child and adolescent psychiatric populations, yet most studies focus on its occurrence rather than its timing and diagnostic context. It remains unclear whether high-risk adolescents and general child and adolescent inpatient populations show distinct patterns of clinical instability beyond differences in rehospitalization frequency.\n\nMethods: We conducted a retrospective cohort study using a 10-year inpatient dataset from a national child and adolescent psychiatric center. A general inpatient cohort (N = 4016) was compared with a high-risk cohort (N = 570) defined by at least one police- or justice-related admission during the observation period. Rehospitalization rates, observed time to first readmission, length of stay, and diagnostic categories were examined.\n\nResults: Admission-frequency distributions were broadly comparable between cohorts and did not differ significantly overall. Among rehospitalized patients, the median observed time to first readmission was 19 days in the high-risk cohort and 190 days in the general inpatient cohort. Length of stay was comparable between cohorts. Diagnostic-category distributions differed significantly between cohorts (χ²(3) = 2038.04, p < 0.001; Cramér’s V = 0.667), with externalizing and substance-related disorders predominating in the high-risk cohort (76.7%) and developmental–emotional disorders predominating in the general inpatient cohort (66.7%).\n\nConclusions: The two clinically defined inpatient cohorts showed different patterns of rehospitalization and diagnostic characteristics. Among rehospitalized patients, the observed median interval to first readmission was shorter in the high-risk cohort; however, this descriptive difference should be interpreted in the context of substantial baseline age differences and unequal opportunities for observing readmission within pediatric psychiatric care. These findings highlight the potential clinical relevance of considering observed readmission timing alongside diagnostic characteristics, while recognizing the limitations of unadjusted retrospective comparisons.",
  "abstract_shown": true,
  "affiliations": [
    "Kertváros Pszichológiai Rendelő"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 1,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Gyula Sófi"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/19yyykwtpa7b2.bib",
  "cited_by": 0,
  "doi": "10.3389/fpsyt.2026.1862976",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13720245/?tool=EBI",
  "id": "19yyykwtpa7b2",
  "issns": [
    "1664-0640"
  ],
  "landing_url": "https://www.frontiersin.org/articles/10.3389/fpsyt.2026.1862976/full",
  "language": "eng",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Research"
    ],
    [
      "openalex",
      "3203|Psychiatric care and mental health services"
    ]
  ],
  "openalex": "W7222512846",
  "pdf_url": "https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2026.1862976/pdf",
  "pmcid": "PMC13720245",
  "pmid": "42964500",
  "published": "2026-10-16",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/19yyykwtpa7b2.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:18Z",
      "native_id": "10.3389/fpsyt.2026.1862976",
      "source": "crossref",
      "url": "https://www.frontiersin.org/articles/10.3389/fpsyt.2026.1862976/full"
    },
    {
      "first_seen": "2026-10-31T12:21:36Z",
      "native_id": "PMC:PMC13720245",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13720245"
    },
    {
      "first_seen": "2026-11-03T12:21:10Z",
      "native_id": "PMC13720245",
      "source": "pmc",
      "url": "https://doi.org/10.3389/fpsyt.2026.1862976"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:3203|Psychiatric care and mental health services",
      "subfield": "psychiatry"
    }
  ],
  "title": "Observed readmission timing and diagnostic profiles among high-risk adolescents and general child and adolescent inpatients: a 10-year cohort study",
  "title_text": "Observed readmission timing and diagnostic profiles among high-risk adolescents and general child and adolescent inpatients: a 10-year cohort study",
  "type": "peer-reviewed",
  "updated_at": "2026-11-03T12:21:10Z",
  "url": "https://research.draconitic.com/paper/19yyykwtpa7b2",
  "venue": "Frontiers in Psychiatry",
  "versions": []
}