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The present study aimed to clinically characterize involuntary versus voluntary admissions by examining the reasons for presentation and associated factors. We retrospectively analyzed patients who presented to the emergency department of a hospital for child and adolescent psychiatry in Bavaria, Germany, and were admitted as inpatients for crisis intervention in the 4th quarter of β Reasons for presentation, clinical and sociodemographic characteristics, and type of admission voluntary versus involuntary were analyzed for emergency inpatient admissions.
A total of In a binominal logistic regression, presentation due to alcohol consumption, deviant social behavior, and psychosocial burden was positively associated, whereas difficulties at school and depression were negatively associated, with the likelihood of involuntary admission.
Reasons for the presentation of unaccompanied and voluntary inpatient admissions were suicidal thoughts, psychosocial burden, and externalized aggression. A substantial number of child and adolescent psychiatric admissions represent emergency admissions. Keywords: Inpatient admissions, Emergency, Adolescents, Mental health, Involuntary presentations, Accompanying persons. Children and adolescents presenting to child and adolescent psychiatry on an emergency basis show a broad range of concerns, ranging from minor or moderate psychiatric symptoms to conditions that are potentially life-threatening [ 1 , 2 ].
If left untreated, such emergencies may result in damage either to the persons themselves or to others around them [ 3 ].
