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Paediatric bipolar disorder: international comparisons of hospital discharge rates 2000–2010

Published online by Cambridge University Press:  02 January 2018

Joe Clacey ,
Michael Goldacre  and
Anthony James
Joe Clacey
Affiliation:
Highfield Unit, Warneford Hospital, Oxford
Michael Goldacre
Affiliation:
Unit of Health-Care Epidemiology, Nuffield Department of Population Health, University of Oxford, Oxford, UK
Anthony James*
Affiliation:
Department of Psychiatry, University of Oxford, and Highfield Unit, Warneford Hospital, Oxford, UK
*
Anthony James, Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford OX3 7JX, UK. Email: [email protected]
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Abstract

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Background

Controversy surrounds the diagnosis and prevalence of paediatric bipolar disorder, with estimates varying considerably between countries.

Aims

To determine the international hospital discharge rates for paediatric bipolar disorder compared with all other psychiatric diagnoses.

Method

We used national data-sets from 2000 to 2010 from England, Australia, New Zealand, the USA and Germany.

Results

For those aged under 20 years, the discharge rates for paediatric bipolar disorder per 100 000 population were: USA 95.6, Australia 11.7, New Zealand 6.3, Germany 1.5 and England 0.9. The most marked divergence in discharge rates was in 5- to 9-year-olds: USA 27, New Zealand 0.22, Australia 0.14, Germany 0.03 and England 0.00.

Conclusions

The disparity between US and other discharge rates for paediatric bipolar disorder is markedly greater than the variation for child psychiatric discharge rates overall, and for adult rates of bipolar disorder. This suggests there may be differing diagnostic practices for paediatric bipolar disorder in the USA.

Type
Research Article
Information
BJPsych Open , Volume 1 , Issue 2 , October 2015 , pp. 166 - 171
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Copyright
Copyright © The Royal College of Psychiatrists 2015

Footnotes

Declaration of interest

None.

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