{"doi":"10.1002/jhm.12905","title":"Acute medical workup for new‐onset psychosis in children and adolescents: A retrospective cohort","abstract":"No consensus exists about which medical testing is indicated for youth with new-onset psychotic symptoms. We conducted a chart review of youths aged 7-21 years who were medically hospitalized for workup of new-onset psychotic symptoms from January 2017 through September 2020 in a free-standing children's hospital. The sample included 131 patients. At discharge, 129 (98.5%; 95% confidence interval [CI]: 94.5-99.8) were diagnosed with a primary psychiatric condition, 1 was diagnosed with levetiracetam-induced psychosis, and 1 with seronegative autoimmune encephalitis. Notably, 33 (25.2%; 95% CI: 18.0-33.5) had incidental findings unrelated to psychosis, 14 (10.7%; 95% CI: 6.0-17.3) had findings that required medical intervention but did not explain the psychosis, 12 (9.2%; 95% CI: 4.8-15.5) had a positive urine drug screen, and 4 (3.1%; 95% CI: 0.8-7.6) had a neurological exam consistent with conversion disorder. In conclusion, extensive medical testing in the acute setting for psychosis had a low yield for identifying medical etiologies of new-onset psychotic symptoms.","journal":"Journal of Hospital Medicine","year":2022,"id":282468,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":7,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8005,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":958945,"name":"Alexander Moxam","orcid":null,"position":1,"is_corresponding":false},{"id":89165,"name":"Michelle Dunn","orcid":null,"position":2,"is_corresponding":false},{"id":958946,"name":"Alyssa Rosen","orcid":null,"position":3,"is_corresponding":false},{"id":460732,"name":"Jerome H. Taylor","orcid":"0000-0003-2787-6232","position":4,"is_corresponding":false},{"id":958947,"name":"Peter Camacho","orcid":null,"position":5,"is_corresponding":false},{"id":928757,"name":"Cadence F. Bowden","orcid":"0000-0001-5297-9933","position":6,"is_corresponding":false},{"id":738694,"name":"Diana Worsley","orcid":"0000-0003-0471-242X","position":7,"is_corresponding":false},{"id":479760,"name":"Stephanie K. Doupnik","orcid":"0000-0002-7022-9930","position":8,"is_corresponding":false},{"id":958441,"name":"Eli J. Muhrer","orcid":"0000-0003-4693-3327","position":0,"is_corresponding":true}],"reference_count":15,"raw_metadata":null,"created_at":"2026-07-19T00:29:19.691592Z","pmid":"35822507","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}