"Influence of at-risk family interactions on the course of psychiatric care in adolescence"Data and code of analysis included in the paper.Database and code of the At-Risk Family Interaction Scale (ARFI) validation.ARFI is a comprehensive and transtheoretical 30-item clinical scale, and database and code used to explore the assess the impact of at-risk family interactions on the care of adolescents hospitalized in psychiatry (number and duration of hospitalization).

ABSTRACT : Dysparenting, referring to inappropriate parental attitudes,is a vulnerability factor for mental disorders during adolescence and a therapeutic leverage, yet clinicians lack reliable tools to assess it in daily clinical practice. Moreover, the effect of this dysparenting on the amount of psychiatric care remains unclear.The Family & Care study aims to develop the At-Risk Family Interaction Scale (ARFI), a comprehensive 30-item clinical scale, and to assess in a cross-sectional design, the impact of these at-risk family interactions on the care of adolescents(n=425)hospitalized in psychiatry and aged 13 to 19 years old.Factorial analysis shows that the ARFI scale consists of three main dimensions associated with Cohesion/Conflicts, Love/Hostility and Autonomy/Control with good psychometric properties.Multivariate regressions show that the ARFI Intensity score predicts the duration of hospital care, regardless of age, gender, medical severity on admission -assessed by the Global Assessment of Functioning scale-, the presence of maltreatment and psychiatric diagnoses. Moreover, the ARFI Diversity score(number of items present regardless of their severity) predicts both the number and duration of hospitalizations. At-risk family interactions are a determining dimension of psychiatric adolescent care, and the ARFI scale could constitute a valuable tool, not only for their holistic evaluation and treatment, but also for their prevention.