Mental Disorders among Children and Adolescents Admitted to a French Psychiatric Emergency Service
The aim of this study was to describe the characteristics of children and adolescents admitted to the psychiatric emergency department (ED) of a French public teaching hospital over a six-year study period (2001–2006). Data for all episodes of care in the psychiatric ED from January 1, 2001, to Dece...
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Series: | Emergency Medicine International |
Online Access: | http://dx.doi.org/10.1155/2013/651530 |
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doaj-0be72cb3f25442ec9caaaf8e359f100e2020-11-24T21:36:04ZengHindawi LimitedEmergency Medicine International2090-28402090-28592013-01-01201310.1155/2013/651530651530Mental Disorders among Children and Adolescents Admitted to a French Psychiatric Emergency ServiceLaurent Boyer0Jean-Marc Henry1Jean-Claude Samuelian2Raoul Belzeaux3Pascal Auquier4Christophe Lancon5David Da Fonseca6EA 3279, Self-Perceived Health Assessment Research Unit, Faculté de Médicine, Université Aix-Marseille, 13005 Marseille, FranceDepartment of Psychiatry, AP-HM Hôpital de la conception, 13855 Marseille, FranceDepartment of Psychiatry, AP-HM Hôpital de la conception, 13855 Marseille, FranceDepartment of Psychiatry, AP-HM Hôpital Sainte-Marguerite, 13274 Marseille, FranceEA 3279, Self-Perceived Health Assessment Research Unit, Faculté de Médicine, Université Aix-Marseille, 13005 Marseille, FranceEA 3279, Self-Perceived Health Assessment Research Unit, Faculté de Médicine, Université Aix-Marseille, 13005 Marseille, FranceDepartment of Pedosychiatry, AP-HM Hôpital Sainte-Marguerite & Salvator, 13274 Marseille, FranceThe aim of this study was to describe the characteristics of children and adolescents admitted to the psychiatric emergency department (ED) of a French public teaching hospital over a six-year study period (2001–2006). Data for all episodes of care in the psychiatric ED from January 1, 2001, to December 31, 2006, delivered to adolescents aged less than 18 years were retrospectively analyzed. During the six-year study period, 335 episodes of care in the psychiatric ED were experienced by 264 different adolescents. They accounted for 2.0% of the 16,754 care episodes of the ED; 164 patients (62.1) were female and the average age was 16.5 (SD = 1.6). The neurotic, stress-related, and somatoform disorders were the most frequent (25.4%) and concerned mainly anxiety disorders (15.2%). The frequency of the absence of psychiatric diagnosis (22.7%) was high. A total of 48 children and adolescents (18.2%) benefited from more than one episode of care. Several factors were associated to a higher number of visits to the ED: substance use, schizophrenia, disorders of adult personality and behaviour, disorders occurring in childhood and adolescence, and dual diagnosis. In conclusion, mental health disorders in children and adolescents are a serious problem associated with several potentially modifiable factors.http://dx.doi.org/10.1155/2013/651530 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Laurent Boyer Jean-Marc Henry Jean-Claude Samuelian Raoul Belzeaux Pascal Auquier Christophe Lancon David Da Fonseca |
spellingShingle |
Laurent Boyer Jean-Marc Henry Jean-Claude Samuelian Raoul Belzeaux Pascal Auquier Christophe Lancon David Da Fonseca Mental Disorders among Children and Adolescents Admitted to a French Psychiatric Emergency Service Emergency Medicine International |
author_facet |
Laurent Boyer Jean-Marc Henry Jean-Claude Samuelian Raoul Belzeaux Pascal Auquier Christophe Lancon David Da Fonseca |
author_sort |
Laurent Boyer |
title |
Mental Disorders among Children and Adolescents Admitted to a French Psychiatric Emergency Service |
title_short |
Mental Disorders among Children and Adolescents Admitted to a French Psychiatric Emergency Service |
title_full |
Mental Disorders among Children and Adolescents Admitted to a French Psychiatric Emergency Service |
title_fullStr |
Mental Disorders among Children and Adolescents Admitted to a French Psychiatric Emergency Service |
title_full_unstemmed |
Mental Disorders among Children and Adolescents Admitted to a French Psychiatric Emergency Service |
title_sort |
mental disorders among children and adolescents admitted to a french psychiatric emergency service |
publisher |
Hindawi Limited |
series |
Emergency Medicine International |
issn |
2090-2840 2090-2859 |
publishDate |
2013-01-01 |
description |
The aim of this study was to describe the characteristics of children and adolescents admitted to the psychiatric emergency department (ED) of a French public teaching hospital over a six-year study period (2001–2006). Data for all episodes of care in the psychiatric ED from January 1, 2001, to December 31, 2006, delivered to adolescents aged less than 18 years were retrospectively analyzed. During the six-year study period, 335 episodes of care in the psychiatric ED were experienced by 264 different adolescents. They accounted for 2.0% of the 16,754 care episodes of the ED; 164 patients (62.1) were female and the average age was 16.5 (SD = 1.6). The neurotic, stress-related, and somatoform disorders were the most frequent (25.4%) and concerned mainly anxiety disorders (15.2%). The frequency of the absence of psychiatric diagnosis (22.7%) was high. A total of 48 children and adolescents (18.2%) benefited from more than one episode of care. Several factors were associated to a higher number of visits to the ED: substance use, schizophrenia, disorders of adult personality and behaviour, disorders occurring in childhood and adolescence, and dual diagnosis. In conclusion, mental health disorders in children and adolescents are a serious problem associated with several potentially modifiable factors. |
url |
http://dx.doi.org/10.1155/2013/651530 |
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