Characteristics of children and adolescents with recurrent mental health emergency visits and clinicians' intervention tendencies.

IF 1.6 4区 医学 Q2 PEDIATRICS Journal of paediatrics and child health Pub Date : 2024-10-09 DOI:10.1111/jpc.16688
Oguz Bilal Karakus, Ipek Suzer Gamli, Cemre Yasoz, Irem Yildirim, Ibrahim Adak
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Abstract

Aim: Mental disorders affect approximately 15%-20% of childhood. However, due to various factors, these individuals do not benefit sufficiently from mental health services. Therefore, psychiatry emergency services become a key system in the need of psychiatric care for these children. This study aims to reveal the factors that predict recurrent admissions in children and adolescents admitted to the emergency department of a psychiatric hospital and the tendencies of clinicians during management.

Methods: In our study, the data of patients aged 0-18 years who applied to the emergency department between 1 March 2022 and 01 March 2023 were scanned retrospectively. Participants who applied once were included in the 'single applicant' group, whereas patients who applied two or more times were included in the 'repeated applicants' group.

Results: A total of 1563 emergency applications were recorded by 785 different patients. A total of 62.2% of the patients visited the emergency department once, while 37.8% applied two or more times. Non-suicidal self-injury, delusion/hallucination, irritability and depression were significantly higher in recurrent applicants (P < 0.05). Psychotic disorder, bipolar disorder, major depression and borderline personality traits were significantly frequent in these patients (P < 0.05). Additionally, it was determined that the number of psychiatric diagnoses, referral time, need for chemical restraint, having a diagnosis of psychotic disorder or borderline personality traits increased the likelihood of recurrence.

Conclusions: Our results indicate some special risk factors that increase the likelihood of recurrent emergency admissions in children and adolescents. Further research with larger sample sizes may elucidate the unique needs of these children in order to use of community resources beneficially.

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反复出现精神疾病急诊的儿童和青少年的特征以及临床医生的干预倾向。
目的:约有 15%-20%的儿童受到精神障碍的影响。然而,由于各种因素,这些人并不能从心理健康服务中充分受益。因此,精神科急诊服务成为这些儿童需要精神治疗的关键系统。本研究旨在揭示精神病院急诊科收治的儿童和青少年反复入院的预测因素,以及临床医生在管理过程中的倾向:在我们的研究中,我们对 2022 年 3 月 1 日至 2023 年 3 月 1 日期间到急诊科就诊的 0-18 岁患者的数据进行了回顾性扫描。申请一次的患者被纳入 "单次申请 "组,而申请两次或两次以上的患者被纳入 "重复申请 "组:结果:785 名不同的患者共申请了 1563 次急诊。共有 62.2% 的患者到急诊科就诊过一次,37.8% 的患者申请过两次或两次以上。非自杀性自伤、妄想/幻觉、烦躁和抑郁在反复申请者中的比例明显较高:我们的研究结果表明,一些特殊的风险因素会增加儿童和青少年反复急诊入院的可能性。进一步的研究和更大样本量的研究可能会阐明这些儿童的独特需求,从而有益地利用社区资源。
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来源期刊
CiteScore
2.90
自引率
5.90%
发文量
487
审稿时长
3-6 weeks
期刊介绍: The Journal of Paediatrics and Child Health publishes original research articles of scientific excellence in paediatrics and child health. Research Articles, Case Reports and Letters to the Editor are published, together with invited Reviews, Annotations, Editorial Comments and manuscripts of educational interest.
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