[Adolescents consulting at the pediatric emergency room for psychological or psychiatric reasons]

Arch Pediatr. 2014 Jan;21(1):7-12. doi: 10.1016/j.arcped.2013.10.007. Epub 2013 Nov 26.
[Article in French]

Abstract

Introduction: The number of pediatric emergency consultations for psychological or psychiatric reasons continues to rise, raising the question of the adequacy of existing facilities. Our aim was therefore to identify and characterize a population of adolescents consulting at the pediatric emergency unit at Rouen university hospital.

Methods: This study was conducted from 1 January to 31 December 2006. We distinguished three types of variables in adolescents consulting at the pediatric emergency unit. The main objective was to describe the profile and requirements of these young patients and their subsequent care management as compared to that of other studies.

Results: Of the 400 patients consulting over 12years of age, 69% were female and the average age was 13.8years. These cases were mainly attempted suicide in girls and conduct disorder in boys; hospitalization was at the request of the family. These consultations were directly linked to the school calendar and 70% required hospitalization.

Discussion: We both analyzed and compared the results of this study to those of other studies to propose solutions to improve the care of these young patients.

MeSH terms

  • Adolescent
  • Child
  • Conduct Disorder / diagnosis
  • Conduct Disorder / epidemiology
  • Conduct Disorder / therapy
  • Cross-Sectional Studies
  • Emergency Service, Hospital / statistics & numerical data*
  • Emergency Service, Hospital / trends
  • Emergency Services, Psychiatric / statistics & numerical data*
  • Emergency Services, Psychiatric / trends
  • Female
  • Forecasting
  • France
  • Health Services Needs and Demand / trends*
  • Hospitalization / statistics & numerical data
  • Hospitalization / trends
  • Hospitals, Pediatric / statistics & numerical data*
  • Hospitals, Pediatric / trends
  • Hospitals, University / statistics & numerical data
  • Hospitals, University / trends
  • Humans
  • Male
  • Mental Disorders / diagnosis
  • Mental Disorders / epidemiology*
  • Mental Disorders / therapy
  • Referral and Consultation / statistics & numerical data*
  • Referral and Consultation / trends
  • Suicide, Attempted / prevention & control
  • Suicide, Attempted / psychology
  • Suicide, Attempted / statistics & numerical data
  • Utilization Review / statistics & numerical data