Children and adolescents in the Psychiatric Emergency Department: A 10-year survey in Copenhagen County

Taastrøm, Annette; Klahn, Julie; Staal, Nina; Thomsen, Per Hove; Johansen, Anders

doi:10.3109/08039488.2013.846410

Cited by 23 publications

(29 citation statements)

References 8 publications

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“…While the overall prevalence of mental health conditions in youth has remained relatively stable [1], many recent studies have reported an increase in psychiatric emergencies in children and adolescents. Such increase has been noted in the United States [2][3][4][5], Canada [6][7][8], and Europe [9][10][11]. Over the same period, most countries have reduced the number of child and adolescent psychiatric inpatient beds [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Predictors of voluntary and compulsory admissions after psychiatric emergency consultation in youth

Wierdsma

Kasius

et al. 2020

Eur Child Adolesc Psychiatry

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As hospital beds are scarce, and emergency admissions to a psychiatric ward are major life-events for children and adolescents, it is essential to have insight into the decision-making process that leads to them. To identify potentially modifiable factors, we, therefore, studied the contextual and clinical characteristics associated with the voluntary and compulsory emergency admission of minors. We used registry data (2008-2017) on 1194 outpatient emergencies involving children aged 6-18 who had been referred to the mobile psychiatric emergency service in two city areas in The Netherlands. Demographic and contextual factors were collected, as well as clinical characteristics including diagnoses, psychiatric history, Global Assessment of Functioning (GAF), and the Severity of Psychiatric Illness (SPI) scale. Logistic regression analyses were used to identify factors that predict voluntary or compulsory admission. Of 1194 consultations, 227 (19.0%) resulted in an admission, with 137 patients (11.5%) being admitted voluntarily and 90 (7.5%) compulsorily. Independently of legal status, the following characteristics were associated with admission: severity of psychiatric symptoms, consultation outside the patient's home, and high levels of family disruption. Relative to voluntary admission, compulsory admission was associated with more severe psychiatric problems, higher suicide risk, and prior emergency compulsory admission. Two potentially modifiable factors were associated with psychiatric emergency admission: the place where patients were seen for consultation, and the presence of family problems. Psychiatric emergency admissions may be reduced if, whenever possible, minors are seen in their homes and if a system-oriented approach is used.

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Section: Introductionmentioning

confidence: 99%

Predictors of voluntary and compulsory admissions after psychiatric emergency consultation in youth

Wierdsma

Kasius

et al. 2020

Eur Child Adolesc Psychiatry

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show abstract

“…Many (39%) children and youth presenting to EDs for mental health concerns have several repeat visits, returning to the ED three or more times, compared to 15% returning to the ED for other conditions [2]. Furthermore, this is not unique to Canada, with similar findings reported in the US [3], and Norway [4].…”

Section: Introductionmentioning

confidence: 87%

“…3 Department of Psychiatry, IWK Health Centre, Halifax, Nova Scotia, Canada. 4 Dalhousie University Department of Psychiatry, Halifax, Nova Scotia, Canada. 5 Dalhousie University School of Occupational Therapy, Halifax, Nova Scotia, Canada.…”

Section: Acknowledgementsmentioning

confidence: 99%

Opening the door: inviting youth and parent perspectives on youth mental health emergency department use

et al. 2020

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Background: Canadian Emergency Departments (EDs) have seen increasing use by children and youth for mental health concerns in recent years. This trend is likely a result of several complex factors, and researcher-posed potential explanations include gaps or access problems in primary care or mental health services, increasing prevalence or awareness of mental disorders and fear of potentially harmful outcomes, or expectations of need for urgent specialist care. Youth, parent, or caregiver perceptions and reasons for increasing mental health ED use may differ, and to date have been underrepresented in informing research directions. We sought to engage with youth and parents or caregivers served by a Canadian tertiary paediatric health centre to: 1) inform research directions for an emerging program of research in child and youth ED use for mental health care; and 2) develop strategies to support ongoing patient engagement in our research. Methods: Youth and parents were consulted to inform the development of a research engagement strategy. Partnerships with local community agencies facilitated supported engagement with both youth and parents. Group and individual in-person engagement opportunities were offered, as well as opportunities for written submissions and information sharing. Results: Youth and parents identified specific mechanisms to support engagement and for sharing ongoing opportunities and progress, including providing multiple platforms for engagement, offering separate opportunities for youth and parents or caregivers, and minimizing the potential for distress by ensuring appropriate supports and providing alternative opportunities for feedback, including written submissions. They identified lack of timely access to mental health care in primary care and community mental health settings, and accessibility, dependability, and familiarity of the ED as areas for further research. Conclusions: Strategies to mitigate potential concerns regarding distress, readiness for participation, literacy, and protection of privacy were highlighted as important considerations. Youth and parents were interested in ongoing research engagement through consultation and information sharing. Youth and parents identified areas of interest for research and refined the research team's proposed research directions by adding contextualizing information. Trial registration: Not applicable.

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“…6,[14][15][16][22][23][24] Esto se observó en la investigación realizada, en la que muchos de los niños-adolescentes procedían de otras localidades de la provincia de Córdoba.…”

Section: 18unclassified

Demanda de hospitalización por causas psicosociales en un hospital pediátrico

Bella

Borgiattino

2016

Arch Argent Pediat

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Children and adolescents in the Psychiatric Emergency Department: A 10-year survey in Copenhagen County

Cited by 23 publications

References 8 publications

Predictors of voluntary and compulsory admissions after psychiatric emergency consultation in youth

Predictors of voluntary and compulsory admissions after psychiatric emergency consultation in youth

Opening the door: inviting youth and parent perspectives on youth mental health emergency department use

Demanda de hospitalización por causas psicosociales en un hospital pediátrico

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