Per Hove Thomsen

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

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

  • Annette Taastrøm, Centre for Child and Adolescent Psychiatry, Glostrup, Danmark
  • Julie Klahn, Centre for Child and Adolescent Psychiatry, Glostrup, Danmark
  • Nina Staal, Centre for Child and Adolescent Psychiatry, Glostrup, Danmark
  • Per Hove Thomsen
  • Anders Johansen, Department of Growth and Reproduction, Rigshospitalet, Danmark

BACKGROUND: Knowledge on psychiatric emergencies in children and adolescents is limited. The Psychiatric Emergency Departments (PED) in Copenhagen enable the acute examination of children and adolescents 24 h a day, 7 days a week. However, very little is known about who presents to the PED, and the reason for their visit.

AIM: To describe the prevalence and characteristics of presentations in PED and treatment provided.

METHODS: A retrospective population based study comprising data of more than 4000 visitors presenting to PED from 2001-2010. In 2003 and 2006, two randomly chosen years, a more thorough analysis was performed, based on the individual emergency charts. Inter-rater reliability was high.

RESULTS: Visits increased nearly threefold during the period. Symptom score for 2003 and 2006 revealed that more than one third of the visitors had suicidal ideation. Depressive and anxiety symptoms together with suicidal ideation rose significantly (P < 0.001). Psychoses and suicidal attempts remained unchanged. In one third of the visits, the discharge diagnosis was anxiety and stress-related disorders, followed by personality, behavioural and emotional disorders. Between 15% and 20% of the visits resulted in admission and more than 50% in referral for outpatient follow-up.

CONCLUSIONS: The number of presenting psychiatric emergencies has increased over the last 10 years. Comparing symptoms from 2003 and 2006 showed a significant rise in their severity. This study highlights the need for 24-h access for acute evaluation by physicians skilled in child and adolescent psychiatry, and raises concern that the severity could increase.

OriginalsprogEngelsk
TidsskriftNordic Journal of Psychiatry
Vol/bind68
Nummer6
Sider (fra-til)385-90
Antal sider6
ISSN0803-9488
DOI
StatusUdgivet - aug. 2014

    Forskningsområder

  • Psychiatric emergencies, social difficulties, suicidal behaviour, Children and adolescents

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