Per Hove Thomsen

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

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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.

I: Nordic Journal of Psychiatry, Bind 68, Nr. 6, 08.2014, s. 385-90.

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

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Taastrøm, A, Klahn, J, Staal, N, Thomsen, PH & Johansen, A 2014, 'Children and adolescents in the Psychiatric Emergency Department: a 10-year survey in Copenhagen County', Nordic Journal of Psychiatry, bind 68, nr. 6, s. 385-90. https://doi.org/10.3109/08039488.2013.846410

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Author

Taastrøm, Annette ; Klahn, Julie ; Staal, Nina ; Thomsen, Per Hove ; Johansen, Anders. / Children and adolescents in the Psychiatric Emergency Department: a 10-year survey in Copenhagen County. I: Nordic Journal of Psychiatry. 2014 ; Bind 68, Nr. 6. s. 385-90.

Bibtex

@article{ff373a1793eb419a96a8f4700666e70d,
title = "Children and adolescents in the Psychiatric Emergency Department: a 10-year survey in Copenhagen County",
abstract = "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.",
keywords = "Adolescent, Child, Denmark, Emergencies, Emergency Service, Hospital, Emergency Services, Psychiatric, Female, Health Care Surveys, Health Services Needs and Demand, Hospitalization, Humans, Male, Mental Disorders, Patient Acceptance of Health Care, Prevalence, Referral and Consultation, Reproducibility of Results, Retrospective Studies, Suicidal Ideation, Suicide, Attempted, Psychiatric emergencies, social difficulties, suicidal behaviour, Children and adolescents",
author = "Annette Taastr{\o}m and Julie Klahn and Nina Staal and Thomsen, {Per Hove} and Anders Johansen",
year = "2014",
month = aug,
doi = "10.3109/08039488.2013.846410",
language = "English",
volume = "68",
pages = "385--90",
journal = "Nordic Journal of Psychiatry",
issn = "0803-9488",
publisher = "Taylor & Francis ",
number = "6",

}

RIS

TY - JOUR

T1 - Children and adolescents in the Psychiatric Emergency Department: a 10-year survey in Copenhagen County

AU - Taastrøm, Annette

AU - Klahn, Julie

AU - Staal, Nina

AU - Thomsen, Per Hove

AU - Johansen, Anders

PY - 2014/8

Y1 - 2014/8

N2 - 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.

AB - 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.

KW - Adolescent

KW - Child

KW - Denmark

KW - Emergencies

KW - Emergency Service, Hospital

KW - Emergency Services, Psychiatric

KW - Female

KW - Health Care Surveys

KW - Health Services Needs and Demand

KW - Hospitalization

KW - Humans

KW - Male

KW - Mental Disorders

KW - Patient Acceptance of Health Care

KW - Prevalence

KW - Referral and Consultation

KW - Reproducibility of Results

KW - Retrospective Studies

KW - Suicidal Ideation

KW - Suicide, Attempted

KW - Psychiatric emergencies

KW - social difficulties

KW - suicidal behaviour

KW - Children and adolescents

U2 - 10.3109/08039488.2013.846410

DO - 10.3109/08039488.2013.846410

M3 - Journal article

C2 - 24161251

VL - 68

SP - 385

EP - 390

JO - Nordic Journal of Psychiatry

JF - Nordic Journal of Psychiatry

SN - 0803-9488

IS - 6

ER -