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EPA-1231 – Study of Psychiatric Emergencies in Children and Adolescents

Published online by Cambridge University Press:  15 April 2020

M. Fabrega Ribera
Affiliation:
Department of Child and Adolescent Psychiatry and Psychology Institute of Neuroscience, Hospital Clinic de Barcelona, Barcelona, Spain
D. Ilzarbe
Affiliation:
Department of Child and Adolescent Psychiatry and Psychology Institute of Neuroscience, Hospital Clinic de Barcelona, Barcelona, Spain
S. Mansilla
Affiliation:
Department of Child and Adolescent Psychiatry and Psychology Institute of Neuroscience, Hospital Clinic de Barcelona, Barcelona, Spain
A. Pérez
Affiliation:
Department of Child and Adolescent Psychiatry and Psychology Institute of Neuroscience, Hospital Clinic de Barcelona, Barcelona, Spain
M. Vázquez
Affiliation:
Psychiatric Emergency Unit Department of Psychiatry Institute of Neuroscience, Hospital Clinic de Barcelona, Barcelona, Spain
V. Soler
Affiliation:
Psychiatric Emergency Unit Department of Psychiatry Institute of Neuroscience, Hospital Clinic de Barcelona, Barcelona, Spain
R. Martín-Santos
Affiliation:
Psychiatric Emergency Unit and Acute Hospitalization Unit Department of Psychiatry Institute of Neuroscience/Institut d’Investigacions Biomèdiques Agustí Pi i Sunyer (IDIBAPS)/Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Hospita
L. Lázaro
Affiliation:
Department of Child and Adolescent Psychiatry and Psychology Institute of Neuroscience/Institut d’Investigacions Biomèdiques Agustí Pi i Sunyer (IDIBAPS)/Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Hospital Clinic de Barcelona

Abstract

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Introduction:

The urgent children and adolescent psychiatric consultations have increased recently[1] and may be the first contact with the mental health network[2].

Objectives and Aims:

To describe and analyze the population<18 years old admitted at the psychiatry emergency department(ED) of Hospital Clínic of Barcelona between june/12-may/13.

Methods:

Demographic and clinical data were collected, using SPSSv.19.0 for statistical analysis.

Results:

596 emergency visits from out of 420 patients were recorded[46.3% male, mean age 14.52(6-17)years]. The most frequent consultation reason was behavior disorder(54.4%), being the most common diagnosis externalizing disorder(51.2%). 44.8% had been previously attended an average of 3(1-17)times in our ED. 85.6% were already under psychiatric follow-up and 67.8% had been psychopharmacologically treated. Prior psychiatric hospitalizations occurred in 35.1%[average 1-3times]. 27.4% required acute hospitalization at the ED discharge.

Most of consultations were between 12:00–13:00PM and 18:00–20:00PM, maximal activity was detected on Monday(17.6%) and minimal on Sunday(9.1%). Holiday periods coincided with a consultation decrease while April-May-June period accumulated a third of them. The stay time average in ED was 6.41 hours(15min-3days) and a 32.6% required pharmacological treatment.

Conclusions:

Since 2009 a reduction of 14.16% of the total psychiatric emergencies has been detected in our ED, but children and adolescents consultations have increased an 18%.Data obtained of the most common diagnosis and circadian and weekly distribution of visits are consistent with previous studies[1]. Greater prevalence of behavioral disorder was found in frequenters (3emergent consultations/year), which calls for further studies to optimize the approach to this problem.

Type
EPW19 - Child and Adolescent Psychiatry 2
Copyright
Copyright © European Psychiatric Association 2014
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