Urgencias psiquiátricas infanto-juveniles: 7 años de seguimiento

  1. Águeda Fernández-Quintana 1
  2. Ana Novo-Ponte 2
  3. Candela Quiroga-Fernández 2
  4. Rebeca Méndez-Iglesias 3
  5. César Pereiro-Gómez 4
  1. 1 Unidad de Salud Mental Infanto-Juvenil del Hospital Materno-Infantil Teresa Herrera, Complejo Hospitalario Universitario de La Coruña, Servicio de Psiquiatría.
  2. 2 Complejo Hospitalario Universitario de La Coruña, Servicio de Psiquiatría
  3. 3 Unidad de Hospitalización Psiquiátrica de Agudos. Complejo Hospitalario Universitario de La Coruña, Servicio de Psiquiatría
  4. 4 Centro de Asistencia a Drogodependencias. Complejo Hospitalario Universitario de La Coruña, Servicio de Psiquiatría
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Revista:
Revista de Psiquiatría Infanto-Juvenil

ISSN: 2660-7271,  1130-9512

Ano de publicación: 2018

Volume: 35

Número: 1

Páxinas: 17-30

Tipo: Artigo

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Outras publicacións en: Revista de Psiquiatría Infanto-Juvenil

Resumo

Despite the upward trend in child and adolescent psychiatric emergencies, the characteristics of this population have not been accurately described. Objectives: To underpin the clinical and sociodemographic variables associated with minors assessed in the Emergency Department (ED) due to mental health concerns. To analyze the therapeutic compliance and diagnostic stability upon ED discharge. Method: A retrospective study was undertaken on a sample composed of 218 patients aged under 17 years old over a 7-year period (2010-2017). Results: Mean age 13,60 years (SD: 2.36). 54% females, 46% males. An upward trend in ED visits was noted, increasing from 11,6% in 2010 to 23,3% in 2016. Most common causes for assessment: behavioral disturbances in males and self-harm in females. 46,4% of females and 14% of males had a history of suicide attempt. Somatic history was recorded in 17,1% of cases: epilepsy (9,7%), coeliac disease (4,6%), diabetes (4,1%). In the overall sample, 11,5% of patients presented with substance misuse (cannabis was the most prevalent drug of abuse). Females had a higher prevalence of alcohol misuse. 62,3% of cases received pharmacological treatment upon discharge from ED (antipsychotics 38,9%, benzodiazepines 34,3%). 81% of patients attended the first follow-up outpatient appointment whilst only 58% followed the prescribed treatment accurately. Inpatient admission rate: 14,7%. Diagnostic stability: 77,8%. Conclusions: Relevant gender differences are noted in child and adolescent mental health emergencies. Patients assessed in ED due to psychiatric crises represent a vulnerable population with an unfavorable socio-demographic profile and high prevalence of somatic and psychiatric history.

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Fonte de datos: Dialnet