Clinical and Social Trajectories of Children and Adolescents With Disruptive Behavior

Recruiting

Brief Summary: Conduct disorders are defined as "repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate norms are violated". So defined, these disorders are at the crossroads of psychiatry, social field and justice. Conduct disorder management is a public health issue and a societal question. Conduct disorders affect 5 to 9% of 15-year old boys.

Care management of children and adolescents admitted for disruptive behaviors in emergency rooms is an issue. No consensus or official recommendation exists. However, use of emergency care in this context is increasing in most western countries and it exposes to several risks (inappropriate use of hospitalizations, social rupture, ignorance of comorbidities and suicide risk). The Trajectories project is designed to describe children and adolescents with disruptive behaviors, their care management and to follow their life trajectory and psychiatric evolution after admission to emergency rooms. Better understanding this population will improve their medical and social care management, thereby giving professionals the right tools.

The main objective of this project is to implement a multidisciplinary and integrative research combining clinical considerations and social sciences to determine the "trajectory" of this population.

Recruitment & Eligibility

Inclusion Criteria

Children and adolescents less than 16 years old
Children and adolescents admitted to emergency rooms for aggressiveness, violence, fugue or theft

Exclusion Criteria

Children and adolescents admitted to emergency rooms for a reason not directly link with aggressiveness, violence, fugue or theft
Opposition to the subject or the family to participate to this research

Arm && Interventions

Group	Intervention	Description
patients with conduct disorders	patients with conduct disorders	Girls and boys having less than 16 years old and admitted to emergency room for aggressiveness, violence, fugue or theft.

Primary Outcome Measures

Name	Time	Method
Number of new admissions to emergency rooms for aggressiveness, violence, fugue or theft	6 months	Six months follow-up of these children and adolescents in their future trajectory after the first admission to emergency room for disruptive behavior

Secondary Outcome Measures

Name	Time	Method
number of patients admitted to emergency rooms for violence	Day 0
number of patients admitted to emergency rooms for fugue	Day 0
number of patients with disruptive behavior recurrence	24 months
evolution of the CBCL score	24 months
Gender of the children and adolescents admitted to emergency rooms for aggressiveness, violence, fugue or theft	Day 0
Number of children and adolescents precisely diagnosed with " behavior/conduct disorder	Day 0
Number of hospitalization	Day 0	following the admission
number of patients admitted to emergency rooms for theft	Day 0
number of suicide attempts	24 months
Age of the children and adolescents admitted to emergency rooms for aggressiveness, violence, fugue or theft	Day 0	mean age
number of patients admitted to emergency rooms for aggressiveness	Day 0

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