Clinical and Social Trajectories of Children and Adolescents With Disruptive Behavior: Multidisciplinary Approach of Pediatric and Psychiatric Emergencies in the Rhône-Alpes Auvergne Region
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 500
- 试验地点
- 1
- 主要终点
- Number of new admissions to emergency rooms for aggressiveness, violence, fugue or theft
研究概览
简要总结
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- — 至 16 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Children and adolescents less than 16 years old
- •Children and adolescents admitted to emergency rooms for aggressiveness, violence, fugue or theft
排除标准
- •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
结局指标
主要结局
Number of new admissions to emergency rooms for aggressiveness, violence, fugue or theft
时间窗: 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
次要结局
- 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)
- 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)
- number of patients admitted to emergency rooms for aggressiveness(Day 0)