Psikiyatrik acil serviste görülen davranım bozukluğu olan ergenler için hastaneye yatma olası öngörücüleri

Amaç, bir ruh sağlığı hastanesi acil servisinde görülen davranım bozukluğu (DB) olan ergenlerin hastaneye yatış öngörücülerini araştırmak idi. Yöntem: Hastalar, 6 aylık dönem içerisinde ilk başvurularına göre, yaş, cinsiyet, okul durumu, aile yapısı, geliş belirtileri ve bunların süresi, eşlik eden psikiyatrik tanılar, daha önce acil servis ya da poliklinik kullanımı, önceden psikiyatrik yatış ve ailesinde ruhsal bozukluk öyküsü açısından geriye dönük değerlendirildi. Bulgular: Ortalama yaş 15.69±1.26 yıl idi. Toplam 144 hastanın, %61.8'i (n=89) kız idi ve 50'si (%34.7) hastaneye yatırıldı. Yatırılmadan tedavi edilen hastalara göre, yatarak tedavi edilen hastalarda anlamlı olarak daha fazla suisid düşüncesi, daha uzun belirti süresi, daha fazla eşlik eden bir ruhsal bozukluk ve ailede psikiyatrik bozukluk öyküsü vardı. Çok değişkenli lojistik regresyon analizinde, intihar düşüncesi, eşlik eden bir psikiyatrik bozukluğa sahip olma ve ailede ruhsal bir bozukluk öyküsüne sahip olma, psikiyatrik yataklı üniteye yatışı öngördü. Sonuç: Acil birimlerindeki klinisyenler, intihar düşüncesi, eşlik eden ruhsal bir bozukluğu ve ailede ruhsal bir bozukluk öyküsü olan DB'li ergenlerde hastaneye yatışı öngörmenin farkında olmalıdır. İntihar girişimi, DB'li ergenlerde yatışı öngörmede, direkt etkiden ziyade, indirekt etkiye sahip görünmektedir

Possible Predictors of Hospitalization for Adolescents with Conduct Disorder Seen in Psychiatric Emergency Service

Objective: The aim was to investigate predictors of hospitalization of adolescents with conduct disorder (CD) seen in emergency service of a mental health hospital. Method: Patients were evaluated retrospectively by age, gender, school status, family structure, presenting symptoms and their duration, comorbid psychiatric diagnoses, prior emergency service or outpatient clinic use, prior psychiatric hospitalization and family history of any mental disorder, according to first presentation during a 6-month period. Results: Mean age was 15.69±1.26 years. Of the total of 144 patients, 61.8% (n=89) were female and 50 (34.7%) were hospitalized. Adolescents admitted to the inpatient unit presented significantly more often with suicidal ideation, had longer symptom duration, and were more likely to have a comorbid psychiatric disorder and a family history of a psychiatric disorder compared to those not admitted. In multivariate logistic regression analysis, suicidal ideation, having a comorbid psychiatric disorder, and having family history of a mental disorder predicted admission to the psychiatric inpatient unit. Conclusion: Clinicians in emergency settings should be aware of the prediction of hospitalization in adolescents with CD who have suicidal ideation, a comorbid psychiatric disorder and family history of a mental disorder. Suicide attempt seems to have an indirect effect, rather than a direct effect, on the prediction of hospitalization in youths with CD

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Kaynak Göster

  • ISSN: 1018-8681
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1984

5.5b 3.3b

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