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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel


CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

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2191-0278
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Volume 30, Issue 1

Issues

Two-year prospective study of characteristics and outcome of adolescents referred to an adolescent urgent psychiatric clinic

Nasreen Roberts / Linda Booij
  • Department of Psychology, Queen’s University, Ontario, Canada
  • Department of Psychology, Concordia University, Quebec, Montreal, Canada
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Nicholas Axas
  • Child and Adolescent Urgent psychiatric Clinic, Hotel Dieu Hospital, Division of Child and Adolescent psychiatry, Queens University, Ontario, Canada
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Leanne Repetti
  • Child and Adolescent Urgent psychiatric Clinic, Hotel Dieu Hospital, Division of Child and Adolescent psychiatry, Queens University, Ontario, Canada
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2016-05-13 | DOI: https://doi.org/10.1515/ijamh-2016-0006

Abstract

Objective:

(a) To describe the clinical characteristics and outcome of adolescents referred for urgent psychiatric consultation, and (b) compare suicidal with non-suicidal referrals.

Methods:

This was a 2-year prospective study. Data was gathered on demographic, historical and clinical variables. Comparison of suicidal and non-suicidal patients was conducted using χ2. A hospital database was used for referral and wait times.

Results:

Of 805 assessments, 55% were referred by emergency physicians and 28% by primary care physicians. Sixty-four percent of referrals were referred for suicidal behavior and depression and 19.6% for aggression. Eighty percent had a positive family psychiatric history and 59% were bullied. The most frequent psychiatrist assigned diagnosis was attention deficit disorder/attention deficit hyperactivity disorder (ADD/ADHD). Almost a quarter did not require psychiatric follow-up. Referrals to an outpatient clinic and admission were reduced significantly. Greater suicidality was associated with being female, presence of bullying-victimization and substance abuse [χ2(1)=9.33, p=0.002].

Conclusion:

Suicidal behavior is the most common reason for urgent psychiatric consults. ADHD was the most frequent psychiatrist assigned diagnosis. Urgent psychiatric services can reduce admissions, referrals and wait times for hospital based clinics for low lethality, low intent suicidal behaviors and facilitate triage to community services.

Keywords: adolescent psychiatry; clinical characteristics; emergency services

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About the article

Corresponding author: Nasreen Roberts, MBBS, MRCPsych (UK), FRCPC, Director Child and Adolescent Urgent Psychiatric Clinic, Queen’s University, 166 Brock Street Kingston, Ontario, Canada, Phone: +1 613 544-3400 Ext 3510, Fax: +1 613 544-4643


Received: 2016-01-14

Accepted: 2016-03-12

Published Online: 2016-05-13


Conflict of interest statement: The authors have no conflict of interest to declare.


Citation Information: International Journal of Adolescent Medicine and Health, Volume 30, Issue 1, 20160006, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2016-0006.

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