通过表格1入住综合医院的年轻人：一个令人担忧的趋势。
Young people admitted on a Form 1 to a general hospital: A worrisome trend.
作者信息
Smith W Gary, Collings Angela, Degraaf Anabela
机构信息
Orillia Soldiers Memorial Hospital, Orillia, Ontario.
出版信息
Paediatr Child Health. 2004 Apr;9(4):228-34. doi: 10.1093/pch/9.4.228.
OBJECTIVE
To assess and analyze the significance of the increase in the number of paediatric psychiatric admissions under a Form 1 (involuntary admission) to the regional paediatric unit of a general hospital.
METHODS
The authors retrospectively reviewed the charts of all child psychiatric admissions to the paediatric ward over the years 1998 to 2003. The specific data obtained was that of discharge diagnosis, age and sex of patient, application of Form 1 and transfer to a psychiatric facility.
RESULTS
BROAD DIAGNOSTIC CATEGORIES INCLUDED: mood disorder with and without suicidal behaviour, suicidal behaviour, psychosis, mood disorder with psychosis, anxiety disorder, eating disorder, behaviour disorder, personality disturbance, substance abuse, situational crisis and psychogenic disorder. Yearly admissions to the unit ranged from 25 per year to 45 per year over the five years studied. In the last three years, the rate of Form 1 application increased from one in 1999 to 2000 to 11 in 2002 to 2003 (a 10 fold increase).
DISCUSSION
Possible reasons for this dramatic increase were identified and may be relevant to other nonpsychiatric centres dealing with children.
目的
评估并分析一家综合医院地区儿科病房根据表格1（非自愿入院）收治的儿科精神科住院患者数量增加的意义。
方法
作者回顾性查阅了1998年至2003年期间所有入住儿科病房的儿童精神科患者病历。获取的具体数据包括出院诊断、患者年龄和性别、表格1的使用情况以及转至精神科机构的情况。
结果
广泛的诊断类别包括：伴有和不伴有自杀行为的情绪障碍、自杀行为、精神病、伴有精神病的情绪障碍、焦虑症、饮食失调、行为障碍、人格障碍、药物滥用、情境危机和心因性障碍。在所研究的五年中，该病房每年的住院人数从每年25人到45人不等。在最后三年中，表格1的使用率从1999年至2000年的1例增加到2002年至2003年的11例（增长了10倍）。
讨论
确定了这种显著增加的可能原因，这些原因可能与其他处理儿童问题的非精神科中心相关。
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