Viswanathan S, Datta Ss, Sheridan Pb, Lax-Pericall T
Department of Child and Adolescent Psychiatry, Institute of Psychiatry, King's College London, De Crespigny Park, London SE5 8AF, UK.
Department of Child and Adolescent Psychiatry, Institute of Psychiatry, King's College London, De Crespigny Park, London SE5 8AF, UK ; Belgrave Department of Paediatric Liaison, Kings College Hospital, Denmark Hill, London SE5 9RS, UK.
Ann Med Health Sci Res. 2014 Jan;4(1):85-9. doi: 10.4103/2141-9248.126607.
Interpersonal violence amongst youth is on the rise world-wide and London is no exception. The resulting injuries can be very serious and even result in death. This is a difficult to engage subgroup of patients and there is likely to be significant unmet social and mental health needs.
The current paper discusses the results of immediate psychiatric and social assessment of young people following a serious physical assault as assessed by a pediatric liaison Child and Adolescent Mental Health Service (CAMHS). CAMHS in Kings College Hospital, London in one calendar year and also the help seeking behavior of the young people following the assault.
The Department of Pediatric Liaison Psychiatry is based within the Kings College Hospital and has a multidisciplinary team comprising of nurses, consultant child and adolescent psychiatrists and social workers who reviewed all patients who were referred to them following an episode of assault. All young people who were referred to the department of pediatric liaison psychiatry based within Kings College Hospital over one calendar year were included in the analysis.
83% (29/35) of the victims were male and 83% (29/35) were from minority ethnic backgrounds. Although 70% (25/35) of the young people included in this study had significant safe guarding concerns, only 17% (6/35) turned up for their follow-up appointments with child mental health teams.
Innovative models of service delivery are required to cater to the unique needs of this group of extremely vulnerable young people.
青少年间的人际暴力在全球范围内呈上升趋势，伦敦也不例外。由此造成的伤害可能非常严重，甚至导致死亡。这是一类难以接触到的患者群体，很可能存在大量未得到满足的社会和心理健康需求。
本文讨论了由儿科联络儿童与青少年心理健康服务（CAMHS）评估的遭受严重身体攻击的年轻人的即时精神病学和社会评估结果。伦敦国王学院医院的CAMHS在一个日历年中的评估情况，以及年轻人在遭受攻击后的求助行为。
儿科联络精神病学系设在国王学院医院内，有一个多学科团队，由护士、儿童与青少年精神科顾问医生和社会工作者组成，他们对所有在遭受攻击后转诊给他们的患者进行了评估。对在一个日历年中转诊到国王学院医院儿科联络精神病学系的所有年轻人进行了分析。
83%（29/35）的受害者为男性，83%（29/35）来自少数族裔背景。尽管本研究中70%（25/35）的年轻人有重大的安全保障问题，但只有17%（6/35）的人前往儿童心理健康团队进行后续预约。
需要创新的服务提供模式来满足这群极度脆弱的年轻人的独特需求。
