[The emergency department: an appropriate place for identifying troubled teens].
作者信息
Stheneur C, Sznajder M, Guyot C, Martin S, Nathanson S, Kerbourc'h S, Biscardi S, Delalande D, Chevallier B, Speranza M
机构信息
Service de pédiatrie, hôpital Ambroise-Paré, AP-HP, 9, avenue Charles-de-Gaulle, 92100 Boulogne, France; Inserm U669, université Paris-Sud and université Paris Descartes, 75679 Paris, France.
Service de pédiatrie, hôpital Ambroise-Paré, AP-HP, 9, avenue Charles-de-Gaulle, 92100 Boulogne, France; URC, hôpital Ambroise-Paré, 92100 Boulogne, France.
出版信息
Arch Pediatr. 2014 Jun;21(6):593-600. doi: 10.1016/j.arcped.2014.03.007. Epub 2014 Apr 24.
OBJECTIVES
The main objective of this study was to estimate the prevalence of psychological distress among adolescents seen in emergency departments, and the secondary objective was to highlight their main reasons for consulting.
METHODS
Cross-sectional study in three multicenter emergency departments receiving adolescents in Île-de-France conducted in 2010. All adolescents completed a questionnaire including the ADRS (Adolescent Depression Rating Scale, a screening questionnaire for depression) and a series of questions relating to somatization and risk behaviors.
RESULTS
The study included 346 adolescents, 320 of which were fully analyzed. The ADRS score was considered normal (score < 3) for 70.6% of the sample (n = 226), 19.4% of adolescents (n = 62) had moderate depressive symptoms (3 ≤ score < 6), and 10.0% severe depressive symptoms (score ≥ 6) (n = 32). The majority of patients consulted for trauma and less than 10% for acute psychiatric problems; 17% of adolescents who came to the emergency department for a nonpsychiatric reason had an ADRS ≥ 3, i.e., with mental distress.
CONCLUSION
The routine use of a self-administered questionnaire in the emergency services could identify adolescents with moderate to severe depressive symptoms.
Zotero 插件