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[兰斯儿童及青少年精神病学中的危机咨询:对有陪同的未成年人人群的横断面研究]

[Crisis consultations in child and adolescent psychiatry in Reims: Cross-sectional study of the population of accompanied minors].

作者信息

Baltide L, Rolland A-C, Eutrope J, Novo A

机构信息

Service de psychothérapie de l'enfant et de l'adolescent, CHU de Reims, hôpital Robert-Debré, Reims, France.

Service de psychothérapie de l'enfant et de l'adolescent, CHU de Reims, hôpital Robert-Debré, Reims, France.

出版信息

Encephale. 2023 Apr;49(2):143-151. doi: 10.1016/j.encep.2021.08.015. Epub 2022 Jan 7.

DOI:10.1016/j.encep.2021.08.015
PMID:35012899
Abstract

INTRODUCTION

The crisis consultation unit (CCU) of the child psychiatry department of the Reims University Hospital was created to respond to an increasing demand for rapid interventions with minors.

OBJECTIVE

The objective of this study is to observe the characteristics of the population received in this facility and to explore the links between the data, to hypothesize about its specificities.

METHOD

We conducted a cross-sectional study of data collected during telephone assessments between June 2016 and January 2018. A univariate analysis was performed using EpiInfo© software and the pvalue.io© statistical interface using R statistical software. A total of 263 telephone contacts were counted.

RESULTS

A greater activity of the service is found during the school period. The majority of minors did not have any psychiatric or psychological follow-up at the time of the call. Boys consulted earlier, preferably for externalized disorders. The youngest children are often referred to prevent symptoms following an acute stress.

CONCLUSION

Our study allowed us to draw up a sociodemographic profile and to show certain trends observed within the CCU of the child psychiatry department of the Reims University Hospital, in particular the multiplicity of reasons for consultation. At a time when the health crisis is impacting the mental health of the entire population and increasing the time required for treatment, this type of system is particularly relevant to the possible reorganization of the care offered by the CMP. The CCU would make it possible to report the most urgent situations, which would then benefit from specific care (hospitalization, medication, specific consultations).

摘要

引言

兰斯大学医院儿童精神科的危机咨询单元(CCU)设立的目的是应对对未成年人进行快速干预的需求不断增加的情况。

目的

本研究的目的是观察在该机构接受治疗的人群的特征,探索数据之间的联系,并对其特殊性进行假设。

方法

我们对2016年6月至2018年1月期间电话评估收集的数据进行了横断面研究。使用EpiInfo©软件和使用R统计软件的pvalue.io©统计界面进行单变量分析。总共统计了263次电话联系。

结果

在上学期间发现该服务的活动更为频繁。大多数未成年人在打电话时没有任何精神科或心理方面的随访。男孩咨询较早,更倾向于咨询外化性障碍。年龄最小的儿童经常被转诊以预防急性应激后的症状。

结论

我们的研究使我们能够勾勒出社会人口统计学概况,并展示兰斯大学医院儿童精神科CCU内观察到的某些趋势,特别是咨询原因的多样性。在健康危机影响整个人口的心理健康并增加治疗所需时间的时期,这种类型的系统与儿童及青少年精神病学(CMP)提供的护理可能的重组特别相关。CCU将有可能报告最紧急的情况,这些情况随后将受益于特定的护理(住院、药物治疗、特定咨询)。

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