Characteristics of adolescents hospitalised in adult psychiatric units. Retrospective study in the largest psychiatric hospital in France

IF 4.3 2区医学 Q1 PSYCHIATRY

Comprehensive psychiatry Pub Date : 2025-06-06 DOI:10.1016/j.comppsych.2025.152612

Alexandra Pham-Scottez , Isabelle Sabbah-Lim , Jean Chambry , Valérie Dao , Raphael Gourevitch , David Barruel Ing , Valérie Dauriac-Le Masson

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引用次数: 0

Abstract

Although psychiatrists working with adolescents know that sometimes they need to be hospitalised in emergency, few studies have described the hospitalisation of adolescents in adult psychiatric wards. We aimed to estimate the prevalence of adolescents hospitalised in adult psychiatric wards (characteristics, gender comparison, subtypes).

We conducted a monocentric retrospective study in the largest psychiatric hospital in France. All patients aged 15 to <18 years hospitalised in adult psychiatric wards were included, with different variables: socio-demographic and family information, history of inpatient / outpatient treatment, clinical data (like ICD-10 diagnoses, care pathway before / after hospitalisation…).

We included 332 hospitalisations (70 % girls), representing 2.8 % of all psychiatric hospitalisations. For 37 hospitalisations (11.1 %), this was the first psychiatric contact; for 54.2 %, patients had no previous psychiatric hospitalisation, for 87.3 %, patients had previous outpatient treatment. Mood disorders was the diagnosis for 47 % of the admissions, suicide attempts and suicidal ideation accounted for 69 % of the clinical situations leading to hospitalisation. Boys and girls differed significantly on many variables. Cluster analyses revealed two subgroups: cluster 1 patients (62 %) more frequently were girls, had previous hospitalisations in child psychiatry, came from home, had suicide attempts / suicidal ideation, had personality disorders, whereas cluster 2 patients (38 %) more frequently had substance use disorders, psychotic episodes, clastic crisis / hetero-aggression, longer hospital stays. Emergency admission of an adolescent with psychiatric issues to an adult psychiatric ward is not uncommon, especially in the context of a suicidal crisis or psychotic episode. Our results suggest the need for establishing unscheduled hospital beds for such adolescents.

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成人精神科住院青少年的特征。在法国最大的精神病院进行回顾性研究

虽然与青少年一起工作的精神科医生知道，有时他们需要在紧急情况下住院，但很少有研究描述青少年在成人精神病病房的住院情况。我们的目的是估计在成人精神病病房住院的青少年的患病率（特征、性别比较、亚型）。我们在法国最大的精神病院进行了一项单中心回顾性研究。所有在成人精神科病房住院的15至18岁的患者被纳入研究，包括不同的变量：社会人口统计学和家庭信息、住院/门诊治疗史、临床数据（如ICD-10诊断、住院前后的护理途径……）。我们纳入了332例住院病例（70%为女孩），占所有精神病住院病例的2.8%。在37例住院（11.1%）中，这是第一次精神病接触；54.2%的患者以前没有精神科住院治疗，87.3%的患者以前有门诊治疗。47%的入院患者被诊断为情绪障碍，69%的临床病例被诊断为自杀企图和自杀意念。男孩和女孩在许多变量上存在显著差异。聚类分析揭示了两个亚组：第一类患者（62%）更多的是女孩，以前曾在儿童精神病院住院，来自家庭，有自杀企图/自杀意念，有人格障碍，而第二类患者（38%）更多的是物质使用障碍，精神病发作，破裂危机/异性恋攻击，住院时间较长。有精神问题的青少年被紧急送入成人精神病房并不罕见，尤其是在自杀危机或精神病发作的情况下。我们的研究结果表明，有必要为这些青少年建立不定期的医院床位。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Comprehensive psychiatry 医学-精神病学

CiteScore

12.50

自引率

1.40%

发文量

审稿时长

29 days

期刊介绍： "Comprehensive Psychiatry" is an open access, peer-reviewed journal dedicated to the field of psychiatry and mental health. Its primary mission is to share the latest advancements in knowledge to enhance patient care and deepen the understanding of mental illnesses. The journal is supported by a diverse team of international editors and peer reviewers, ensuring the publication of high-quality research with a strong focus on clinical relevance and the implications for psychopathology. "Comprehensive Psychiatry" encourages authors to present their research in an accessible manner, facilitating engagement with clinicians, policymakers, and the broader public. By embracing an open access policy, the journal aims to maximize the global impact of its content, making it readily available to a wide audience and fostering scientific collaboration and public awareness beyond the traditional academic community. This approach is designed to promote a more inclusive and informed dialogue on mental health, contributing to the overall progress in the field.