亲爱的研友该休息了!由于当前在线用户较少,发布求助请尽量完整地填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!身体可是革命的本钱,早点休息,好梦!

6.24 Characteristics of Children, Adolescents, and Young Adults With Neurodevelopmental Disorders Who Are Presenting to Psychiatric Emergency Services

精神科 医学 儿科 心理学
作者
Can Beşer,Saad F. Shamshair,Victor Hong,Neera Ghaziuddin,Shane D. Kentopp,Bernard Biermann
出处
期刊:Journal of the American Academy of Child and Adolescent Psychiatry [Elsevier BV]
卷期号:62 (10): S293-S293
标识
DOI:10.1016/j.jaac.2023.09.431
摘要

There is very little information about patients with neurodevelopmental delays (NDD), including ASD, who present to psychiatric emergency services in a state of crisis. Given this backdrop, this study aims to explore clinical and demographic information about this patient group over a 9-year period who had presented at a Midwestern academic medical center. Participants’visits included (n = 1461) individuals with NDD/ASD who ranged in age from 0 to 26 years and had presented to a psychiatric emergency department between 2012 and 2021. After obtaining approval of the IRB, coded data were extracted using a structured chart review methodology. Data included demographic and clinical variables. Descriptive analyses were performed. Patients were predominantly adolescent males (73%; mean age ± SD = 15.5 ± 4.3). The most common reason for their presentation was aggression toward others (53%) and/or self-injurious behaviors (25 %). A minority had received psychological treatment such as applied behavior analysis (8%), although many (48%) had a history of receiving inpatient psychiatric care. Most of the patients were already receiving a psychotropic medication (81%; already receiving an antipsychotic agent = 51%, followed by those on antidepressants = 37%). During their emergency visit, 24% were prescribed a new psychotropic agent (addition of an antipsychotic, followed by a benzodiazepine, in order of frequency); almost a third (28%) were referred for a psychiatric hospitalization, while the majority (54%) were deemed suitable for return to their home, and a significant number (12%) could not be hospitalized, despite the recommendation, due to the lack of an inpatient bed or a facility. Additional analyses will be presented to identify trends over time and patterns of dispositions. This study focuses on a group of highly acute individuals who place considerable demand on already-stretched psychiatric emergency services. Findings underscore the infrequent use of and possible difficulty accessing behavior therapy, frequent reliance on antipsychotic agents, and a lack of resources for hospitalization. These areas of concern require further investigation and systematic service planning across multiple levels.

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
核桃发布了新的文献求助30
15秒前
田様应助最最最采纳,获得10
33秒前
38秒前
39秒前
不懂白完成签到 ,获得积分10
1分钟前
1分钟前
Borhan发布了新的文献求助10
1分钟前
充电宝应助科研通管家采纳,获得10
1分钟前
天天快乐应助科研通管家采纳,获得10
1分钟前
科研通AI2S应助科研通管家采纳,获得10
1分钟前
爆米花应助科研通管家采纳,获得10
1分钟前
1分钟前
rumengren完成签到 ,获得积分10
2分钟前
2分钟前
嘉嘉完成签到 ,获得积分10
2分钟前
重要元灵完成签到 ,获得积分10
3分钟前
科研通AI2S应助科研通管家采纳,获得10
3分钟前
完美世界应助科研通管家采纳,获得10
3分钟前
俏皮元珊完成签到 ,获得积分10
4分钟前
21完成签到 ,获得积分10
4分钟前
4分钟前
自然芷文发布了新的文献求助10
4分钟前
112345完成签到 ,获得积分10
4分钟前
自然芷文完成签到,获得积分10
5分钟前
5分钟前
迷人问兰发布了新的文献求助10
5分钟前
科研通AI2S应助科研通管家采纳,获得19
5分钟前
sjyu1985完成签到 ,获得积分10
6分钟前
闻巷雨完成签到 ,获得积分10
6分钟前
pegasus0802完成签到 ,获得积分10
7分钟前
5823364完成签到,获得积分10
7分钟前
automan完成签到,获得积分10
7分钟前
天亮polar完成签到,获得积分10
7分钟前
7分钟前
8分钟前
8分钟前
朴实云应发布了新的文献求助10
8分钟前
林子青完成签到,获得积分10
8分钟前
核桃发布了新的文献求助30
9分钟前
李健应助reerwt采纳,获得10
9分钟前
高分求助中
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3990049
求助须知:如何正确求助?哪些是违规求助? 3532108
关于积分的说明 11256369
捐赠科研通 3270998
什么是DOI,文献DOI怎么找? 1805166
邀请新用户注册赠送积分活动 882270
科研通“疑难数据库(出版商)”最低求助积分说明 809228