Disruptive Behavior Disorder
Conditions
Keywords
Trajectories, emergency room, conduct disorder, care management
Brief summary
Conduct disorders are defined as repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate norms are violated. So defined, these disorders are at the crossroads of psychiatry, social field and justice. Conduct disorder management is a public health issue and a societal question. Conduct disorders affect 5 to 9% of 15-year old boys. Care management of children and adolescents admitted for disruptive behaviors in emergency rooms is an issue. No consensus or official recommendation exists. However, use of emergency care in this context is increasing in most western countries and it exposes to several risks (inappropriate use of hospitalizations, social rupture, ignorance of comorbidities and suicide risk). The Trajectories project is designed to describe children and adolescents with disruptive behaviors, their care management and to follow their life trajectory and psychiatric evolution after admission to emergency rooms. Better understanding this population will improve their medical and social care management, thereby giving professionals the right tools. The main objective of this project is to implement a multidisciplinary and integrative research combining clinical considerations and social sciences to determine the trajectory of this population.
Interventions
OTHERpatients with conduct disorders
interview with a specialist
Sponsors
Hospices Civils de Lyon
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
No minimum to 16 Years
Healthy volunteers
No
Inclusion criteria
* Children and adolescents less than 16 years old * Children and adolescents admitted to emergency rooms for aggressiveness, violence, fugue or theft
Exclusion criteria
* Children and adolescents admitted to emergency rooms for a reason not directly link with aggressiveness, violence, fugue or theft * Opposition to the subject or the family to participate to this research
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of new admissions to emergency rooms for aggressiveness, violence, fugue or theft | 6 months | Six months follow-up of these children and adolescents in their future trajectory after the first admission to emergency room for disruptive behavior |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Gender of the children and adolescents admitted to emergency rooms for aggressiveness, violence, fugue or theft | Day 0 | — |
| Number of children and adolescents precisely diagnosed with behavior/conduct disorder | Day 0 | — |
| Number of hospitalization | Day 0 | following the admission |
| number of patients admitted to emergency rooms for aggressiveness | Day 0 | — |
| number of patients admitted to emergency rooms for violence | Day 0 | — |
| Age of the children and adolescents admitted to emergency rooms for aggressiveness, violence, fugue or theft | Day 0 | mean age |
| number of patients admitted to emergency rooms for theft | Day 0 | — |
| number of suicide attempts | 24 months | — |
| number of patients with disruptive behavior recurrence | 24 months | — |
| evolution of the CBCL score | 24 months | — |
| number of patients admitted to emergency rooms for fugue | Day 0 | — |
Countries
France
Contacts
Primary ContactYannis Gansel, MD
Outcome results
None listed