Clinical and Social Trajectories of Children and Adolescents With Disruptive Behavior

Study Overview
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Brief Summary
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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.

Official Title
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Clinical and Social Trajectories of Children and Adolescents With Disruptive Behavior: Multidisciplinary Approach of Pediatric and Psychiatric Emergencies in the Rhône-Alpes Auvergne Region

Conditions
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Disruptive Behavior Disorder

Intervention / Treatment
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* Other: patients with conduct disorders


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Maximum Age: 16 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| patients with conduct disorders<br>Girls and boys having less than 16 years old and admitted to emergency room for aggressiveness, violence, fugue or theft. | Other: patients with conduct disorders<br>* interview with a specialist<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of new admissions to emergency rooms for aggressiveness, violence, fugue or theft | Six months follow-up of these children and adolescents in their future trajectory after the first admission to emergency room for disruptive behavior | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Age of the children and adolescents admitted to emergency rooms for aggressiveness, violence, fugue or theft | mean age | Day 0 | 
| 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 | following the admission | Day 0 | 
| number of patients admitted to emergency rooms for aggressiveness |  | Day 0 | 
| number of patients admitted to emergency rooms for violence |  | Day 0 | 
| number of patients admitted to emergency rooms for fugue |  | Day 0 | 
| 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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Trajectories, emergency room, conduct disorder, care management