Screening of Adolescent Mental Suffering

Study Overview
=================
Brief Summary
-----------------
The primary purpose is to estimate the prevalence of depression and subsyndromal states among adolescents 13 to 17 years consulting to hospital emergency rooms for any reason, for they are another way of tracking this suffering, as they host many troubled teens at once for health problems and accidents sometimes iterative, reflecting their risk behaviour. Secondary purposes are to assess the feasibility and desirability of a post-emergency medical consultation for adolescents who scored high on a self-administered questionnaire, and to assess the impact of this approach by later monitoring.

Detailed Description
-----------------
This is a multicenter longitudinal survey in three emergency centers in Ile-de-France, with 2 periods of daily collection and comprehensive three weeks spread over one year, followed by a remote evaluation. The project is as follows: Phase A : - Evaluation of the prevalence: systematic execution of self-administered questionnaire by all adolescents consulting, night and day in each center. Phase B : For adolescents whose outcome questionnaire exceed 4, a post-emergency consultation will be proposed within 15 days. Telephone survey, 12 months after the passage of emergency every teenager who completed self-administered questionnaire and presenting himself to the post-emergency consultation. This survey will aim to assess the psychological status of adolescents and the impact of any specific treatment.

Official Title
-----------------
SCREENING OF ADOLESCENT MENTAL SUFFERING CONSULTANT TO EMERGENCIES, MANAGEMENT AND Later MONITORING

Conditions
-----------------
Depression, Adolescent, Self-report Questionnaire

Intervention / Treatment
-----------------
* Behavioral: consultation 10 days later


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Adolescents over the age of 13 to 17 years when passing emergency whatever the reason for consultation (surgical or medical, including attempted suicide or psychological problem) Exclusion Criteria: Young people not reading French.

Ages Eligible for Study
-----------------
Minimum Age: 13 Years
Maximum Age: 17 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Diagnostic
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: screening of adolescent mental suffering. Management<br>screening of adolescent mental suffering consultant to emergencies. Management and later monitoring | Behavioral: consultation 10 days later<br>* new depression screening<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Responses to Self-reported questionnaire on risk behaviors, somatic complaints by adolescents and parents | A self-questionnaire ADRS (Adolescent Depression Rating Scale) will be asked to all adolescents to complete. Also the other questions will be answered by them concenrning somatisations and risk behaviors. Parents respond in the same time a self questionnaire. | 10 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Post-emergency consultation and reassessment of hetero-ADRS clinician questionnaire | Actual presence of adolescents suspected of depression at the post-emergency consultation and reassessment of their state using the hetero-ADRS-clinician questionnaire. | 6 months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Follow-Up Studies, Adolescent, Depressive Disorder, Major/diagnosis, Attempted/prevention & control, Self-report questionnaire, emmergency department, parental perception, Emergency