Being Young : My Mental Health

Study Overview
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Brief Summary
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The goal of this prospective cohort study is to study the evolution of adolescent and young people's mental health over a 12-month period after presentation to an emergency department or crisis service for an acute psychiatric episode. This study aims to: Describe the mental health care trajectories of adolescents and young adults after an acute psychiatric episode. Identify psychiatric disorders (such as anxiety, depression, eating disorders, suicidal thoughts, sleep, etc.) at the different time points of the study (at 3, 6, 9 and 12 months after inclusion) ; Assess the quality of life and functional capacity in daily activities of participants at each study time point ; Determine the socio-demographic, psychosocial and environmental factors associated with improving mental health over time and with mental health help seeking. Patients aged from 10 to 24, presenting to one of the participating centers for an acute psychiatric episode, and who agree to participate, will be included in the study. Participants will have to complete an online questionnaire every 3 months over a 12-month period (at baseline (T0), at 3 months (T3), at 6 months (T6), at 9 month (T9) and at 12 months (T12))

Detailed Description
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Recruitment process A poster campaign will be carry out in all study locations. Patients aged between 10 and 25 visiting one of the study location will be invited to participate in the study. The clinical research associates will visit all study location on a weekly basis in order to present the study to eligible patients. After checking the inclusion criteria, the clinical research associate will call eligible patients (or their legal representative for patients under 18) to present the study, the implications related to study participation, and obtain their oral consent. Patients who were willing to participate in the study will be automatically identify by a number. Follow-up : Patients will have to complete an online questionnaire at different time of the study: at baseline, at 3 months, at 6 months, at 9 months and at 12 months. For the participants aged under 18, the questionnaire will have to complete by or with the help of the parental representative. Investigators will collect socio-demographic, clinical data related to the acute psychiatric episode, and health care pathway over time. Mental health assessments will be based on standardized questionnaires. Clinical research associates will send an email to all participants to complete the initial questionnaire (at baseline). Then, they will coordinate patient follow-up, and will send automatic reminder through email at the different times of the study :at 3 months (M3), 6 months (M6), 9 months (M9) and 12 months (M12) to complete the follow-up questionnaires online. Patients will be awarded a gift voucher worth €10 after each completed questionnaire.

Official Title
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A 12-month Prospective Cohort Study of Mental Health Care Pathways of Adolescents and Young Adults

Conditions
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Mental Health Issue, Mental Disorder

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria : All patients aged from 10 to 24 years old had an consultation in one the study locations for psychiatric reason Exclusion Criteria : Absence of consent of the patient or the parental authority holder (for minor patient) Adult patients under legal protection Lack of proficiency in French (language of the study)

Ages Eligible for Study
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Minimum Age: 10 Years
Maximum Age: 24 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Strengths and Difficulties Questionnaire (SDQ) | brief emotional and behavioural screening questionnaire for children and young people Minimal value : From Not True Maximum value : Certainly True | Baseline | 
| Strengths and Difficulties Questionnaire (SDQ) | brief emotional and behavioural screening questionnaire for children and young people at month 3 Minimal value : From Not True Maximum value : Certainly True | Month 3 | 
| Strengths and Difficulties Questionnaire (SDQ) | brief emotional and behavioural screening questionnaire for children and young people at month 6 Minimal value : From Not True Maximum value : Certainly True | Month 6 | 
| Strengths and Difficulties Questionnaire (SDQ) | brief emotional and behavioural screening questionnaire for children and young people at month 9 Minimal value : From Not True Maximum value : Certainly True | Month 9 | 
| Strengths and Difficulties Questionnaire (SDQ) | brief emotional and behavioural screening questionnaire for children and young people at month 12 Minimal value : From Not True Maximum value : Certainly True | Month 12 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hospital Anxiety and Depression Scale (HADS) | Measuring tool for anxiety and depression in a general medical population of patients at baseline 0-7 = Normal, 8-10 =Borderline abnormal (borderline case), 11-21 = Abnormal(case) | baseline | 
| Hospital Anxiety and Depression Scale (HADS) | Measuring tool for anxiety and depression in a general medical population of patients at month 3 0-7 = Normal, 8-10 =Borderline abnormal (borderline case), 11-21 = Abnormal(case) | Month 3 | 
| Hospital Anxiety and Depression Scale (HADS) | Measuring tool for anxiety and depression in a general medical population of patients at month 6 0-7 = Normal, 8-10 =Borderline abnormal (borderline case), 11-21 = Abnormal(case) | Month 6 | 
| Hospital Anxiety and Depression Scale (HADS) | Measuring tool for anxiety and depression in a general medical population of patients at month 9 0-7 = Normal, 8-10 =Borderline abnormal (borderline case), 11-21 = Abnormal(case) | Month 9 | 
| Hospital Anxiety and Depression Scale (HADS) | Measuring tool for anxiety and depression in a general medical population of patients at month 12 0-7 = Normal, 8-10 =Borderline abnormal (borderline case), 11-21 = Abnormal(case) | Month 12 | 
| Suicidal Behaviors Questionnaire (SBQ) | Self report questionnaire to identify risk factors for suicide in adolescents and adults. Scale from 0= I never had this thought to 6= Almost everyday | baseline | 
| Suicidal Behaviors Questionnaire (SBQ) | Self report questionnaire to identify risk factors for suicide in adolescents and adults at month 3 Scale from Scale from 0= I never had this thought to 6= Almost everyday | month 3 | 
| Suicidal Behaviors Questionnaire (SBQ) | Self report questionnaire to identify risk factors for suicide in adolescents and adults at month 6 Scale from 0= I never had this thought to 6= Almost everyday | month 6 | 
| Suicidal Behaviors Questionnaire (SBQ) | Self report questionnaire to identify risk factors for suicide in adolescents and adults at month 9 scale from 0= I never had this thought to 6= Almost everyday | month 9 | 
| Suicidal Behaviors Questionnaire (SBQ) | Self report questionnaire to identify risk factors for suicide in adolescents and adults at month 12 scale from 0= I never had this thought to 6= Almost everyday | month 12 | 
| Ask Suicide-Screening Questions (ASQ) | Screening tool to identify individuals that require further mental health/suicide safety assessment at baseline Yes or No scale If patient answers No to all questions 1 through 4, screening is complete (not necessary to ask question #5) If patient answers Yes to any of questions or refuses to answer, they are considered a positive screen. | baseline | 
| Ask Suicide-Screening Questions (ASQ) | Screening tool to identify individuals that require further mental health/suicide safety assessment at month 3 Yes or No scale If patient answers No to all questions 1 through 4, screening is complete (not necessary to ask question #5) If patient answers Yes to any of questions or refuses to answer, they are considered a positive screen. | month 3 | 
| Ask Suicide-Screening Questions (ASQ) | Screening tool to identify individuals that require further mental health/suicide safety assessment at month 6 Yes or No scale If patient answers No to all questions 1 through 4, screening is complete (not necessary to ask question #5) If patient answers Yes to any of questions or refuses to answer, they are considered a positive screen. | month 6 | 
| Ask Suicide-Screening Questions (ASQ) | Screening tool to identify individuals that require further mental health/suicide safety assessment at month 9 Yes or No scale If patient answers No to all questions 1 through 4, screening is complete (not necessary to ask question #5) If patient answers Yes to any of questions or refuses to answer, they are considered a positive screen. | month 9 | 
| Ask Suicide-Screening Questions (ASQ) | Screening tool to identify individuals that require further mental health/suicide safety assessment at month 12 Yes or No scale If patient answers No to all questions 1 through 4, screening is complete (not necessary to ask question #5) If patient answers Yes to any of questions or refuses to answer, they are considered a positive screen. | month 12 | 
| Addictive disorders | Questionnaire on alcohol and psychoactive substances consumption at baseline | baseline | 
| Addictive disorders | Questionnaire on alcohol and psychoactive substances consumption at month 3 | month 3 | 
| Addictive disorders | Questionnaire on alcohol and psychoactive substances consumption at month 6 | month 6 | 
| Addictive disorders | Questionnaire on alcohol and psychoactive substances consumption at month 9 | month 9 | 
| Addictive disorders | Questionnaire on alcohol and psychoactive substances consumption at month 12 | month 12 | 
| Quality of Life, Enjoyment, and Satisfaction Questionnaire- (Q-LES-Q) | self-report measure designed to obtain sensitive measures of the degree of enjoyment and satisfaction experienced in various areas of daily functioning in adults at baseline 5-point scale from 1 (Very Poor) to 5 (Very Good) | baseline | 
| Quality of Life, Enjoyment, and Satisfaction Questionnaire- (Q-LES-Q) | self-report measure designed to obtain sensitive measures of the degree of enjoyment and satisfaction experienced in various areas of daily functioning in adults at month 3 5-point scale from 1 (Very Poor) to 5 (Very Good) | month 3 | 
| Quality of Life, Enjoyment, and Satisfaction Questionnaire- (Q-LES-Q) | self-report measure designed to obtain sensitive measures of the degree of enjoyment and satisfaction experienced in various areas of daily functioning in adults at month 6 5-point scale from 1 (Very Poor) to 5 (Very Good) | month 6 | 
| Quality of Life, Enjoyment, and Satisfaction Questionnaire- (Q-LES-Q) | self-report measure designed to obtain sensitive measures of the degree of enjoyment and satisfaction experienced in various areas of daily functioning in adults at month 9 5-point scale from 1 (Very Poor) to 5 (Very Good) | month 9 | 
| Quality of Life, Enjoyment, and Satisfaction Questionnaire- (Q-LES-Q) | self-report measure designed to obtain sensitive measures of the degree of enjoyment and satisfaction experienced in various areas of daily functioning in adults at month 12 5-point scale from 1 (Very Poor) to 5 (Very Good) | month 12 | 
| Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (P-Q-LES-Q) | self-report measure designed to obtain sensitive measures of the degree of enjoyment and satisfaction experienced in various areas of daily functioning in children at baseline 5-point scale from 1 (Very Poor) to 5 (Very Good) | baseline | 
| Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (P-Q-LES-Q) | self-report measure designed to obtain sensitive measures of the degree of enjoyment and satisfaction experienced in various areas of daily functioning in children at month 3 5-point scale from 1 (Very Poor) to 5 (Very Good) | month 3 | 
| Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (P-Q-LES-Q) | self-report measure designed to obtain sensitive measures of the degree of enjoyment and satisfaction experienced in various areas of daily functioning in children at month 6 5-point scale from 1 (Very Poor) to 5 (Very Good) | month 6 | 
| Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (P-Q-LES-Q) | self-report measure designed to obtain sensitive measures of the degree of enjoyment and satisfaction experienced in various areas of daily functioning in children at month 9 5-point scale from 1 (Very Poor) to 5 (Very Good) | month 9 | 
| Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (P-Q-LES-Q) | self-report measure designed to obtain sensitive measures of the degree of enjoyment and satisfaction experienced in various areas of daily functioning in children at month 12 5-point scale from 1 (Very Poor) to 5 (Very Good) | month 12 | 
| Sleep disorders | Questionnaire on difficulties that affect children and adults' sleep patterns at baseline | baseline | 
| Sleep disorders | Questionnaire on difficulties affecting children and adults' sleep patterns at month 3 | month 3 | 
| Sleep disorders | Questionnaire on difficulties affecting children and adults' sleep patterns at month 6 | month 6 | 
| Sleep disorders | Questionnaire on difficulties affecting children and adults' sleep patterns at month 9 | month 9 | 
| Sleep disorders | questionnaire on difficulties affecting children and adults' sleep patterns at month 12 | month 12 | 
| Patient healthcare trajectory | Questionnaire on the type of health care professional, the mental health care services visited,the frequency of medical appointments, the health events (hospitalization, emergency unit, suicide attempt) at baseline | baseline | 
| Patient healthcare trajectory | Questionnaire on the type of health care professional, the mental health care services visited,the frequency of medical appointments, the health events (hospitalization, emergency unit, suicide attempt) at month 3 | month 3 | 
| Patient healthcare trajectory | Questionnaire on the type of health care professional, the mental health care services visited,the frequency of medical appointments, the health events (hospitalization, emergency unit, suicide attempt) at month 6 | month 6 | 
| Patient healthcare trajectory | Questionnaire on the type of health care professional, the mental health care services visited,the frequency of medical appointments, the health events (hospitalization, emergency unit, suicide attempt) at month 9 | month 9 | 
| Patient healthcare trajectory | Questionnaire on the type of health care professional, the mental health care services visited,the frequency of medical appointments, the health events (hospitalization, emergency unit, suicide attempt) at month 12 | month 12 | 
| social relation, social integration and social support | questionnaire on difficulties related to social relation, social integration and social support affecting children and adult' mental health at baseline | baseline | 
| social relation, social integration and social support | questionnaire on difficulties related to social relation, social integration and social support affecting children and adult' mental health at month 3 | month 3 | 
| social relation, social integration and social support | questionnaire on difficulties related to social relation, social integration and social support affecting children and adult' mental health at month 6 | month 6 | 
| social relation, social integration and social support | questionnaire on difficulties related to social relation, social integration and social support affecting children and adult' mental health at month 9 | month 9 | 
| social relation, social integration and social support | questionnaire on difficulties related to social relation, social integration and social support affecting children and adult' mental health at month 12 | month 12 | 
| sociodemographic , environmental and psycho social factors | socio-demographic variables questionnaire (age, sex, education, household, employment or schooling, income, health insurance, medical history, psychiatric history if any) at baseline | baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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adolescent, mental health, young adult, psychiatry