Clinical trial NCT02828969: Clinical and Social Trajectory of Children and Adolescents With Disruptive Behavior
Official title: Clinical Trajectory of Children and Adolescents With Disruptive Behavior Admitted to Pediatric and Psychiatric Emergencies.
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Disruptive Behavior
Keywords: Trajectory
Emergency room
Conduct disorder
Care management
Lead sponsor: Hospices Civils de Lyon
Sponsor class: OTHER
First posted: 2016-07-12
Enrollment: 300
Sex: ALL
Minimum age (years): 8
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: SUPPORTIVE_CARE

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.


Eligibility criteria: Inclusion Criteria:

* 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

Primary outcomes:
measure: Description of the children and adolescents admitted to emergency rooms for aggressiveness, violence, fugue or theft.
timeFrame: At inclusion
Secondary outcomes:
measure: Nature and type of the care management provided to children and adolescents admitted to emergency rooms for disruptive behavior
timeFrame: At inclusion
measure: description of patients' perceptions of the care management
timeFrame: at inclusion
measure: description of patients' perceptions of the care management
timeFrame: 6 months
measure: description of patients' perceptions of the care management
timeFrame: 12 months
measure: description of patients' perceptions of the care management
timeFrame: 24 months
measure: Identification of patients'psychiatric underlying disorders
timeFrame: At 6 months
measure: Social and clinical evolution after the initial admission to emergency room
timeFrame: 6 months
measure: Social and clinical evolution after the initial admission to emergency room
timeFrame: 12 months
measure: Social and clinical evolution after the initial admission to emergency room
timeFrame: 24 months
Other outcomes:
Locations:
city: Lyon/bron
country: France
facility: Hospices Civils de Lyon
Study officials:
References: