Clinical trial NCT02812537: Clinical and Social Trajectories of Children and Adolescents With Disruptive Behavior
Official title: Clinical and Social Trajectories of Children and Adolescents With Disruptive Behavior: Multidisciplinary Approach of Pediatric and Psychiatric Emergencies in the Rhône-Alpes Auvergne Region
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Disruptive Behavior Disorder
Keywords: Trajectories
emergency room
conduct disorder
care management
Lead sponsor: Hospices Civils de Lyon
Sponsor class: OTHER
First posted: 2016-06-24
Enrollment: 500
Sex: ALL
Maximum age (years): 16
Standard ages: CHILD
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Children and adolescents admitted to emergency rooms for conduct disorder (aggressiveness, violence, fugue or theft)

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 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

Primary outcomes:
measure: Number of new admissions to emergency rooms for aggressiveness, violence, fugue or theft
timeFrame: 6 months
Secondary outcomes:
measure: Age of the children and adolescents admitted to emergency rooms for aggressiveness, violence, fugue or theft
timeFrame: Day 0
measure: Gender of the children and adolescents admitted to emergency rooms for aggressiveness, violence, fugue or theft
timeFrame: Day 0
measure: Number of children and adolescents precisely diagnosed with " behavior/conduct disorder
timeFrame: Day 0
measure: Number of hospitalization
timeFrame: Day 0
measure: number of patients admitted to emergency rooms for aggressiveness
timeFrame: Day 0
measure: number of patients admitted to emergency rooms for violence
timeFrame: Day 0
measure: number of patients admitted to emergency rooms for fugue
timeFrame: Day 0
measure: number of patients admitted to emergency rooms for theft
timeFrame: Day 0
measure: number of suicide attempts
timeFrame: 24 months
measure: number of patients with disruptive behavior recurrence
timeFrame: 24 months
measure: evolution of the CBCL score
timeFrame: 24 months
Other outcomes:
Locations:
city: Bron
country: France
facility: Hospices Civils de Lyon
Study officials:
affiliation: Hospices Cicils de Lyon
name: Yannis Gansel, MD
role: PRINCIPAL_INVESTIGATOR
References: