Characteristics and disposition of youth referred from schools for emergency psychiatric evaluation
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| 024 | 7 | 0 | |a 10.1007/s00787-014-0618-8 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00787-014-0618-8 | ||
| 245 | 0 | 0 | |a Characteristics and disposition of youth referred from schools for emergency psychiatric evaluation |h [Elektronische Daten] |c [Eugene Grudnikoff, Tolga Taneli, Christoph Correll] |
| 520 | 3 | |a We aimed to describe the characteristics and disposition of youth referred from schools to the emergency department (ED) for psychiatric evaluations. Consecutive 12-month records of ED psychiatric consultations at a large urban hospital from 07.01.2009 to 06.30.2010 were retrospectively analyzed. School-initiated referrals were deemed inappropriate if youth were discharged from the ED without any recommended mental health follow-up. Of the 551 psychiatric ED evaluations, 243 (44.1%) were initiated by schools. Of all school referrals, only 19 (7.8%) children were psychiatrically hospitalized, 108 (44.4%) were discharged from the ED with a follow-up appointment; and 116 (47.7%) were discharged without arranged follow-up. Those with a chief complaint of "suicidality” (n=109, 44.9%) were more likely to be discharged without arranged follow-up than youth with other presenting complaints (56.0 vs. 41.0%, p=0.021). Altogether, only 37 (18.5%) of 200 school-referred youth with information were evaluated by a school nurse, social worker, or other professional before being sent to the ED. Students without in-school screening were significantly more frequently discharged without follow-up than students with in-school evaluations prior to the ED referral (51.5 vs. 27.0%, p=0.0070; odds ratio=2.87 (95% CI 1.30-6.31). Multivariate predictors of inappropriate school referrals of youth discharged without any outpatient follow-up were higher Children's Global Assessment Scale score (p<0.0001), absent in-school evaluation (p=0.0069), absent prior psychiatric history (p=0.011) and absent current psychotropic medication treatment (p=0.012) (r 2=0.264%, p<0.0001). Altogether 44.1% of ED consultations were school referred, of which 47.7% were potentially inappropriate for the emergency setting. In-school screening, which occurred infrequently, reduced unnecessary evaluations by 52%. | |
| 540 | |a Springer-Verlag Berlin Heidelberg, 2014 | ||
| 690 | 7 | |a Emergency |2 nationallicence | |
| 690 | 7 | |a Psychiatric evaluation |2 nationallicence | |
| 690 | 7 | |a Children and adolescents |2 nationallicence | |
| 690 | 7 | |a School referral |2 nationallicence | |
| 690 | 7 | |a Appropriateness |2 nationallicence | |
| 690 | 7 | |a Suicidality |2 nationallicence | |
| 690 | 7 | |a Pediatric |2 nationallicence | |
| 700 | 1 | |a Grudnikoff |D Eugene |u Department of Psychiatry, The Zucker Hillside Hospital, 75-59 263rd Street Glen Oaks, 11004, Glen Oaks, NY, USA |4 aut | |
| 700 | 1 | |a Taneli |D Tolga |u Division of Child and Adolescent Psychiatry, Department of Psychiatry, Rutgers University-NJMS, Newark, NJ, USA |4 aut | |
| 700 | 1 | |a Correll |D Christoph |u Department of Psychiatry, The Zucker Hillside Hospital, 75-59 263rd Street Glen Oaks, 11004, Glen Oaks, NY, USA |4 aut | |
| 773 | 0 | |t European Child & Adolescent Psychiatry |d Springer Berlin Heidelberg |g 24/7(2015-07-01), 731-743 |x 1018-8827 |q 24:7<731 |1 2015 |2 24 |o 787 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00787-014-0618-8 |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00787-014-0618-8 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Grudnikoff |D Eugene |u Department of Psychiatry, The Zucker Hillside Hospital, 75-59 263rd Street Glen Oaks, 11004, Glen Oaks, NY, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Taneli |D Tolga |u Division of Child and Adolescent Psychiatry, Department of Psychiatry, Rutgers University-NJMS, Newark, NJ, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Correll |D Christoph |u Department of Psychiatry, The Zucker Hillside Hospital, 75-59 263rd Street Glen Oaks, 11004, Glen Oaks, NY, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t European Child & Adolescent Psychiatry |d Springer Berlin Heidelberg |g 24/7(2015-07-01), 731-743 |x 1018-8827 |q 24:7<731 |1 2015 |2 24 |o 787 | ||