Clinical and Social Trajectories of Children and Adolescents With Disruptive Behavior
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: patients with conduct disorders.
- Who it may be relevant to
- Registry conditions: Disruptive Behavior Disorder. Basic parameters: up to 16 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- France
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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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
Overview
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.
Interventions
- Other patients with conduct disorders
interview with a specialist
Primary outcome measures
- Number of new admissions to emergency rooms for aggressiveness, violence, fugue or theft [Time frame: 6 months]
Secondary outcome measures (11)
- Age of the children and adolescents admitted to emergency rooms for aggressiveness, violence, fugue or theft [Time frame: Day 0]
- Gender of the children and adolescents admitted to emergency rooms for aggressiveness, violence, fugue or theft [Time frame: Day 0]
- Number of children and adolescents precisely diagnosed with " behavior/conduct disorder [Time frame: Day 0]
- Number of hospitalization [Time frame: Day 0]
- number of patients admitted to emergency rooms for aggressiveness [Time frame: Day 0]
- number of patients admitted to emergency rooms for violence [Time frame: Day 0]
- number of patients admitted to emergency rooms for fugue [Time frame: Day 0]
- number of patients admitted to emergency rooms for theft [Time frame: Day 0]
- number of suicide attempts [Time frame: 24 months]
- number of patients with disruptive behavior recurrence [Time frame: 24 months]
- evolution of the CBCL score [Time frame: 24 months]
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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
France · 1 center
- Hospices Civils de Lyon — Bron
Identifiers
NCT: NCT02812537 · 69HCL16_0136