TY  - JOUR
PY  - 2017//
TI  - Violent outburst from teenagers in the pediatric emergency room: complex cases
JO  - Archives de Pediatrie
A1  - Cohen, L.
A1  - Gras-Le Guenb, C.
A1  - Fleury, J.
A1  - Caldagues, E.
A1  - Dréno, L.
A1  - Picherot, G.
A1  - Vabres, N.
SP  - 1214
EP  - 1219
VL  - 24
IS  - 12
N2  - INTRODUCTION: Teenagers admitted to the emergency room for a violent attacks episode are increasingly numerous. The source of agitation is multifactorial for these teenagers, often with a complex course. They jeopardize hospital wards, which are often ill-suited for and overwhelmed during these outbursts. This study aims to identify and describe all the teenagers admitted to the hospital over 1 year for a violent outburst and discuss their management. <br><br>METHODS AND EQUIPMENT: Retrospective and descriptive study of teenagers admitted to the pediatric emergency department of the Nantes University Hospital for a violent outburst in 2015. <br><br>RESULTS: During this 1-year study, 99 teenagers out of a total of 182 consultations were admitted for a violent outburst. We noted that 85% of them had a previous history of a violent outburst, 70% of them were seeing a psychologist, and 56% were followed by the child welfare services. Most of the outbursts took place at home and were hetero-aggressive. Upon arrival at the pediatric emergency ward, 90% of the teenagers had calmed down. The mean time spent in the emergency ward was 3h42min. Finally, 31% of the teenagers were hospitalized in the general pediatric unit, 14% in the children's psychiatric department, and 8% in the adult psychiatry ward. <br><br>CONCLUSION: We observed a high proportion of complex cases in the teenagers admitted to our emergency department for a violent outburst. These teenagers in distress, with a complex previous history, illustrated the relation between violence against themselves and their own violent behavior toward others. Developing short-stay units for a temporary isolation could be an advantageous multidisciplinary approach to allow somatic, psychological, and social evaluation of these vulnerable patients.<br><br>Copyright © 2017 Elsevier Masson SAS. All rights reserved.<p />  <p>Language: fr</p>
LA  - fr
SN  - 0929-693X
UR  - http://dx.doi.org/10.1016/j.arcped.2017.10.001
ID  - ref1
ER  -