{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:46:20Z","timestamp":1791985580910,"version":"4.4.0"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Criminal Behav Ment Health"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Adolescents involved in the juvenile justice system have high rates of psychiatric disorder and social vulnerability. Those in custodial or semi\u2010custodial detention may be particularly vulnerable to psychiatric emergencies, but the clinical factors associated with these crises remain insufficiently understood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To characterise the sociodemographic and clinical profiles of detained adolescents attending a psychiatric emergency service and compare them with those of community\u2010living adolescents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this retrospective cross\u2010sectional study, we reviewed the medical records of all patients presenting to a public child and adolescent psychiatry emergency service in Brazil over 1\u00a0year. Detained adolescents aged 12\u201317\u00a0years were compared with community\u2010living adolescents regarding sociodemographic characteristics, psychiatric diagnoses and presenting complaints.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 1206 adolescents, 160 (13%) were detained. Compared with community\u2010living adolescents, detained adolescents were more likely to be male (86%: 53%), older (mean [SD] 15.9 [1.1]: 14.9 [1.6] years) and to identify as Black (13%: 8%). Stress\u2010related\/adjustment disorders (30%:10%), conduct disorder (27%:10%) and substance use disorders (26%:20%), were more frequent among detained adolescents, whereas depression was less frequent (26%:35%). Emergency consultations involving detained adolescents were more likely to include insomnia (43%: 19%) and suicide attempts (26%: 18%), whereas behavioural presentations such as agitation, aggressiveness, irritability, disobedience and attention difficulties were comparatively less frequent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Emergency psychiatric presentations among detained adolescents were more strongly associated with stress\u2010related disorders, suicidal behaviour, sleep disturbance and substance\u2010related problems than with behavioural disturbance alone. These findings have implications for emergency psychiatric assessment within juvenile justice settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cbm.70051","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T20:40:21Z","timestamp":1789591221000},"page":"220-227","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychiatric Emergency Presentations in Detained Adolescents: A Comparison With Community\u2010Living Adolescents"],"prefix":"10.1002","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7699-8717","authenticated-orcid":false,"given":"Maria Carolina Lobato","family":"Machado","sequence":"first","affiliation":[{"name":"Postgraduate Program in Molecular Medicine Faculty of Medicine Federal University of Minas Gerais  Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1741-5945","authenticated-orcid":false,"given":"Marcela","family":"de Moura Rezende","sequence":"additional","affiliation":[{"name":"Faculdade de Ci\u00eancias M\u00e9dicas de Minas Gerais  Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6245-9322","authenticated-orcid":false,"given":"Izabela Lara","family":"Bor\u00e9m","sequence":"additional","affiliation":[{"name":"Faculdade de Ci\u00eancias M\u00e9dicas de Minas Gerais  Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9351-9906","authenticated-orcid":false,"given":"Maria Eug\u00eania Rezeck Braga","family":"Hibner","sequence":"additional","affiliation":[{"name":"Faculdade de Ci\u00eancias M\u00e9dicas de Minas Gerais  Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5927-2989","authenticated-orcid":false,"given":"Danilo Barcellos","family":"Nogueira","sequence":"additional","affiliation":[{"name":"Faculdade de Ci\u00eancias M\u00e9dicas de Minas Gerais  Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5006-6129","authenticated-orcid":false,"given":"Luciana Rodrigues","family":"da Cunha","sequence":"additional","affiliation":[{"name":"Faculdade de Ci\u00eancias M\u00e9dicas de Minas Gerais  Belo Horizonte Brazil"},{"name":"Funda\u00e7\u00e3o Hospitalar do Estado de Minas Gerais  Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1585-7720","authenticated-orcid":false,"given":"Rodrigo","family":"Nicolato","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Molecular Medicine Faculty of Medicine Federal University of Minas Gerais  Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7081-8401","authenticated-orcid":false,"given":"Debora Marques","family":"de Miranda","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Molecular Medicine Faculty of Medicine Federal University of Minas Gerais  Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.60.11.1097"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2014.1375"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2017.10.014"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10964\u2010016\u20100573\u20104"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2020.01.015"},{"key":"e_1_2_13_8_1","volume-title":"Lei n\u00b0 8.069, de 13 de Julho de 1990: Estatuto da Crian\u00e7a e do Adolescente","author":"Brasil","year":"1990"},{"key":"e_1_2_13_9_1","unstructured":"Brasil Conselho Nacional de Justi\u00e7a.2012.Panorama Nacional: A Execu\u00e7\u00e3o de Medida Socioeducativa de Interna\u00e7\u00e3o.https:\/\/www.cnj.jus.br\/wp\u2010content\/uploads\/2011\/02\/panorama_nacional_doj_web.pdf."},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.encep.2023.11.026"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/070674371005500409"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1590\/1413\u201081232017225.33562016"},{"key":"e_1_2_13_13_1","unstructured":"Departamento Penitenci\u00e1rio Nacional.2017. \u201cLevantamento Nacional de Informa\u00e7\u00f5es Penitenci\u00e1rias\u2014Infopen.\u201dhttp:\/\/antigo.depen.gov.br\/DEPEN\/depen\/sisdepen\/infopen."},{"key":"e_1_2_13_14_1","unstructured":"D\u00f3ria G. 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