{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T04:27:52Z","timestamp":1744864072597,"version":"3.30.1"},"reference-count":29,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T00:00:00Z","timestamp":1728432000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Mental disorders affect approximately 15%\u201320% of childhood. However, due to various factors, these individuals do not benefit sufficiently from mental health services. Therefore, psychiatry emergency services become a key system in the need of psychiatric care for these children. This study aims to reveal the factors that predict recurrent admissions in children and adolescents admitted to the emergency department of a psychiatric hospital and the tendencies of clinicians during management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In our study, the data of patients aged 0\u201318\u2009years who applied to the emergency department between 1 March 2022 and 01 March 2023 were scanned retrospectively. Participants who applied once were included in the \u2018single applicant\u2019 group, whereas patients who applied two or more times were included in the \u2018repeated applicants\u2019 group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 1563 emergency applications were recorded by 785 different patients. A total of 62.2% of the patients visited the emergency department once, while 37.8% applied two or more times. Non\u2010suicidal self\u2010injury, delusion\/hallucination, irritability and depression were significantly higher in recurrent applicants (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). Psychotic disorder, bipolar disorder, major depression and borderline personality traits were significantly frequent in these patients (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). Additionally, it was determined that the number of psychiatric diagnoses, referral time, need for chemical restraint, having a diagnosis of psychotic disorder or borderline personality traits increased the likelihood of recurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our results indicate some special risk factors that increase the likelihood of recurrent emergency admissions in children and adolescents. Further research with larger sample sizes may elucidate the unique needs of these children in order to use of community resources beneficially.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.16688","type":"journal-article","created":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T14:37:07Z","timestamp":1728571027000},"page":"809-814","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Characteristics of children and adolescents with recurrent mental health emergency visits and clinicians' intervention tendencies"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6623-7375","authenticated-orcid":false,"given":"Oguz Bilal","family":"Karakus","sequence":"first","affiliation":[{"name":"Department of Child and Adolescent Psychiatry Trabzon Kanuni Training and Research Hospital  Trabzon Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6514-0157","authenticated-orcid":false,"given":"Ipek Suzer","family":"Gamli","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry Istanbul Erenk\u00f6y Mental Health and Neurological Diseases Training and Research Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1192-3519","authenticated-orcid":false,"given":"Cemre","family":"Yasoz","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry Istanbul Erenk\u00f6y Mental Health and Neurological Diseases Training and Research Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3179-9823","authenticated-orcid":false,"given":"Irem","family":"Yildirim","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry Istanbul Erenk\u00f6y Mental Health and Neurological Diseases Training and Research Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9057-9017","authenticated-orcid":false,"given":"Ibrahim","family":"Adak","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry Istanbul Erenk\u00f6y Mental Health and Neurological Diseases Training and Research Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,9]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2015.07.004"},{"key":"e_1_2_7_3_1","first-page":"297","article-title":"Emergency physician referrals to the pediatric crisis clinic: Reasons for referral, diagnosis and disposition","volume":"19","author":"Lee J","year":"2010","journal-title":"J. Can. Acad. Child Adolesc. Psychiatry"},{"key":"e_1_2_7_4_1","first-page":"82","article-title":"Trends and predictors of repeat mental health visits to a pediatric emergency department in Hamilton, Ontario","volume":"28","author":"Rosic T","year":"2019","journal-title":"J. Can. Acad. Child Adolesc. Psychiatry"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chc.2014.09.003"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732317746382"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2017.03.032"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/070674379103601009"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbv167"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2015.03.021"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2022.103103"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics13030430"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10648-008-9078-3"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2016-0120"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/13811118.2013.801807"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000002010"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0924-977X(03)00109-3"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.24869\/psyd.2021.18"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2850.2011.01713.x"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-017-1347-6"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/phar.1453"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2022.4885"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2022-056667"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.161.11.2108"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2008.22.4.353"},{"volume-title":"Borderline Personality Disorder: Treatment and Management","year":"2009","author":"National Collaborating Centre for Mental Health (UK)","key":"e_1_2_7_26_1"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm8030333"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201400097"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)61422-5"},{"key":"e_1_2_7_30_1","first-page":"213","volume-title":"Alternatives to the Hospital for Acute Psychiatric Treatment","author":"Bennett R","year":"1995"}],"container-title":["Journal of Paediatrics and Child Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.16688","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T12:55:56Z","timestamp":1733316956000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpc.16688"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,9]]},"references-count":29,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1111\/jpc.16688"],"URL":"https:\/\/doi.org\/10.1111\/jpc.16688","archive":["Portico"],"relation":{},"ISSN":["1034-4810","1440-1754"],"issn-type":[{"type":"print","value":"1034-4810"},{"type":"electronic","value":"1440-1754"}],"subject":[],"published":{"date-parts":[[2024,10,9]]},"assertion":[{"value":"2024-07-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}