{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T04:57:16Z","timestamp":1790571436297,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:00:00Z","timestamp":1784246400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:00:00Z","timestamp":1784246400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT1179137"],"award-info":[{"award-number":["GNT1179137"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT1058560"],"award-info":[{"award-number":["GNT1058560"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT2017605"],"award-info":[{"award-number":["GNT2017605"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT2017498"],"award-info":[{"award-number":["GNT2017498"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT 2005279"],"award-info":[{"award-number":["GNT 2005279"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To describe the epidemiological characteristics of children and young people presenting to the emergency department (ED) with acute severe behavioural disturbance (ASBD) who were deemed to require oral sedative medication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Secondary analysis of a randomised controlled open\u2010label multi\u2010centre trial of oral olanzapine versus oral diazepam for the management of ASBD in children and young people aged nine to 17\u2009years for whom epidemiological data were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 348 participants enrolled in the randomised controlled trial (RCT). The majority were female (215\/348, 62%) with a mean age of 14.6\u2009years (standard deviation 2.2). The most common pre\u2010existing medical or mental health condition was anxiety (122\/299, 35%) followed by attention deficit hyperactivity disorder and autism spectrum disorder (33% and 32%, respectively). Two\u2010thirds of the study population (216\/348, 62%) had previously attended the ED for ASBD management and 61% (212\/348) reported previous intentional self\u2010harm. Nearly three\u2010quarters (247\/348, 71%) were accessing psychiatric care in the community prior to their ED presentation. Half of the study population (178\/348, 52%) presented to the ED with emergency services (e.g., ambulance, police). The median length of stay in the ED was 5.7\u2009h (interquartile range 3.9\u201310.2\u2009h) and 28% (98\/348) of study participants required admission to hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>For children and young people presenting to the ED with ASBD who were deemed to require oral sedative medication to assist with behavioural containment, pre\u2010existing mental health disorders were common. There is a need for focussed management procedures for more targeted, trauma\u2010focussed care for children and young people presenting to the ED with ASBD and for support and education in the pre\u2010hospital setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>The primary study (PEAChY\u2010O) was registered with the Australian and New Zealand Clinical Trials Registry (ANZCTR) (ACTRN12621001236886) prior to commencement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpc.70499","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T10:08:18Z","timestamp":1784282898000},"page":"1630-1641","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Epidemiology of Children and Young People Presenting to Australian Emergency Departments for the Management of Acute Severe Behavioural Disturbance: Secondary Analysis of a Randomised Controlled Trial"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5617-0955","authenticated-orcid":false,"given":"Elyssia M.","family":"Bourke","sequence":"first","affiliation":[{"name":"Emergency Research Group, Clinical Sciences Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Department of Emergency Medicine The Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of Critical Care The University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Emergency Medicine The Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6141-2318","authenticated-orcid":false,"given":"Kate","family":"Klein","sequence":"additional","affiliation":[{"name":"Emergency Research Group, Clinical Sciences Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Department of Emergency Medicine The Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of Critical Care The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1277-5538","authenticated-orcid":false,"given":"Chris J.","family":"Selman","sequence":"additional","affiliation":[{"name":"Department of Critical Care The University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"},{"name":"Clinical Epidemiology and Biostatistics Unit Murdoch Children's Research Institute  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8334-0291","authenticated-orcid":false,"given":"Katherine J.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"},{"name":"Clinical Epidemiology and Biostatistics Unit Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Melbourne Children's Trial Centre Murdoch Children's Research Institute  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Kochar","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Women and Children's Hospital  Adelaide South Australia Australia"},{"name":"Department of Acute Care Medicine Adelaide University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Shellshear","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Queensland Children's Hospital  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5326-5008","authenticated-orcid":false,"given":"Meredith L.","family":"Borland","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Perth Children's Hospital  Perth Western Australia Australia"},{"name":"Division of Emergency Medicine and Paediatrics School of Medicine, University of Western Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shane","family":"George","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine and Children's Critical Care Gold Coast University Hospital  Southport Queensland Australia"},{"name":"School of Medicine and Dentistry Griffith University, Southport  Queensland Australia"},{"name":"Child Health Research Centre The University of Queensland  South Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shefali","family":"Jani","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine The Children's Hospital at Westmead  Sydney New South Wales Australia"},{"name":"The Children's Hospital at Westmead Clinical School the University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doris","family":"Tham","sequence":"additional","affiliation":[{"name":"Emergency Research Group, Clinical Sciences Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Department of Emergency Medicine The Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of Emergency Medicine Western Health (Sunshine Hospital)  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Gordon","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Monash Medical Centre  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chidambaram","family":"Prakash","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Royal Children's Centre  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7050-7419","authenticated-orcid":false,"given":"Andrew","family":"Davidson","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology and Biostatistics Unit Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Department of Anaesthesia Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine L.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Emergency Research Group, Clinical Sciences Murdoch Children's Research Institute  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Phillips","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Queensland Children's Hospital  Brisbane Queensland Australia"},{"name":"Department of Emergency Medicine and Children's Critical Care Gold Coast University Hospital  Southport Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaby","family":"Nieva","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Women and Children's Hospital  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1503-0440","authenticated-orcid":false,"given":"Jonathan C.","family":"Knott","sequence":"additional","affiliation":[{"name":"Department of Critical Care The University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Emergency Medicine The Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franz E.","family":"Babl","sequence":"additional","affiliation":[{"name":"Emergency Research Group, Clinical Sciences Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Department of Emergency Medicine The Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of Critical Care The University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2594-1643","authenticated-orcid":false,"given":"Simon 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