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Curr Psychiatry Rep. 2016 Apr;18(4):41. doi: 10.1007/s11920-016-0670-9.

Child Psychiatric Emergencies: Updates on Trends, Clinical Care, and Practice Challenges.

Author information

1
Department of Psychiatry, University of Colorado, Aurora, CO, USA. Beau.carubia@childrenscolorado.org.
2
B. Harrison Levine, MD, Inc., Denver, CO, USA. Beau.carubia@childrenscolorado.org.
3
Department of Psychiatry, University of Colorado, Aurora, CO, USA.
4
Psychiatric Emergency Service, Children's Hospital Colorado, Aurora, CO, USA.
5
B. Harrison Levine, MD, Inc., Denver, CO, USA.

Abstract

Over the past 15 years, the number of pediatric patients presenting to the emergency room in psychiatric crisis has nearly doubled. Suicidality and aggression are among the most common presenting problems, making it important for providers to have up-to-date knowledge about the assessment and management of these frequently encountered clinical issues. Psychometrically sound suicide risk assessment tools are available for use in the emergency room setting, which can be administered efficiently with minimal provider training. Rates of off-label medication use in the pediatric population continue to increase and are often used in the management of acute agitation in the pediatric population. The current literature will be reviewed and summarized for application in emergent treatment settings. Overall, evidence to inform best practice is limited, leading to opportunities for innovation in health care delivery, the development of new research aims, and discussion of challenging clinical dilemmas.

KEYWORDS:

Agitation; Chemical restraint; Pediatric; Psychiatric emergency; Suicide

PMID:
26932516
DOI:
10.1007/s11920-016-0670-9
[Indexed for MEDLINE]

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