Comparison of Outpatient and Inpatient Consultations Requested from Child and Adolescent Psychiatry

Mustafa Tolga Tunagür; Mutlu Muhammed Özbek; Selin Ayşe İpek Baş; Sevcan Karakoç; Hatice Aksu

doi:10.58600/eurjther2178

Authors

Mustafa Tolga Tunagür Department of Child and Adolescent Psychiatry, Faculty of Medicine, Sakarya University, Sakarya, Türkiye https://orcid.org/0000-0002-8418-4745
Mutlu Muhammed Özbek Department of Child and Adolescent Psychiatry, Faculty of Medicine, Yalova University, Yalova, Türkiye https://orcid.org/0000-0002-0928-2820
Selin Ayşe İpek Baş Private clinic, Antalya, Türkiye https://orcid.org/0000-0002-0862-6142
Sevcan Karakoç Department of Psychology, Faculty of Arts-Sciences, Doğuş University, İstanbul, Türkiye https://orcid.org/0000-0002-2778-9174
Hatice Aksu Department of Child and Adolescent Psychiatry, Faculty of Medicine, Izmir Tınaztepe University, İzmir, Türkiye https://orcid.org/0000-0001-6882-1129

DOI:

https://doi.org/10.58600/eurjther2178

Keywords:

Consultation, child, adolescent, psychiatry, inpatients, outpatients

Abstract

Objective: This study aims to examine the sociodemographic and clinical characteristics of child and adolescent psychiatry consultations and to compare characteristics of outpatient and inpatient consultations.

Methods: A total of 354 patients who were consulted to child and adolescent psychiatry department of a university hospital were included in the study. Data were collected regarding sociodemographic characteristics of patients, departments requesting consultation, diagnoses, and treatment methods.

Results: The cases included in the study had a mean age of 10.6±4.8 years,with 51.4% being girls. Adolescent girls formed the majority of the inpatient group. The pediatric neurology outpatient clinic had the highest frequency of requested consultations (22.3%), and the most common reason for consultation was a suicide attempt (12.1%). Of the cases for which consultation was requested, 67.8% were diagnosed with at least one psychiatric disorder, and the most common diagnoses were anxiety disorders, with 12.7%. In the inpatient group, impulsive suicide attempts and depressive disorders were more frequent compared to the outpatient group, while intellectual disability was less common. Parent education was provided for 97.2% of the cases, pharmacological treatment was recommended for 44.6% of the cases, and the most commonly prescribed medications were selective serotonin reuptake inhibitors. Psychotherapy and special education were significantly more common in the outpatient group compared to the inpatient treatment group.

Conclusion: The current study revealed significant differences in consultations requested from child and adolescent psychiatry between the outpatient and inpatient groups regarding consultation reasons, diagnoses, and treatment modalities. The findings provide valuable information for clinical practice and service development.

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References

McBride KE, Solomon MJ, Lambert T, et al. (2021) Surgical experience for patients with serious mental illness: a qualitative study. BMC Psychiatry 21:47. https://doi.org/10.1186/s12888-021-03056-x

Becker JE, Smith JR, Hazen EP (2020) Pediatric Consultation-Liaison Psychiatry: An Update and Review. Psychosomatics 61:467-480. https://doi.org/10.1016/j.psym.2020.04.015

Eraslan AN, Aydın Görücü R, Yılmaz A (2021) Evaluation of Psychiatric Consultations Required for Child and Adolescent Patients Hospitalized in a Training and Research Hospital. Turkish Journal of Pediatric Disease 15:451-458. https://doi.org/10.12956/tchd.778921

Bujoreanu S, White MT, Gerber B, Ibeziako P (2015) Effect of timing of psychiatry consultation on length of pediatric hospitalization and hospital charges. Hospital Pediatrics 5:269-275. https://doi.org/10.1542/hpeds.2014-0079

Ersoy Şimşek EG, Eyüboğlu M, Eyüboğlu D (2019) Evaluation of Child and Adolescent Psychiatric Consultations in A University Hospital. Osmangazi Medical Journal 41:248-256. https://doi.org/10.20515/otd.480686

Alpaslan AH, Kocak U, Cobanoglu C, Gorucu Y (2015) Evaluation of Child and Adolescent Psychiatry Consultations in a University Hospital. New/Yeni Symposium 53:10-16. https://doi.org/10.5455/NYS.20151214020808

Yilgor A, Kurhan F (2024) Is Childhood Trauma a Risk Factor for Resistant Epilepsy? Journal of Interpersonal Violence 39:1228-1244. https://doi.org/10.1177/08862605231203964

Walg M, Avaliani T, Großmeier M, Hapfelmeier G (2021) Reasons for Outpatient Psychiatric Consultations of Unaccompanied Minor Refugees. Deutsches Arzteblatt International 118:597-598. https://doi.org/10.3238/arztebl.m2021.0177

Reinblatt SP, Coble K, Williams JL, Cotton AM, Bettencourt AF (2022) Characteristics of Primary Care Providers' Consultations With a Statewide Child Psychiatry Access Program Regarding Autism Spectrum Disorder. J Acad Consult Liaison Psychiatry 63:463-473. https://doi.org/10.1016/j.jaclp.2022.01.004

Gokler B, Unal F, Pehlivanturk B, et al. (2004) Reliability and Validity of Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version-Turkish Version (K-SADS-PL-T). Turk J Child Adolesc Ment Health 11:109-116

Chen H (2022) VennDiagram: Generate High-Resolution Venn and Euler Plots. R package version 1.7.3. https://CRAN.R-project.org/package=VennDiagram. Accessed Date Accessed 2022 Accessed

Team RC (2023) R: A Language and Environment for Statistical Computing. R Foundation for Statistical Computing, Vienna, Austria. https://www.R-project.org/. Accessed Date Accessed 2023 Accessed

Aktepe E, Kocaman O, Isik A, Eroglu F (2013) An Evaluation of the Child and Adolescent Psychiatry Consultation Services Requested in a University Hospital. TAF Preventive Medicine Bulletin 12:1. https://doi.org/10.5455/pmb.1-1355473983

Dikeç G, Baysan Arabacı L, Uzunoğlu G (2020) Bir Bölge Psikiyatri Hastanesi Çocuk ve Ergen Kliniğinde İstenen Konsültasyonların Değerlendirilmesi. Acibadem Universitesi Saglik Bilimleri Dergisi 11:418-422. https://doi.org/10.31067/0.2019.193

Topal Z, Karadağ M, Çalışgan B, et al. (2021) Characteristics of Child and Adolescent Psychiatry Consultations at a University Hospital and Accuracy Rates of Recognition of Childhood Psychiatric Diseases by Nonpsychiatry Specialists. Middle Black Sea Journal of Health Science 7:88-96. https://doi.org/10.19127/mbsjohs.881342

Özek Erkuran H, Önen Ö (2022) Evaluation of Psychiatric Consultations Requested for Inpatient Children and Adolescents in a Training and Research Hospital. Turkish Journal of Child and Adolescent Mental Health 29:204-209. https://doi.org/10.4274/tjcamh.galenos.2021.36450

Zimmerman M, Morgan TA, Stanton K (2018) The severity of psychiatric disorders. World Psychiatry 17:258-275. https://doi.org/10.1002/wps.20569

Bilginer Ç, Karadeniz S, Aydoğdu S, Bulut Şahin D (2021) Child Mental Health Services in Emergency Department of a University Hospital. Turkish Journal of Child and Adolescent Mental Health 28:12-19. https://doi.org/10.4274/tjcamh.galenos.2020.91300

Miranda-Mendizabal A, Castellví P, Parés-Badell O, et al. (2019) Gender differences in suicidal behavior in adolescents and young adults: systematic review and meta-analysis of longitudinal studies. International Journal of Public Health 64:265-283. https://doi.org/10.1007/s00038-018-1196-1

Çolpan M, Eray Ş, Vural P (2013) Evaluation of Consultations Requested from the Departments of Child and Adolescent Psychiatry of Uludağ University Hospital within the Previous Year. Güncel Pediatri 11:102-106. https://doi.org/10.4274/Jcp.11.63825

Göker Z, Güney E, Di̇nç G, Üneri̇ Ö (2014) The Evaluation of the Psychiatric Consultations of Children and Adolescents Hospitalised in a Training and Research Hospital. Turkish Journal of Pediatric Disease 8:17-24. https://doi.org/10.12956/tjpd.2014.39

Gokcen C, Celik YI (2011) The Evaluation Of Child And Adolescent Psychiatry Consultations from other Inpatient Clinics in a Training Hospital (The Evaluation Of Child And Adolescent Psychiatry Consultations from other Inpatient Clinics in a Training Hospital). Sakarya Medical Journal 1:140-144. https://doi.org/10.5505/sakaryamj.2011.25744

National Center for Education Statistics. Students With Disabilities. Condition of Education. U.S. Department of Education, Institute of Education Sciences (2023) https://nces.ed.gov/programs/coe/indicator/cgg/students-with-disabilities

Kılıç B, Uslu R, Ayla A (2007) A Preliminary Evaluation of Consultation-Liaison Psychiatry Services For Children at A University Hospital: Lessons Learned to Enhance Efficacy. Yeni Symposium 45:163-169. https://neuropsychiatricinvestigation.org/en/a-preliminary-evaluation-of-consultation-liaison-psychiatry-services-for-children-at-a-university-hospital-lessons-learned-to-enhance-efficacy-13227.