Child and Adolescent Emergency Psychiatry: A Review of Recent Developments

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• 作者：John S. Rozel
• 关键词：Child and adolescent behavioral emergencies ; Firearms access ; Bullying ; Suicide screening ; Medical clearance
• 刊名：Current Emergency and Hospital Medicine Reports
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：3
• 期：4
• 页码：202-208
• 全文大小：405 KB
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• 作者单位：John S. Rozel (1) (2)
  
  1. re:solve Crisis Network of Western Psychiatric Institute and Clinic, 333聽N Braddock Ave, Pittsburgh, PA, 15208, USA
  2. Department of Psychiatry, University of Pittsburgh School of Medicine, 3811 O鈥橦ara St., Pittsburgh, PA, 15213, USA
  
• 刊物主题：Emergency Medicine;
• 出版者：Springer US
• ISSN：2167-4884

文摘

Child and adolescent emergency psychiatry is an important but often isolated field. Borrowing from or integrating with emergency psychiatry, emergency medicine, and pediatric emergency medicine, this field has struggled to develop a robust research agenda. Despite these challenges, the past several years have seen many significant developments. Paralleling adult research, extensive medical screening and clearance for children and adolescents is now shown to be unproductive. Bullying, especially online bullying, and targeting of sexual minority youth are increasingly recognized as a risk for suicide and amenable to assessment in the emergency setting. Research continues to point to firearm access as a major risk factor for suicide despite unusual legal challenges in assessing for access. Finally, while dedicated pediatric psychiatric emergency services remain a gold standard, new alternatives are being identified to provide access to specialized expertise for other settings. Keywords Child and adolescent behavioral emergencies Firearms access Bullying Suicide screening Medical clearance