Evaluation of Psychiatric Consultations Requested for Inpatient Children and Adolescents in a Training and Research Hospital Bir Eğitim Araştırma Hastanesinde Yatarak Tedavi Gören Çocuk ve Ergenler için İstenen Psikiyatri Konsültasyonlarının Değerlendirilmesi

Özek Erkuran H., Önen Ö.

Turkish Journal of Child and Adolescent Mental Health, cilt.29, sa.3, ss.204-209, 2022 (Scopus, TRDizin)

Özet

Objectives: In this study, it was aimed to evaluate the characteristics of psychiatric consultations requested for one year from inpatients in a training and research hospital. Materials and Methods: The records of hospitalized children between January 01, 2020, and January 01, 2021, were evaluated through retrospective file scanning. Results of psychiatric diagnosis, treatment, and demographic data were determined. Results: Child psychiatry consultation was requested from 2.2% of the children who received inpatient treatment in a year. 55.7% of the cases were female, and 44.3% were male. The most common reason for requesting consultation was the request for psychological evaluation of the cases at a rate of 22.9%, followed by agitation and differential diagnosis/diagnosis confusion with an equal rate of 11.9%. The department that requested consultation most frequently was the emergency department, with 26.3%. The most common reason for requesting a consultation from the emergency department was suicide attempts, with a rate of 38.2%. In 84.8% of the cases, a psychiatric diagnosis was determined, and psychotropic medication was initiated in 43.8%. The most frequently recommended drug group was antidepressants with 45.3%. 32% of all cases were followed up by a child and adolescent psychiatry clinic before the evaluation, and it was observed that outpatient follow-up was recommended for 75.8% of them after discharge. Conclusion: It is thought that the cooperation of the members of the CLP team, who plan the assistance for the child who is hospitalized and family, is vital in preventing mental complaints that may occur in possible recurrent hospitalizations.