[How to identify the psychologically endangered adolescents in an emergency unit]

First aid is the most frequent way of contact of adolescents with the hospital. For many of them, the apparent reason of first aid request is only a part of larger care needs including medical, psychological and sociofamilial aspects which are frequently overlooked in the context of overcharged work of emergency units. In this paper we present a protocol aiming to identify psychologically endangered adolescents among those seen in the emergency unit of the Hôtel-Dieu hospital in Paris. The protocol is based upon a questionnary filled by the adolescents. According to the response score to this questionnary the practitioner in charge of the adolescent may be alerted, and, besides the medical or surgical first aid, may orientate the adolescent toward a management by a youth specialized team.