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Child psychiatric emergencies: a research note.

M E Garralda

    Journal of Child Psychology and Psychiatry, and Allied Disciplines
    |April 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

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    Emergency referrals to child psychiatric clinics often indicate increased child depression, suicidal thoughts, and perceptual issues. Parents also reported higher depression rates and father-child relationship problems, suggesting a need for early intervention.

    Area of Science:

    • Child and Adolescent Psychiatry
    • Clinical Psychology
    • Mental Health Services Research

    Background:

    • Emergency referrals to child psychiatric services are common.
    • Understanding the characteristics of children referred emergently is crucial for timely intervention.

    Purpose of the Study:

    • To investigate the clinical and familial factors associated with emergency referrals in child psychiatric services.
    • To identify specific needs that may inform early intervention strategies.

    Main Methods:

    • A controlled study comparing emergency referral cases with a non-emergency group.
    • Assessment of child symptomatology (depression, suicidality, perceptual abnormalities) and parental mental health.
    • Evaluation of family dynamics, including father-child relationship and overall family dysfunction.

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    Main Results:

    • Emergency referrals showed significantly higher rates of depressive and suicidal symptoms and perceptual abnormalities.
    • A recent deterioration in the child's condition was more common in the emergency group.
    • Parents of emergency-referred children reported higher rates of depression and more father-child relationship problems.

    Conclusions:

    • Emergency referrals in child psychiatry are linked to specific, severe child symptomatology and parental distress.
    • Findings underscore the necessity for early, child-centered psychiatric intervention for a subset of pediatric mental health conditions.
    • While family dysfunction was not a significant factor, trends suggest increased contact with social agencies in emergency cases.