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Adolescent psychiatric emergencies

D C Renshaw

    American Family Physician
    |March 1, 1977
    PubMed
    Summary

    This study outlines initial assessment strategies for adolescents in psychiatric crisis, emphasizing direct evaluation and addressing sensitive topics like suicide and psychosis. Parental involvement and specific therapies are crucial for managing emergencies.

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    Area of Science:

    • Child and Adolescent Psychiatry
    • Emergency Psychiatry
    • Mental Health Crisis Management

    Background:

    • Adolescents present unique challenges in psychiatric crises.
    • Observer bias can impact initial assessments.
    • Certain behaviors require immediate and specialized attention.

    Purpose of the Study:

    • To provide guidance on the initial assessment of adolescents in psychiatric crisis.
    • To highlight key areas of concern and effective management strategies.
    • To inform clinical practice regarding emergency psychiatric situations in youth.

    Main Methods:

    • Clinical observation and assessment protocols.
    • Review of emergency psychiatric case management.
    • Emphasis on direct patient evaluation to minimize bias.

    Main Results:

    • Initial assessment should be conducted with the adolescent alone.
    • Directly addressing emotionally charged topics is necessary.
    • Specific conditions like suicidal/homicidal threats, fire-setting, sexual emergencies, bizarre behavior, and school phobia require tailored approaches.

    Conclusions:

    • A structured, direct approach to adolescent psychiatric crises is essential.
    • Parental collaboration is vital for successful treatment outcomes.
    • Recognizing and managing specific emergency presentations improves patient care.

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