Conduct disorders are defined as "repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate norms are violated". So defined, these disorders are at the crossroads of psychiatry, social field and justice. Conduct disorder management is a public health issue and a societal question. Conduct disorders affect 5 to 9% of 15-year old boys.
Care management of children and adolescents admitted for disruptive behaviors in emergency rooms is an issue. No consensus or official recommendation exists. However, use of emergency care in this context is increasing in most western countries and it exposes to several risks (inappropriate use of hospitalizations, social rupture, ignorance of comorbidities and suicide risk). The Trajectories project is designed to describe children and adolescents with disruptive behaviors, their care management and to follow their life trajectory and psychiatric evolution after admission to emergency rooms. Better understanding this population will improve their medical and social care management, thereby giving professionals the right tools.
The main objective of this project is to implement a multidisciplinary and integrative research combining clinical considerations and social sciences to determine the "trajectory" of this population.
Children and adolescents less than 16 years old
Children and adolescents admitted to emergency rooms for aggressiveness, violence, fugue or theft
Children and adolescents admitted to emergency rooms for a reason not directly link with aggressiveness, violence, fugue or theft
Opposition to the subject or the family to participate to this research
Children and adolescents admitted to emergency rooms for conduct disorder (aggressiveness, violence, fugue or theft)
Cohort
Prospective
patients with conduct disorders
Other interventioninterview with a specialist
Number of new admissions to emergency rooms for aggressiveness, violence, fugue or theft
Six months follow-up of these children and adolescents in their future trajectory after the first admission to emergency room for disruptive behavior
Age of the children and adolescents admitted to emergency rooms for aggressiveness, violence, fugue or theft
mean age
Gender of the children and adolescents admitted to emergency rooms for aggressiveness, violence, fugue or theft
Number of children and adolescents precisely diagnosed with " behavior/conduct disorder
Number of hospitalization
following the admission
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