Child Psychiatric Emergencies: Updates on Trends, Clinical Care, and Practice Challenges

• Published in: Current psychiatry reports Vol. 18; no. 4; p. 41
• Main Authors: Carubia, Beau, Becker, Amy, Levine, B. Harrison
• Format: Journal Article
• Language: English
• Published: New York Springer US 01-04-2016; Springer Nature B.V
• Subjects: Aggression; Child; Child & adolescent psychiatry; Complex Medical-Psychiatric Issues (MB Riba; Delivery of Health Care - trends; Emergencies; Emergency medical care; Emergency Treatment; Humans; Medicine; Medicine & Public Health; Mental Disorders - diagnosis; Mental Disorders - therapy; Pediatrics; Psychiatry; Psychomotor Agitation - therapy; Section Editor; Topical Collection on Complex Medical-Psychiatric Issues; Agitation; Suicide; Psychiatric emergency; Pediatric; Chemical restraint
• ISSN: 1523-3812; 1535-1645
• DOI: 10.1007/s11920-016-0670-9

Over the past 15 years, the number of pediatric patients presenting to the emergency room in psychiatric crisis has nearly doubled. Suicidality and aggression are among the most common presenting problems, making it important for providers to have up-to-date knowledge about the assessment and management of these frequently encountered clinical issues. Psychometrically sound suicide risk assessment tools are available for use in the emergency room setting, which can be administered efficiently with minimal provider training. Rates of off-label medication use in the pediatric population continue to increase and are often used in the management of acute agitation in the pediatric population. The current literature will be reviewed and summarized for application in emergent treatment settings. Overall, evidence to inform best practice is limited, leading to opportunities for innovation in health care delivery, the development of new research aims, and discussion of challenging clinical dilemmas.