Screening of Adolescent Mental Suffering (DESPERADOS)

SCREENING OF ADOLESCENT MENTAL SUFFERING CONSULTANT TO EMERGENCIES, MANAGEMENT AND Later MONITORING

The primary purpose is to estimate the prevalence of depression and subsyndromal states among adolescents 13 to 17 years consulting to hospital emergency rooms for any reason, for they are another way of tracking this suffering, as they host many troubled teens at once for health problems and accidents sometimes iterative, reflecting their risk behaviour.

Secondary purposes are to assess the feasibility and desirability of a post-emergency medical consultation for adolescents who scored high on a self-administered questionnaire, and to assess the impact of this approach by later monitoring.

Study Overview

• Status: Completed
• Conditions: Adolescent; Depression; Self-report Questionnaire
• Intervention / Treatment: Behavioral: consultation 10 days later

Detailed Description

This is a multicenter longitudinal survey in three emergency centers in Ile-de-France, with 2 periods of daily collection and comprehensive three weeks spread over one year, followed by a remote evaluation.

The project is as follows:

Phase A :

- Evaluation of the prevalence: systematic execution of self-administered questionnaire by all adolescents consulting, night and day in each center.

Phase B :

• For adolescents whose outcome questionnaire exceed 4, a post-emergency consultation will be proposed within 15 days.
• Telephone survey, 12 months after the passage of emergency every teenager who completed self-administered questionnaire and presenting himself to the post-emergency consultation. This survey will aim to assess the psychological status of adolescents and the impact of any specific treatment.

• Study Type: Interventional
• Enrollment (Actual): 346
• Phase: Not Applicable

Contacts and Locations

Study Locations

• France
  • Ile de France
    • Boulogne Billancourt, Ile de France, France, 92100
      • Department of paediatric emergencies, Ambroise Paré universitary hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 13 years to 17 years (Child)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Adolescents over the age of 13 to 17 years when passing emergency whatever the reason for consultation (surgical or medical, including attempted suicide or psychological problem)

Exclusion Criteria:

• Young people not reading French.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Diagnostic
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Other: screening of adolescent mental suffering. Management; screening of adolescent mental suffering consultant to emergencies. Management and later monitoring	Behavioral: consultation 10 days later; new depression screening

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Responses to Self-reported questionnaire on risk behaviors, somatic complaints by adolescents and parents	A self-questionnaire ADRS (Adolescent Depression Rating Scale) will be asked to all adolescents to complete. Also the other questions will be answered by them concenrning somatisations and risk behaviors. Parents respond in the same time a self questionnaire.	10 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Post-emergency consultation and reassessment of hetero-ADRS clinician questionnaire	Actual presence of adolescents suspected of depression at the post-emergency consultation and reassessment of their state using the hetero-ADRS-clinician questionnaire.	6 months

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Revaluation after one year	Revaluation after 1 year of the teenagers who come back to visit.	6 months

Collaborators and Investigators

• Sponsor: Assistance Publique - Hôpitaux de Paris
• Collaborators: Pfizer; Fondation de France
• Investigators: Principal Investigator: Chantal Stheneur, MD, Ambroise Paré university Hospital

Study record dates

Study Major Dates

• Study Start: February 1, 2010
• Primary Completion (Actual): December 1, 2011
• Study Completion (Actual): June 1, 2012

Study Registration Dates

• First Submitted: October 12, 2012
• First Submitted That Met QC Criteria: October 15, 2012
• First Posted (Estimate): October 16, 2012

Study Record Updates

• Last Update Posted (Estimate): April 4, 2016
• Last Update Submitted That Met QC Criteria: April 1, 2016
• Last Verified: January 1, 2010

More Information

Terms related to this study

• Keywords: Adolescent; Emergency; Follow-Up Studies; Depressive Disorder, Major/diagnosis; Attempted/prevention & control; Self-report questionnaire; emmergency department; parental perception
• Additional Relevant MeSH Terms: Behavioral Symptoms; Depression
• Other Study ID Numbers: P090103