Clinical and Social Trajectories of Children and Adolescents With Disruptive Behavior (TRAJECTORIES)

Clinical and Social Trajectories of Children and Adolescents With Disruptive Behavior: Multidisciplinary Approach of Pediatric and Psychiatric Emergencies in the Rhône-Alpes Auvergne Region

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.

Study Overview

• Status: Recruiting
• Conditions: Disruptive Behavior Disorder
• Intervention / Treatment: Other: patients with conduct disorders

• Study Type: Observational
• Enrollment (Estimated): 500

Contacts and Locations

• Study Contact: Name: Yannis Gansel, MD; Phone Number: +33 472129562; Email: yannis.gansel@chu-lyon.fr

Study Locations

• France
  • Bron, France, 69677
    • Recruiting
    • Hospices Civils de Lyon
    • Contact: Yannis Gansel, MD

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: No older than 16 years (Child)
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

Children and adolescents admitted to emergency rooms for conduct disorder (aggressiveness, violence, fugue or theft)

Description

Inclusion Criteria:

• Children and adolescents less than 16 years old
• Children and adolescents admitted to emergency rooms for aggressiveness, violence, fugue or theft

Exclusion Criteria:

• 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

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
patients with conduct disorders; Girls and boys having less than 16 years old and admitted to emergency room for aggressiveness, violence, fugue or theft.	Other: patients with conduct disorders; interview with a specialist

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
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	6 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Age of the children and adolescents admitted to emergency rooms for aggressiveness, violence, fugue or theft	mean age	Day 0
Gender of the children and adolescents admitted to emergency rooms for aggressiveness, violence, fugue or theft		Day 0
Number of children and adolescents precisely diagnosed with " behavior/conduct disorder		Day 0
Number of hospitalization	following the admission	Day 0
number of patients admitted to emergency rooms for aggressiveness		Day 0
number of patients admitted to emergency rooms for violence		Day 0
number of patients admitted to emergency rooms for fugue		Day 0
number of patients admitted to emergency rooms for theft		Day 0
number of suicide attempts		24 months
number of patients with disruptive behavior recurrence		24 months
evolution of the CBCL score		24 months

Collaborators and Investigators

• Sponsor: Hospices Civils de Lyon
• Investigators: Principal Investigator: Yannis Gansel, MD, Hospices Cicils de Lyon

Study record dates

Study Major Dates

• Study Start (Actual): May 20, 2019
• Primary Completion (Estimated): May 1, 2028
• Study Completion (Estimated): May 1, 2028

Study Registration Dates

• First Submitted: June 13, 2016
• First Submitted That Met QC Criteria: June 21, 2016
• First Posted (Estimated): June 24, 2016

Study Record Updates

• Last Update Posted (Actual): May 31, 2023
• Last Update Submitted That Met QC Criteria: May 30, 2023
• Last Verified: May 1, 2023

More Information

Terms related to this study

• Keywords: emergency room; conduct disorder; care management; Trajectories
• Additional Relevant MeSH Terms: Behavioral Symptoms; Neurodevelopmental Disorders; Problem Behavior; Mental Disorders; Attention Deficit and Disruptive Behavior Disorders
• Other Study ID Numbers: 69HCL16_0136

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO