Clinical and Social Trajectory of Children and Adolescents With Disruptive Behavior (TRAJECTORY)

Clinical Trajectory of Children and Adolescents With Disruptive Behavior Admitted to Pediatric and Psychiatric Emergencies.

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: Unknown
• Conditions: Disruptive Behavior
• Intervention / Treatment: Other: Phone call or physical consultation

• Study Type: Interventional
• Enrollment (Anticipated): 300
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Yannis GANSEL, MD; Phone Number: +33 4.72.12.95.62; Email: yannis.gansel@chu-lyon.fr
• Study Contact Backup: Name: Sonia GALETTI, CRA; Phone Number: +33 427857739; Email: sonia.galetti@chu-lyon.fr

Study Locations

• France
  • Lyon/bron, France, 69500
    • Recruiting
    • Hospices Civils de Lyon
    • Contact: Yannis GANSEL, MD; Phone Number: +33 4.72.12.95.62; Email: yannis.gansel@chu-lyon.fr
    • Contact: Sonia GALLETTI, CRA; Phone Number: +33 427857739; Email: sonia.galletti@chu-lyon.fr

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 8 years to 18 years (Child, Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• 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?

Design Details

• Primary Purpose: Supportive Care
• 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: Children and adolescents with conduct disorders; Girls and boys having less than 18 years old and admitted to emergency room for aggressiveness, violence, fugue or theft.	Other: Phone call or physical consultation

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Description of the children and adolescents admitted to emergency rooms for aggressiveness, violence, fugue or theft.	This study is intended to characterized the population of children and adolescents admitted to emergency rooms for disruptive behavior	At inclusion

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Nature and type of the care management provided to children and adolescents admitted to emergency rooms for disruptive behavior	Type of care management (hospitalization, reason of admission, type of caregiver at the admission, perception of the care management…)	At inclusion
description of patients' perceptions of the care management	the patients' perceptions of the care management will be evaluated by the Score at the rating scale (1 to 10) evaluating perceptions support to emergencies.	at inclusion
description of patients' perceptions of the care management	the patients' perceptions of the care management will be evaluated by the Score at the rating scale (1 to 10) evaluating perceptions support to emergencies.	6 months
description of patients' perceptions of the care management	the patients' perceptions of the care management will be evaluated by the Score at the rating scale (1 to 10) evaluating perceptions support to emergencies.	12 months
description of patients' perceptions of the care management	the patients' perceptions of the care management will be evaluated by the Score at the rating scale (1 to 10) evaluating perceptions support to emergencies.	24 months
Identification of patients'psychiatric underlying disorders	The patients'psychiatric underlying disorders will be evaluated by Psychiatric diagnosis : criteria of ICD (International Classification of Diseases) 10	At 6 months
Social and clinical evolution after the initial admission to emergency room	The social evolution will be evaluated by social rupture, exclusion, penal measure and the clinical evolution will be evaluated by suicide attempt, disruptive behavior recurrence….	6 months
Social and clinical evolution after the initial admission to emergency room	The social evolution will be evaluated by social rupture, exclusion, penal measure and the clinical evolution will be evaluated by suicide attempt, disruptive behavior recurrence….	12 months
Social and clinical evolution after the initial admission to emergency room	The social evolution will be evaluated by social rupture, exclusion, penal measure and the clinical evolution will be evaluated by suicide attempt, disruptive behavior recurrence….	24 months

Collaborators and Investigators

• Sponsor: Hospices Civils de Lyon

Study record dates

Study Major Dates

• Study Start: May 1, 2014
• Primary Completion (Anticipated): December 1, 2016
• Study Completion (Anticipated): December 1, 2016

Study Registration Dates

• First Submitted: July 7, 2016
• First Submitted That Met QC Criteria: July 7, 2016
• First Posted (Estimate): July 12, 2016

Study Record Updates

• Last Update Posted (Estimate): July 12, 2016
• Last Update Submitted That Met QC Criteria: July 7, 2016
• Last Verified: July 1, 2016

More Information

Terms related to this study

• Keywords: Conduct disorder; Care management; Emergency room; Trajectory
• Additional Relevant MeSH Terms: Behavioral Symptoms; Problem Behavior
• Other Study ID Numbers: 69HCL16_0432

Plan for Individual participant data (IPD)

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