Citation

Santillanes G, Gerson RS. Psychiatr. Clin. North Am. 2017; 40(3): 463-473.

Affiliation

Bellevue Hospital Children's Comprehensive Psychiatric Emergency Program, Department of Child and Adolescent Psychiatry, New York University School of Medicine, 462 1st Avenue, New York, NY 10016, USA.

Copyright

(Copyright © 2017, Elsevier Publishing)

DOI

10.1016/j.psc.2017.05.009

PMID

28800802

Abstract

Youth with psychiatric and behavioral complaints commonly present to emergency departments (EDs), which often lack dedicated mental health staff. This article addresses techniques EDs can use to better care for children in need of psychiatric assessment and medical clearance, specifically addressing the evaluation of youth with suicidal ideation and coexisting medical and psychiatric needs. The evaluation and management of youth with agitation and aggression are also discussed. The article concludes with a discussion of systems changes needed to truly improve emergency care for psychiatrically ill youth.

Copyright © 2017. Published by Elsevier Inc.

Language: en

Keywords

Aggression; Agitation; Pediatric behavioral health; Pediatric mental health; Pediatric psychiatry; Psychiatric emergency; Suicidal ideation