@article{ref1,
title="Adolescents presenting with mental health crises",
journal="Irish medical journal",
year="2019",
author="Gadancheva, V. and Barry, H. and McNicholas, F.",
volume="112",
number="10",
pages="e1020-e1020",
abstract="Aims The aim of the study is to examine emergency mental health (MH) presentations and assessments of adolescents (16-18) presenting to a Dublin adult emergency department (ED). <br><br>METHODS Clinical data was collected on all patients over a 12 month period. <br><br>RESULTS Seventy seven adolescents presented, the majority out of hours (n=58, 75%) and with either self-harm (n=34, 44%) or suicidal ideation (n=28, 36%), where females significantly outnumbered males (89% vs 66%; p=.028). Other presentations included low mood, anxiety and behavioural problems, and following assessment from an adult mental health service team member, 55% (n=39) were given an Axis I psychiatric diagnosis. Almost all adolescents were discharged following assessment (n=68, 96%), the majority being referred on to Child and Adolescent Mental Health Service (CAMHS) (55, 78%). <br><br>CONCLUSION Crisis presentations to EDs often occur in adolescents with co-existing psychiatric disorders, and require skilled and therapeutic assessment. Knowledge of appropriate services for onward referral is essential, and highlight the importance of a close collaborative between adult EDs and CAMHS.<p /> <p>Language: en</p>",
language="en",
issn="0332-3102",
doi="",
url="http://dx.doi.org/"
}