Clinical and Social Trajectories of Children and Adolescents With Disruptive Behavior

Disruptive Behavior Disorder Clinical Trial

— TRAJECTORIES  

Official title:

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

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT02812537
• Other study ID #: 69HCL16_0136
• Status: Recruiting
• Start date: May 20, 2019
• Est. completion date: May 2028

Study information

• Verified date: May 2023
• Source: Hospices Civils de Lyon
• Contact: Yannis Gansel, MD
• Phone: 472129562
• Email: yannis.gansel[@]chu-lyon.fr
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 500
• Est. completion date: May 2028
• Est. primary completion date: May 2028
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A to 16 Years

Eligibility

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

Related Conditions & MeSH terms

• Attention Deficit and Disruptive Behavior Disorders
• Disruptive Behavior Disorder
• Mental Disorders
• Problem Behavior

Intervention

Other:
• patients with conduct disorders
interview with a specialist

Locations

Country	Name	City	State
France	Hospices Civils de Lyon	Bron

Sponsors (1)

Lead Sponsor	Collaborator
Hospices Civils de Lyon

Country where clinical trial is conducted

France, 

Outcome

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