Clinical and Social Trajectory of Children and Adolescents With Disruptive Behavior

Disruptive Behavior Clinical Trial

— TRAJECTORY  

Official title:

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

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT02828969
• Other study ID #: 69HCL16_0432
• Status: Recruiting
• Phase: N/A
• First received: July 7, 2016
• Last updated: July 7, 2016
• Start date: May 2014
• Est. completion date: December 2016

Study information

• Verified date: July 2016
• Source: Hospices Civils de Lyon
• Contact: Yannis GANSEL, MD
• Phone: 4.72.12.95.62
• Email: yannis.gansel[@]chu-lyon.fr
• Is FDA regulated: No
• Health authority: France: Comité consultatif sur le traitement de l'information en matière de recherche dans le domaine de la santéFrance: Commission nationale de l'informatique et des libertés
• Study type: Interventional

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: 300
• Est. completion date: December 2016
• Est. primary completion date: December 2016
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 8 Years to 18 Years

Eligibility

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 Design

Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Supportive Care

Related Conditions & MeSH terms

• Disruptive Behavior
• Problem Behavior

Intervention

Other:
• Phone call or physical consultation

Locations

Country	Name	City	State
France	Hospices Civils de Lyon	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	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	No
Secondary	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	No
Secondary	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	No
Secondary	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	No
Secondary	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	No
Secondary	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	No
Secondary	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	No
Secondary	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	No
Secondary	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	No
Secondary	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	No