Managing bipolar youths in a psychiatric inpatient emergency service.

Child Psychiatry and Human Development
Gabriele MasiFilippo Muratori

Abstract

Among the youths referred to our Psychiatric Inpatient Emergency Service, we focused on bipolar disorder (BD), to explore predictive elements for the outcome. Fifty-one patients (30 males, 21 females, age range 8-18 years, mean age 14.2 ± 3.1 years) received a diagnosis of BD, according to historical information, prolonged observations, and a structured clinical interview (K-SADS-PL). Twenty-seven patients (52.9%) were responders at the end of hospitalization according to CGI-I 1 or 2 and 50% decrease of both Brief Psychiatric Rating Scale (BPRS) and Young Mania Rating Scale (YMRS). Responders received a longer hospitalization. Non responders were more severe at baseline, had higher scores at BPRS (namely positive symptoms), and were more aggressive. Environmental/social stressors and comorbidities were frequent, but they did not affect the outcome. In summary, BD in emergency settings may represent a subtype with clinical and therapeutic peculiarities, and specific challenges for mental health services.

References

Nov 1, 1978·The British Journal of Psychiatry : the Journal of Mental Science·R C YoungD A Meyer
Sep 1, 1988·The Journal of Nervous and Mental Disease·S R KayL M Murrill
Nov 1, 1983·Archives of General Psychiatry·D ShafferS Aluwahlia
Jun 1, 1994·Hospital & Community Psychiatry·J R Hillard
Sep 1, 1996·Journal of the American Academy of Child and Adolescent Psychiatry·B S PetersonM Lewis
Jun 1, 2000·The Psychiatric Quarterly·R E BreslowK C Cavanaugh
Oct 16, 2003·Journal of the American Academy of Child and Adolescent Psychiatry·Gail A EdelsohnAngelo Melendez
Mar 12, 2004·Journal of Affective Disorders·Gabriele MasiHagop S Akiskal
Sep 22, 2007·Journal of the American Academy of Child and Adolescent Psychiatry·Gabriele MasiCristina Toni

❮ Previous
Next ❯

Citations

Jul 12, 2012·Development and Psychopathology·Mandi L BurnetteShayne N Ragbeer

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bipolar Disorder

Bipolar disorder is characterized by manic and/or depressive episodes and associated with uncommon shifts in mood, activity levels, and energy. Discover the latest research this illness here.