Abstract

Objective: Psychiatric disturbances seen in children or adolescents hospitalised for any medical reason is an important issue because of their effects on both the physical and psychiatric functioning of patients. Psychiatric consultations requested by the Ankara Pediatric & Pediatric Hematology Oncology Training and Research Hospital’s Clinics from the Child Psychiatry Department were examined retrospectively.Material and Methods: Records obtained between 15th May 2012 and 15th May 2013 were found and demographic data, clinic requesting the consultation, reasons for the consultation, medical diagnosis (if any), results of the psychiatric examination, and the data were analysed with the SPSS 17.0 programme.Results: A consultation was requested for a total of 391 children and adolescents among the 14.577 hospitalised cases (2.6%). The majority of the patients were girls (70.6%) and adolescents (80.6%), and the mean age was 14.1±3.9 years. Most patients 78.8%, (n=308) were from Ankara The most common reasons for the consultations were ‘suicide attempt (60.6%)’, ‘diagnostic confusion (11.0%)’, and ‘depressive

symptoms (6.6%). There was at least one psychiatric disorder in 57.3% of the patients. Major depressive episode (36.2%), anxiety

disorders (20.1%), and intellectual disabilities (13.3%) were most commonly diagnosed ones. One or more psychotropic agents, with the

most common one being fl uoxetine (12.3%), were recommended to 36.6% of the patients, and there were no difference between sexes

in terms of beginning psychotropic treatment.

Conclusion: Consultation rates were much lower than the expected rate of 27-66% except for suicide attempts. This could stem from the

diffi culty to recognise and consult psychiatric symptoms by physicians working in disciplines other than psychiatry. The majority of suicide

attempts among the case could be due to the obligation imposed by health directorships regarding the examination and follow-up of these

cases. At least one psychiatric disorder was diagnosed in just over half of patients so we believe most consultations for the hospitalised

children had been appropriately requested and this is promising for hospitalised children’s future.

Keywords: Depression, Hospitalisation, Suicide attempt, Follow-up

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How to cite

1.
Göker Z, Güney E, Dinç G, Üneri Ö. The Evaluation of the Psychiatric Consultations of Children and Adolescents Hospitalised in a Training and Research Hospital. Turk J Pediatr Dis [Internet]. 2014 Dec. 1 [cited 2025 May 25];8(1):17-24. Available from: https://turkjpediatrdis.org/article/view/256