Full-time hospitalization in child and adolescent psychiatry: an overlook of the Tunisian situation

Introduction Admissions in a child psychiatry unit can be voluntary or unvoluntary in some cases when the patient meets specific criteria. Objectives The aim of our study was to assess the frequency and trend over time of admissions of minors in the child psychiatry department in Razi Hospital betw...

Full description

Bibliographic Details
Main Authors: L. Sahli, Z. Abbes, S. Halayem, A. Bouden
Format: Article
Language:English
Published: Cambridge University Press 2023-03-01
Series:European Psychiatry
Online Access:https://www.cambridge.org/core/product/identifier/S0924933823004790/type/journal_article
_version_ 1797617266034999296
author L. Sahli
Z. Abbes
S. Halayem
A. Bouden
author_facet L. Sahli
Z. Abbes
S. Halayem
A. Bouden
author_sort L. Sahli
collection DOAJ
description Introduction Admissions in a child psychiatry unit can be voluntary or unvoluntary in some cases when the patient meets specific criteria. Objectives The aim of our study was to assess the frequency and trend over time of admissions of minors in the child psychiatry department in Razi Hospital between 2011 and 2019, and to examine the psychiatric diagnoses in involuntary admissions of minors. Methods We conducted a retrospective study of medical records of inpatients admitted to the hospitalization unit of the child psychiatry department in Razi Hospital in Tunisia between 2011 and 2019. Results Over the nine years, the total number of hospitalizations was 924. There is a slight female predominance over the total number of hospitalizations (sex ratio = 0.85). There was no consistent and significant change in the number of hospitalizations between 2011 and 2019. A growing increase in the number of compulsory hospitalizations was noted. From 2011 to 2019, the number of compulsory admissions increased from 03 in 2011 to 22 in 2019. Regarding compulsory hospitalizations, admission requests came from child protection delegates, public prosecutors or family judges. Conduct disorder was found in 33.3% of the cases followed by a normal psychiatric examination in 11.8% of the cases. Mood disorders were found in 9.8% of the cases. Conclusions Our study shows the explosion in the number of compulsory hospitalizations despite a relatively stable total number of hospitalizations. More comprehensive guidance for legal authorities is needed regarding the compulsory admission of minors. Disclosure of Interest None Declared
first_indexed 2024-03-11T07:53:22Z
format Article
id doaj.art-357ee0de35f743da85d71606e5c139ce
institution Directory Open Access Journal
issn 0924-9338
1778-3585
language English
last_indexed 2024-03-11T07:53:22Z
publishDate 2023-03-01
publisher Cambridge University Press
record_format Article
series European Psychiatry
spelling doaj.art-357ee0de35f743da85d71606e5c139ce2023-11-17T05:06:19ZengCambridge University PressEuropean Psychiatry0924-93381778-35852023-03-0166S204S20410.1192/j.eurpsy.2023.479Full-time hospitalization in child and adolescent psychiatry: an overlook of the Tunisian situationL. Sahli0Z. Abbes1S. Halayem2A. Bouden3child and adolescent Psychiatry, Razi Hospital, Manouba, Tunisiachild and adolescent Psychiatry, Razi Hospital, Manouba, Tunisiachild and adolescent Psychiatry, Razi Hospital, Manouba, Tunisiachild and adolescent Psychiatry, Razi Hospital, Manouba, Tunisia Introduction Admissions in a child psychiatry unit can be voluntary or unvoluntary in some cases when the patient meets specific criteria. Objectives The aim of our study was to assess the frequency and trend over time of admissions of minors in the child psychiatry department in Razi Hospital between 2011 and 2019, and to examine the psychiatric diagnoses in involuntary admissions of minors. Methods We conducted a retrospective study of medical records of inpatients admitted to the hospitalization unit of the child psychiatry department in Razi Hospital in Tunisia between 2011 and 2019. Results Over the nine years, the total number of hospitalizations was 924. There is a slight female predominance over the total number of hospitalizations (sex ratio = 0.85). There was no consistent and significant change in the number of hospitalizations between 2011 and 2019. A growing increase in the number of compulsory hospitalizations was noted. From 2011 to 2019, the number of compulsory admissions increased from 03 in 2011 to 22 in 2019. Regarding compulsory hospitalizations, admission requests came from child protection delegates, public prosecutors or family judges. Conduct disorder was found in 33.3% of the cases followed by a normal psychiatric examination in 11.8% of the cases. Mood disorders were found in 9.8% of the cases. Conclusions Our study shows the explosion in the number of compulsory hospitalizations despite a relatively stable total number of hospitalizations. More comprehensive guidance for legal authorities is needed regarding the compulsory admission of minors. Disclosure of Interest None Declaredhttps://www.cambridge.org/core/product/identifier/S0924933823004790/type/journal_article
spellingShingle L. Sahli
Z. Abbes
S. Halayem
A. Bouden
Full-time hospitalization in child and adolescent psychiatry: an overlook of the Tunisian situation
European Psychiatry
title Full-time hospitalization in child and adolescent psychiatry: an overlook of the Tunisian situation
title_full Full-time hospitalization in child and adolescent psychiatry: an overlook of the Tunisian situation
title_fullStr Full-time hospitalization in child and adolescent psychiatry: an overlook of the Tunisian situation
title_full_unstemmed Full-time hospitalization in child and adolescent psychiatry: an overlook of the Tunisian situation
title_short Full-time hospitalization in child and adolescent psychiatry: an overlook of the Tunisian situation
title_sort full time hospitalization in child and adolescent psychiatry an overlook of the tunisian situation
url https://www.cambridge.org/core/product/identifier/S0924933823004790/type/journal_article
work_keys_str_mv AT lsahli fulltimehospitalizationinchildandadolescentpsychiatryanoverlookofthetunisiansituation
AT zabbes fulltimehospitalizationinchildandadolescentpsychiatryanoverlookofthetunisiansituation
AT shalayem fulltimehospitalizationinchildandadolescentpsychiatryanoverlookofthetunisiansituation
AT abouden fulltimehospitalizationinchildandadolescentpsychiatryanoverlookofthetunisiansituation