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Archives de pédiatrie
Volume 21, n° 6
pages 593-600 (juin 2014)
Doi : 10.1016/j.arcped.2014.03.007
Received : 25 July 2013 ;  accepted : 13 Mars 2014
Les urgences, un lieu de repérage des adolescents en difficulté
The emergency department: An appropriate place for identifying troubled teens
 

C. Stheneur a, c, M. Sznajder a, , h , C. Guyot d, S. Martin e, S. Nathanson e, S. Kerbourc’h a, S. Biscardi f, D. Delalande f, B. Chevallier a, g, M. Speranza b, c, i
a Service de pédiatrie, hôpital Ambroise-Paré, AP–HP, 9, avenue Charles-de-Gaulle, 92100 Boulogne, France 
b Service de pédopsychiatrie, centre hospitalier de Versailles, 78150 Le Chesnay, France 
c Inserm U669, université Paris-Sud and université Paris Descartes, 75679 Paris, France 
d Service des urgences, hôpital Ambroise-Paré, AP–HP, 92100 Boulogne, France 
e Service de pédiatrie, centre hospitalier de Versailles, 78150 Le Chesnay, France 
f Service de pédiatrie, centre hospitalier intercommunal de Créteil, 94000 Créteil, France 
g Université Versailles Saint-Quentin-en-Yvelines, 78000 Versailles, France 
h URC, hôpital Ambroise-Paré, 92100 Boulogne, France 
i EA 4047, université Versailles Saint-Quentin-en-Yvelines, 78000 Versailles, France 

Auteur correspondant.
Résumé
Objectifs

L’objectif principal était d’estimer la prévalence de la souffrance psychique chez les adolescents dans des services d’accueil des urgences (SAU) ; l’objectif secondaire était de mettre en évidence leurs principaux motifs de recours.

Méthode

Étude transversale multicentrique menée en 2010 dans trois SAU d’Île-de-France recevant des adolescents. Tous les adolescents ont rempli un questionnaire incluant l’Adolescent Depression Rating Scale (ADRS), questionnaire de dépistage de la dépression, et une série de questions relative aux somatisations et aux comportements à risque.

Résultats

L’étude a porté sur 346 adolescents, parmi lesquels 320 ont été entièrement analysés. Le score ADRS a été jugé normal (score<3) pour 70,6 % d’entre eux (n =226) ; 19,4 % des adolescents (n =62) présentaient des symptômes dépressifs modérés (3score<6) et 10 % des symptômes dépressifs sévères (score6) (n =32). Parmi eux, une majorité consultait pour un traumatisme et moins de 10 % pour des problèmes psychiatriques aigus. Le score ADRS était au moins égal à 3 chez 17 % de ceux consultant pour un motif non psychiatrique.

Conclusion

L’utilisation systématique d’un auto-questionnaire dans les services d’urgence pourrait permettre l’identification des adolescents présentant des symptômes dépressifs modérés ou graves.

The full text of this article is available in PDF format.
Summary
Objectives

The main objective of this study was to estimate the prevalence of psychological distress among adolescents seen in emergency departments, and the secondary objective was to highlight their main reasons for consulting.

Methods

Cross-sectional study in three multicenter emergency departments receiving adolescents in Île-de-France conducted in 2010. All adolescents completed a questionnaire including the ADRS (Adolescent Depression Rating Scale, a screening questionnaire for depression) and a series of questions relating to somatization and risk behaviors.

Results

The study included 346 adolescents, 320 of which were fully analyzed. The ADRS score was considered normal (score<3) for 70.6% of the sample (n =226), 19.4% of adolescents (n =62) had moderate depressive symptoms (3score<6), and 10.0% severe depressive symptoms (score6) (n =32). The majority of patients consulted for trauma and less than 10% for acute psychiatric problems; 17% of adolescents who came to the emergency department for a nonpsychiatric reason had an ADRS3, i.e., with mental distress.

Conclusion

The routine use of a self-administered questionnaire in the emergency services could identify adolescents with moderate to severe depressive symptoms.

The full text of this article is available in PDF format.


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