TRAJECTORIES: Clinical and Social Trajectories of Children and Adolescents With Disruptive Behavior

Sponsor

Hospices Civils de Lyon (Other)

Overall Status

Recruiting

CT.gov ID

NCT02812537

Collaborator

(none)

500

Enrollment

Location

47.4

Anticipated Duration (Months)

10.6

Patients Per Site Per Month

Study Details

Study Description

Brief 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.

Condition or Disease	Intervention/Treatment	Phase
Disruptive Behavior Disorder	Other: patients with conduct disorders

Study Design

Study Type:

Observational

Anticipated Enrollment :

500 participants

Observational Model:

Cohort

Time Perspective:

Prospective

Official Title:

Clinical and Social Trajectories of Children and Adolescents With Disruptive Behavior: Multidisciplinary Approach of Pediatric and Psychiatric Emergencies in the Rhône-Alpes Auvergne Region

Actual Study Start Date :

May 20, 2019

Anticipated Primary Completion Date :

May 1, 2023

Anticipated Study Completion Date :

May 1, 2023

Arms and Interventions

Arm	Intervention/Treatment
patients with conduct disorders Girls and boys having less than 16 years old and admitted to emergency room for aggressiveness, violence, fugue or theft.	Other: patients with conduct disorders interview with a specialist

Arm

Intervention/Treatment

patients with conduct disorders

Girls and boys having less than 16 years old and admitted to emergency room for aggressiveness, violence, fugue or theft.

Other: patients with conduct disorders

interview with a specialist

Outcome Measures

Primary Outcome Measures

Number of new admissions to emergency rooms for aggressiveness, violence, fugue or theft [6 months]
Six months follow-up of these children and adolescents in their future trajectory after the first admission to emergency room for disruptive behavior

Secondary Outcome Measures

Age of the children and adolescents admitted to emergency rooms for aggressiveness, violence, fugue or theft [Day 0]
mean age
Gender of the children and adolescents admitted to emergency rooms for aggressiveness, violence, fugue or theft [Day 0]
Number of children and adolescents precisely diagnosed with " behavior/conduct disorder [Day 0]
Number of hospitalization [Day 0]
following the admission
number of patients admitted to emergency rooms for aggressiveness [Day 0]
number of patients admitted to emergency rooms for violence [Day 0]
number of patients admitted to emergency rooms for fugue [Day 0]
number of patients admitted to emergency rooms for theft [Day 0]
number of suicide attempts [24 months]
number of patients with disruptive behavior recurrence [24 months]
evolution of the CBCL score [24 months]

Eligibility Criteria

Criteria

Ages Eligible for Study:

N/A to 16 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Children and adolescents less than 16 years old
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