Clinical and sociodemographic characteristics of children and adolescents under health measure

Öz

Purpose: The aim of this study was to retrospectively examine the reasons for the health measures applied to children and adolescents who applied to the Child and Adolescent Psychiatry Outpatient Clinic, whether additional measures were applied, sociodemographic characteristics, diagnoses and treatments.
Materials and methods: The files of 150 children and adolescents who applied to the outpatient clinic with a health measure decision between 01.01.2023 and 31.12.2024 were retrospectively reviewed.
Results: The most common diagnosis was depressive disorder (35%), and antipsychotics (44%) and antidepressants (35%) were the most commonly used treatments. Sexual abuse was significantly higher in females and being a child dragged into crime was significantly higher in males (p=0.002). Substance abuse was significantly higher in children who did not continue their education (p=0.022). The diagnosis of ADHD and conduct disorder was significantly higher in males and depressive disorder was significantly higher in females (p<0.001; p=0.005; p<0.001). Intellectual disability was found to be significantly higher in children dragged into crime (p<0.001). A significant correlation was found between the diagnosis of anxiety disorder and regular outpatient follow-up, and substance use disorder and not attending regular follow-up (p=0.031; p=0.034).
Conclusion: The study has allowed us to evaluate the sociodemographic and clinical characteristics of cases with health measures and better understand the importance and impact of mental health support and follow-up for children. More comprehensive and longitudinal studies in this field are important for strengthening the child protection system.

Anahtar Kelimeler

• Health measure
• child protection law (CPL)
• child and adolescent psychiatry

Sağlık tedbiri ile izlenen çocuk ve ergenlerin klinik ve sosyodemografik özellikleri

Öz

Amaç: Bu çalışmanın amacı, Çocuk ve Ergen Psikiyatrisi Polikliniğine başvuran çocuk ve ergenlerde uygulanan sağlık tedbirlerinin nedenlerini, ek tedbir alınıp alınmadığını, olguların sosyodemografik özellikleri, tanıları ve tedavilerini retrospektif olarak incelemektir.
Gereç ve yöntem: 01.01.2023 ile 31.12.2024 tarihleri arasında sağlık tedbiri kararı ile polikliniğe başvuran 150 çocuk ve ergenin dosyaları retrospektif olarak incelenmiştir.
Bulgular: En yaygın tanı depresif bozukluktur (%35) ve en sık kullanılan tedavi antipsikotikler (%44) ve antidepresanlar (%35) olmuştur. Cinsel istismar, kadınlarda anlamlı derecede daha yüksek ve suça sürüklenen çocuk olma durumu erkeklerde anlamlı derecede daha yüksek bulunmuştur (p=0,002). Madde bağımlılığı, eğitimine devam etmeyen çocuklarda anlamlı derecede daha yüksek saptanmıştır (p=0,022). Dikkat eksikliği ve hiperaktivite bozukluğu ve davranış bozukluğu tanıları erkeklerde anlamlı derecede daha yüksek ve depresif bozukluk tanısı kadınlarda anlamlı derecede daha yüksek bulunmuştur (p<0,001; p=0,005; p<0,001). Entelektüel yetersizlik suça sürüklenen çocuklarda anlamlı derecede daha yüksek bulunmuştur (p<0,001). Anksiyete bozukluğu tanısı ile düzenli poliklinik takibi arasında anlamlı bir ilişki bulunurken, madde kullanımı bozukluğu ile düzenli takibe gelmeme arasında anlamlı bir ilişki bulunmuştur (p=0,031; p=0,034).

Sonuç: Çalışma, sağlık tedbiri bulunan olguların sosyodemografik ve klinik özelliklerini değerlendirmemize olanak sağlamış ve çocuklar için ruh sağlığı desteği ve takibinin önemini ve etkisini daha iyi anlamamıza yardımcı olmuştur. Bu alanda daha kapsamlı ve uzun dönemli çalışmalar, çocuk koruma sistemini güçlendirmek için önemlidir.

Anahtar Kelimeler

• Sağlık tedbiri
• çocuk koruma kanunu (ÇKK)
• çocuk ve ergen psikiyatri

Kaynakça

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