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Clinical and Social Trajectory of Children and Adolescents With Disruptive Behavior (TRAJECTORY)

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ClinicalTrials.gov Identifier: NCT02828969
Recruitment Status : Unknown
Verified July 2016 by Hospices Civils de Lyon.
Recruitment status was:  Recruiting
First Posted : July 12, 2016
Last Update Posted : July 12, 2016
Sponsor:
Information provided by (Responsible Party):
Hospices Civils de Lyon

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 Other: Phone call or physical consultation Not Applicable

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 300 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: Clinical Trajectory of Children and Adolescents With Disruptive Behavior Admitted to Pediatric and Psychiatric Emergencies.
Study Start Date : May 2014
Estimated Primary Completion Date : December 2016
Estimated Study Completion Date : December 2016

Arm Intervention/treatment
Children and adolescents with conduct disorders
Girls and boys having less than 18 years old and admitted to emergency room for aggressiveness, violence, fugue or theft.
Other: Phone call or physical consultation



Primary Outcome Measures :
  1. Description of the children and adolescents admitted to emergency rooms for aggressiveness, violence, fugue or theft. [ Time Frame: At inclusion ]
    This study is intended to characterized the population of children and adolescents admitted to emergency rooms for disruptive behavior


Secondary Outcome Measures :
  1. Nature and type of the care management provided to children and adolescents admitted to emergency rooms for disruptive behavior [ Time Frame: At inclusion ]
    Type of care management (hospitalization, reason of admission, type of caregiver at the admission, perception of the care management…)

  2. description of patients' perceptions of the care management [ Time Frame: at inclusion ]
    the patients' perceptions of the care management will be evaluated by the Score at the rating scale (1 to 10) evaluating perceptions support to emergencies.

  3. description of patients' perceptions of the care management [ Time Frame: 6 months ]
    the patients' perceptions of the care management will be evaluated by the Score at the rating scale (1 to 10) evaluating perceptions support to emergencies.

  4. description of patients' perceptions of the care management [ Time Frame: 12 months ]
    the patients' perceptions of the care management will be evaluated by the Score at the rating scale (1 to 10) evaluating perceptions support to emergencies.

  5. description of patients' perceptions of the care management [ Time Frame: 24 months ]
    the patients' perceptions of the care management will be evaluated by the Score at the rating scale (1 to 10) evaluating perceptions support to emergencies.

  6. Identification of patients'psychiatric underlying disorders [ Time Frame: At 6 months ]
    The patients'psychiatric underlying disorders will be evaluated by Psychiatric diagnosis : criteria of ICD (International Classification of Diseases) 10

  7. Social and clinical evolution after the initial admission to emergency room [ Time Frame: 6 months ]
    The social evolution will be evaluated by social rupture, exclusion, penal measure and the clinical evolution will be evaluated by suicide attempt, disruptive behavior recurrence….

  8. Social and clinical evolution after the initial admission to emergency room [ Time Frame: 12 months ]
    The social evolution will be evaluated by social rupture, exclusion, penal measure and the clinical evolution will be evaluated by suicide attempt, disruptive behavior recurrence….

  9. Social and clinical evolution after the initial admission to emergency room [ Time Frame: 24 months ]
    The social evolution will be evaluated by social rupture, exclusion, penal measure and the clinical evolution will be evaluated by suicide attempt, disruptive behavior recurrence….



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Ages Eligible for Study:   8 Years to 18 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • 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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02828969


Contacts
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Contact: Yannis GANSEL, MD 4.72.12.95.62 ext +33 yannis.gansel@chu-lyon.fr
Contact: Sonia GALETTI, CRA 427857739 ext +33 sonia.galetti@chu-lyon.fr

Locations
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France
Hospices Civils de Lyon Recruiting
Lyon/bron, France, 69500
Contact: Yannis GANSEL, MD    4.72.12.95.62 ext +33    yannis.gansel@chu-lyon.fr   
Contact: Sonia GALLETTI, CRA    427857739 ext +33    sonia.galletti@chu-lyon.fr   
Sponsors and Collaborators
Hospices Civils de Lyon

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Responsible Party: Hospices Civils de Lyon
ClinicalTrials.gov Identifier: NCT02828969     History of Changes
Other Study ID Numbers: 69HCL16_0432
First Posted: July 12, 2016    Key Record Dates
Last Update Posted: July 12, 2016
Last Verified: July 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by Hospices Civils de Lyon:
Trajectory
Emergency room
Conduct disorder
Care management

Additional relevant MeSH terms:
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Problem Behavior
Behavioral Symptoms