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Socio-demographic and clinic characterization in youth psychiatric outpatients: An observational study

Published online by Cambridge University Press:  23 March 2020

S. Morais
Affiliation:
Coimbra Hospital and University Centre CHUC, Psychiatry Department, Coimbra, Portugal University of Coimbra, Faculty of Medicine, Coimbra, Portugal
J. Silva Ribeiro
Affiliation:
Coimbra Hospital and University Centre CHUC, Psychiatry Department, Coimbra, Portugal
P. Oliveira
Affiliation:
Coimbra Hospital and University Centre CHUC, Psychiatry Department, Coimbra, Portugal
E. Mendes
Affiliation:
Coimbra Hospital and University Centre CHUC, Psychiatry Department, Coimbra, Portugal
A. Botelho
Affiliation:
Coimbra Hospital and University Centre CHUC, Psychiatry Department, Coimbra, Portugal
H. Godinho
Affiliation:
Coimbra Hospital and University Centre CHUC, Psychiatry Department, Coimbra, Portugal
L. Vale
Affiliation:
Coimbra Hospital and University Centre CHUC, Psychiatry Department, Coimbra, Portugal
A. Bessa
Affiliation:
Coimbra Hospital and University Centre CHUC, Psychiatry Department, Coimbra, Portugal
P. Renca
Affiliation:
Coimbra Hospital and University Centre CHUC, Psychiatry Department, Coimbra, Portugal
V. Santos
Affiliation:
Coimbra Hospital and University Centre CHUC, Psychiatry Department, Coimbra, Portugal
N. Madeira
Affiliation:
Coimbra Hospital and University Centre CHUC, Psychiatry Department, Coimbra, Portugal University of Coimbra, Faculty of Medicine, Coimbra, Portugal

Abstract

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Introduction

Most mental disorders begin during adolescence and early adulthood (18–24-years-old), highlighting the importance of understanding the onset and progression of mental disorders among youths. Although progress has been made, namely by creating youth mental health transition services, gaps continue to exist. Locally, our recently constituted young adults unit aimed to minimize discontinuities in care.

Objectives/aims

To characterize a population of young adult psychiatric outpatients, regarding socio-demographic and clinic variables.

Methods

Socio-demographic and clinic characterization of young adult psychiatric outpatients observed during 1st January 2015–30th July 2016.

Results

Two hundred and fifty-five outpatients were observed: 64.3% females and 35.7% males, average age 20.56-years-old (median 20). Most lived in urban areas (59.4%), with their parents (27.8%), were students (80.4%), attending secondary school (36.1%). A total of, 27.5% were referenced by an emergency department, and adjustment disorders (ICD-10 F43.2) were the most frequent diagnosis (21.6%). Regarding suicidal behaviours and self-harm, 9.8% did self-cutting. A vast majority did not have previous psychiatric hospitalizations–only 5.9% outpatients had at least one. In total, 39.8% were medicated with antidepressants (1/3 of which in association with other drugs), and about 38.8% received cognitive-behavioural interventions. About 2/3 of patients (66.3%) remained in care and only about 1/6 (15.7%) were discharged.

Conclusions

Our typical youth psychiatric outpatient was of female gender, student, living with its parents. Adjustment disorders were the most frequent diagnosis, and antidepressants were the main psychopharmacologic option, often combined with other psychotropic drugs. In the future, psychotherapy interventions should be more widely available, namely group psychotherapy.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster Viewing: Others
Copyright
Copyright © European Psychiatric Association 2017
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