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Contribution title	Characteristics and 12-month outcomes of clinically-referred children and adolescents at risk of Body Dysmorphic Disorder
Contribution code	D1.179
Authors	Eleni Frisira Institute of Mental Health, University of Nottingham Presenter Sue Fen Tan University of Nottingham Chris Partlett University of Nottingham Grace Holt Nottingham Clinical Trials Unit, University of Nottingham Kapil Sayal Institute of Mental Health, University of Nottingham
Form of presentation	Poster
Topic	T48 - Public Health and Organisation of CAP Services
Abstract	Aims Despite growing recognition of Body Dysmorphic Disorder (BDD) as a disabling condition in children and young people (CYP), research in clinically referred samples remains limited. This study aims to describe the characteristics and 12-month outcomes of a sample of clinically referred CYP, based on their likelihood to have BDD. Methods This paper investigated 307 clinically referred 11-17 year-olds. CYP and/or their parents completed the Development and Wellbeing Assessment to measure the likelihood of emotional disorders including BDD. The sample was derived from the STandardised DIagnostic Assessment trial for CYP with emotional difficulties referred to Child and Adolescent Mental Health Services (CAMHS). Baseline and 12-month measures were collected from parent/self-reports and healthcare records, and analysed descriptively. Results Around 6% of referred CYP had probable BDD. CYP with probable BDD were mostly female (84%), white (89%) and came from a range of socio-economic backgrounds. They were more likely to score very high for comorbid depression and anxiety disorders. CYP with probable BDD were no more likely to have their referral accepted by CAMHS than those unlikely to have BDD. At baseline, around half of CYP with probable BDD reported self-harm thoughts and a third self-harm behaviours. These were even more likely by 12-months (42%). Conclusions CYP with probable BDD are at risk of co-occurring depressive or anxiety disorders and high levels of self-harm thoughts and behaviours. Despite this, acceptance to CAMHS was not higher for those with probable BDD, highlighting the need to raise awareness amongst referrers and clinicians.