|Beitragstitel||Pedopsychiatric unit in Ticino : First year experience|
This is a retrospective analysis of adolescents populations hospitalized at Pedo-psychiatric Unit during its 1st year of activity.
The aim of this study is to explore the prevalence of acute psychopathology requiring hospitalization in Ticino’s adolescents. Moreover, we categorized our population according to their epidemiologic, diagnostic and psychopharmacologic traits. Pedo-psychiatric Unit of Ospedale Civico di Lugano (OCL) was created by Organizzazione sociopsichiatrica cantonale (OSC) and Istituto di Pediatria della Svizzera Italiana dell’Ente ospedaliero cantonale (IPSI-EOC) in November 2020. It consists of mixed-sex wards with five beds and it is specialized in multimodal treatment for < 16 years old children and adolescents.
48 different patients underwent 66 admissions, with a hospitalization rate increasing with age.
The population was homogeneous according to age distribution, with a mean age of 14.4 years old. Male to female ratio was 1:2.2, with girls presenting externalizing disorders more often.
Among the 67% (n: 32) discharged patients with a pharmacological therapy, 15 were treated with polypharmacotherapy (maximum 3 drugs) and 17 with monotherapy.
Some polytherapies required a therapeutic switch from risperidone to aripiprazole, in order to avoid such side effects as sedative symptoms and hyperprolactinemia.
No benzodiazepine therapy was prescribed upon discharge to avoid any risk of abuse; antipsychotics (as levomepromazine) were used instead for short-term management of aggressive and disruptive behaviour.
All diagnosis had to be codified according to ICD 10. From a diagnostic perspective, except for psychosis, affective or neurodevelopmental disorders, we noticed that “mixed disorders of conduct and emotion” concerned almost 37% (N 17) of our sample. Our population often referred to hospital in emergency (61%; N 30) presenting risky behaviour (aggressive and disruptive behaviour, self injuring, substance abuse) as an acute manifestation of affective disturbance.
It's reasonable to think that this diagnosis will not remain steady in time, due to the changeable nature of adolescence.
Another typical and interesting condition which affects this population is the developmental breakdown, as theorized by Laufer (1986). It relates to a transdiagnostic category including both psychotic and affective symptoms, as well as food and sleep-wake cycle anomalies. In this case,