Research themes and key data points for child and adolescent emergency department mental health presentations: A national Delphi study

被引：0

作者：

John-White, Marietta R. ^{[1
,2
]}

Proper, Edmund ^{[2
]}

Muscara, Frank ^{[3
,4
]}

Babl, Franz E. ^{[3
,4
,5
]}

Anderson, Vicki A. ^{[5
,6
]}

Wilson, Catherine L. ^{[4
,5
,7
]}

Borland, Meredith L. ^{[8
,9
]}

Tonge, Bruce J. ^{[10
]}

Gray, Kylie M. ^{[10
,11
]}

Melvin, Glenn A. ^{[12
,13
]}

Kochar, Amit ^{[14
,15
]}

Borschmann, Rohan ^{[7
,16
,17
,18
]}

Haslam, Richard ^{[5
]}

Tavender, Emma J. ^{[5
,7
,19
]}

Gordon, Michael S. ^{[10
,20
]}

Dalziel, Stuart R. ^{[21
,22
]}

Smith, Karen ^{[23
,24
,25
]}

Craig, Simon S. ^{[1
,2
,3
]}

机构：

[1] Monash Med Ctr, Dept Emergency Med, Melbourne, Vic, Australia

[2] Monash Univ, Sch Clin Sci, Dept Paediat, Melbourne, Vic, Australia

[3] Murdoch Childrens Res Inst, Clin Sci, Melbourne, Vic, Australia

[4] Royal Childrens Hosp, Dept Emergency Med, Melbourne, Vic, Australia

[5] Univ Melbourne, Dept Paediat, Melbourne, Vic, Australia

[6] Univ Melbourne, Melbourne Sch Psychol Sci, Melbourne, Vic, Australia

[7] Murdoch Childrens Res Inst, Melbourne, Vic, Australia

[8] Perth Childrens Hosp, Dept Emergency Med, Perth, WA, Australia

[9] Univ Western Australia, Sch Med, Perth, WA, Australia

[10] Monash Univ, Dept Psychiat, Melbourne, Vic, Australia

[11] Univ Warwick, Coventry, England

[12] Deakin Univ, Ctr Social & Early Emot Dev SEED, Sch Psychol, Melbourne, Vic, Australia

[13] Monash Univ, Melbourne, Vic, Australia

[14] Univ Adelaide, Dept Acute Care Med, Adelaide, SA, Australia

[15] Womens & Childrens Hosp, Dept Emergency Med, Adelaide, SA, Australia

[16] Univ Melbourne, Melbourne, Vic, Australia

[17] Univ Oxford, Dept Psychiat, Oxford, England

[18] Curtin Univ, Perth, WA, Australia

[19] Royal Childrens Hosp, Hlth Serv Res Unit, Melbourne, Vic, Australia

[20] Monash Hlth, Early Life Mental Hlth Serv, Melbourne, Vic, Australia

[21] Univ Auckland, Dept Surg, Auckland, New Zealand

[22] Starship Childrens Hlth, Emergency Dept, Auckland, New Zealand

[23] Monash Univ, Dept Epidemiol & Prevent Hlth, Melbourne, Vic, Australia

[24] Silverchain, Dept Res & Innovat, Melbourne, Vic, Australia

[25] Ambulance Victoria, Melbourne, Vic, Australia

来源：

ACADEMIC EMERGENCY MEDICINE | 2024年

关键词：

adolescent; emergency; mental health; research prioritization; RESEARCH PRIORITIES; SELF-HARM;

D O I：

10.1111/acem.15056

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

ObjectiveThe objective was to identify a prioritized list of research themes and key data points (baseline data and research outcomes) for future studies regarding child and adolescent emergency department (ED) mental health presentations.MethodsA prospective survey-based Delphi process was undertaken in Australia within the Pediatric Research in Emergency Departments International Collaborative (PREDICT) network. Hospital-based and community-based clinicians, researchers, police, ambulance paramedics, pediatric patients, and their carers were recruited to generate research themes and key data points for future pediatric ED mental health research. Responses were collated and analyzed by a steering group consisting of pediatric mental health, medical, and research/academic experts. Participants then prioritized the items through three survey rounds using a 9-point Likert-type scale to generate a final prioritized list.Results184 participants (36 patients/carers and 148 clinicians/researchers) were recruited and generated 267 items for initial prioritization; 23 completed all survey rounds. The surveys identified a consensus of 71 items: 35 research themes and 36 key data points (11 baseline data points and 25 research outcomes) for future research. The top-rated research themes included patient/staff safety within the ED, the efficacy of dedicated mental health spaces, and the importance of patient follow-up. Important baseline data points included risk factors for mental health presentations and history of child abuse and/or family violence. Top-rated research outcomes included the occurrence of severe behavioral disturbance in the ED, the use of parenteral sedation, and ED re-presentation and/or suicide attempt postdischarge.ConclusionsThe Delphi process identified a prioritized list of research themes and key data points that will inform future research on child and adolescent mental health-related ED presentations.

引用

页数：11

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