<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_sjcapp-2017-004_s_001"><h3>Background</h3><p>Increasing psychiatric disorders and alcohol intoxication challenge the pediatric emergency departments (PEDs) to which adolescents are referred owing to acute alcohol intoxication.</p></sec><sec id="j_sjcapp-2017-004_s_002"><h3>Objective</h3><p>This study examined the degree to which adolescents presenting to PED with alcohol intoxication or deliberate self-harm report symptoms of depression and how they differed from non-depressed patients in terms of alcohol use, perceived social support, psychological distress, self-esteem, and suicidal thoughts.</p></sec><sec id="j_sjcapp-2017-004_s_003"><h3>Methods</h3><p>In a sample of 138 adolescents, 12- to 16-years old (62% females), we assessed the patients’ psychiatric status using self-report scales and analyzed blood samples for alcohol. Before discharge, a consulting psychiatrist interviewed each patient to evaluate possible suicidality and organized aftercare when necessary. The mediating data-driven hypothesis was examined. Adolescents scoring ≥ 10 on the Beck Depression Inventory (BDI) were deemed as screening positive for depression.</p></sec><sec id="j_sjcapp-2017-004_s_004"><h3>Results</h3><p>In 55% of participants, intoxication was by alcohol consumption. Deliberate self-harm was found in 17% of the participants. Of the 138 adolescents, 39% scored positive on the BDI for depressive symptoms, occurring more commonly in girls. Logistic regression showed that the most significant variables associated with depressive symptoms were female gender, high psychological distress, and low self-esteem. Symptoms of depression served as a mediator between gender and self-esteem and the blood alcohol level.</p></sec><sec id="j_sjcapp-2017-004_s_005"><h3>Conclusions</h3><p>Our findings underscore the importance of identifying mood disorders, suicidality, and self-esteem among adolescents with acute alcohol intoxication at the PED. Intensive psychiatric evaluation in an emergency department is necessary in order to detect those adolescents requiring additional treatment and support.</p></sec></abstract>

BackgroundIncreasing psychiatric disorders and alcohol intoxication challenge the pediatric emergency departments (PEDs) to which adolescents are referred owing to acute alcohol intoxication.ObjectiveThis study examined the degree to which adolescents presenting to PED with alcohol intoxication or deliberate self-harm report symptoms of depression and how they differed from non-depressed patients in terms of alcohol use, perceived social support, psychological distress, self-esteem, and suicidal thoughts.MethodsIn a sample of 138 adolescents, 12- to 16-years old (62% females), we assessed the patients’ psychiatric status using self-report scales and analyzed blood samples for alcohol. Before discharge, a consulting psychiatrist interviewed each patient to evaluate possible suicidality and organized aftercare when necessary. The mediating data-driven hypothesis was examined. Adolescents scoring ≥ 10 on the Beck Depression Inventory (BDI) were deemed as screening positive for depression.ResultsIn 55% of participants, intoxication was by alcohol consumption. Deliberate self-harm was found in 17% of the participants. Of the 138 adolescents, 39% scored positive on the BDI for depressive symptoms, occurring more commonly in girls. Logistic regression showed that the most significant variables associated with depressive symptoms were female gender, high psychological distress, and low self-esteem. Symptoms of depression served as a mediator between gender and self-esteem and the blood alcohol level.ConclusionsOur findings underscore the importance of identifying mood disorders, suicidality, and self-esteem among adolescents with acute alcohol intoxication at the PED. Intensive psychiatric evaluation in an emergency department is necessary in order to detect those adolescents requiring additional treatment and support.

Low self-esteem and high psychological distress are common among depressed adolescents presenting to the Pediatric Emergency Department

Scandinavian Journal of Child and Adolescent Psychiatry and Psychology

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

BackgroundIncreasing psychiatric disorders and alcohol intoxication challenge the pediatric emergency departments (PEDs) to which adolescents are referred...

Low self-esteem and high psychological distress are common among depressed adolescents presenting to the Pediatric Emergency Department

Article Category: research-article

Published Online: Jul 05, 2017

Page range: 39 - 49

DOI: https://doi.org/10.21307/sjcapp-2017-004

© 2017 Varpu Puuskari et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.