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

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Puuskari , V , Aalto-Setälä , T , Komulainen , E & Marttunen , M 2017 , ' 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 , vol. 5 , no. 1 , pp. 39-49 . https://doi.org/10.21307/sjcapp-2017-004

Title: Low self-esteem and high psychological distress are common among depressed adolescents presenting to the Pediatric Emergency Department
Author: Puuskari, Varpu; Aalto-Setälä, Terhi; Komulainen, Erkki; Marttunen, Mauri
Contributor: University of Helsinki, Education of Education
University of Helsinki, Department of Psychiatry
Date: 2017-02
Language: eng
Number of pages: 11
Belongs to series: Scandinavian Journal of Child and Adolescent Psychiatry and Psychology
ISSN: 2245-8875
URI: http://hdl.handle.net/10138/299264
Abstract: Background: Increasing psychiatric disorders and alcohol intoxication challenge the pediatric emergency departments (PEDs) to which adolescents are referred owing to acute alcohol intoxication. Objective: 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. Methods: 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. Results: 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. Conclusions: 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.
Subject: alcohol intoxication
adolescents
depressive symptoms
psychological distress
emergency department
DISORDERS IDENTIFICATION TEST
ALCOHOL-USE
YOUNG ADULTHOOD
DIAGNOSTIC UTILITY
SUICIDAL-BEHAVIOR
SCREENING SCALES
MENTAL-ILLNESS
SOCIAL SUPPORT
FINNISH TWINS
TEST AUDIT
3124 Neurology and psychiatry
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