Children's mental health emergencies--part 2: emergency department evaluation and treatment of children with mental health disorders.
OBJECTIVE
The emergency physician should be familiar with the wide spectrum of pediatric mental health emergencies because they are commonly encountered in emergency medical practice.


METHODS
A review of the literature was done in order to develop an approach for dealing with children presenting with mental health disorders in the emergency department (ED).


RESULTS
Children' mental health emergencies have a wide spectrum from behavioral disturbances to major depression. An approach to the issues involved in caring for these patients is discussed which acknowledges the essential role of the emergency physician and the importance of integrating ED care with multidisciplinary services.


CONCLUSIONS
The actions and directions taken in the ED are a crucial part of the child's long-term care and treatment. The ED evaluation and management of pediatric mental health emergencies may vary depending on the complaint and includes differentiation from organic etiologies, medical stabilization, and occasionally in depth psychosocial interview.
Baren
Jill M
JM
Department of Emergency Medicine and Pediatrics, The University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Mace
Sharon E
SE
Hendry
Phyllis L
PL
Dietrich
Ann M
AM
Goldman
Ran D
RD
Goldman
Ran M
RM
Warden
Craig R
CR
D000293:Adolescent; D032763:Behavior Control / Q000379:methods*; D002648:Child; D003072:Cognition Disorders / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D003937:Diagnosis, Differential; D004635:Emergency Medicine; D004636:Emergency Service, Hospital; D006801:Humans; D001523:Mental Disorders / Q000145:classification / Q000175:diagnosis / Q000628:therapy; D019964:Mood Disorders / Q000145:classification / Q000175:diagnosis / Q000628:therapy; D010372:Pediatrics; D012307:Risk Factors; D013405:Suicide / Q000523:psychology*; D000092864:Suicide Prevention