title: [Adolescents in the Pediatric Emergency Department: Detection of risk behavior and depression].
abstract: OBJECTIVE
  The main objective of this study was to estimate the prevalence of social and psychological problems, risk behaviors, and depression symptoms in a population of adolescents consulting in a Pediatric Emergency Department of a general hospital, and compare these according to the reasons for consulting.
  
  
  METHODS
  Observational monocentric study, in the Pediatric Emergency Department of a general hospital in Britany, France, between January and September 2013, using a questionnaire dispensed to 12- to 18-year-old adolescents. The questions covered habits, school, symptoms, risk behaviors, and depression symptoms. Patients were classified into three groups based of the initial aim of the consultation: medical, traumatologic, and acute psychiatric.
  
  
  RESULTS
  A total of 379 adolescents, median age: 15 years, were included. Adolescents from the "psychiatric" group resided significantly more often with only one of their parents or in a residential home; they were more often followed by an youth worker and/or a mental health professional such as a psychologist or a psychiatrist; consumed alcohol, cannabis, and/or tobacco more often; they complained more often of headache or abdominal and lumbar pain, dizziness, and sleep disorders; they consumed anxiolytic and hypnotic drugs more often; they ran away more often; and had signs of depression and/or suicidal ideation and behaviors. The prevalence of all these psychosocial and behavioral risks was also high in the two other groups.
  
  
  CONCLUSIONS
  The Pediatric Emergency Department is a good place to detect adolescents with behavioral problems and/or depression symptoms, even if this is not the initial purpose of admission.
authors.affiliation: Service de pédiatrie et unité d'urgence pédiatrique, centre hospitalier de Cornouaille, BP 1757, 29107 Quimper cedex, France. Electronic address: p.vic@ch-cornouaille.fr.
authors.forename: P
authors.initials: P
authors.lastname: Vic
authors.affiliation: Service de pédiatrie et unité d'urgence pédiatrique, centre hospitalier de Cornouaille, BP 1757, 29107 Quimper cedex, France.
authors.forename: E
authors.initials: E
authors.lastname: Ramé
authors.affiliation: Service de pédiatrie et unité d'urgence pédiatrique, centre hospitalier de Cornouaille, BP 1757, 29107 Quimper cedex, France.
authors.forename: A
authors.initials: A
authors.lastname: Robert-Dehault
authors.affiliation: Service de pédiatrie et unité d'urgence pédiatrique, centre hospitalier de Cornouaille, BP 1757, 29107 Quimper cedex, France.
authors.forename: S
authors.initials: S
authors.lastname: Henry
authors.affiliation: Service de pédiatrie et unité d'urgence pédiatrique, centre hospitalier de Cornouaille, BP 1757, 29107 Quimper cedex, France.
authors.forename: L
authors.initials: L
authors.lastname: Le Moigno
authors.affiliation: Service de pédiatrie et unité d'urgence pédiatrique, centre hospitalier de Cornouaille, BP 1757, 29107 Quimper cedex, France.
authors.forename: J
authors.initials: J
authors.lastname: Hébert
mesh_terms: D000293:Adolescent; D002648:Child; D003863:Depression / Q000175:diagnosis* / Q000453:epidemiology; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D008297:Male; D015995:Prevalence; D012309:Risk-Taking; D011795:Surveys and Questionnaires