The goal of this prospective cohort study is to study the evolution of adolescent and young people's mental health over a 12-month period after presentation to an emergency department or crisis service for an acute psychiatric episode. This study aims to: * Describe the mental health care trajectories of adolescents and young adults after an acute psychiatric episode. * Identify psychiatric disorders (such as anxiety, depression, eating disorders, suicidal thoughts, sleep, etc.) at the different time points of the study (at 3, 6, 9 and 12 months after inclusion) ; * Assess the quality of life and functional capacity in daily activities of participants at each study time point ; * Determine the socio-demographic, psychosocial and environmental factors associated with improving mental health over time and with mental health help seeking. Patients aged from 10 to 24, presenting to one of the participating centers for an acute psychiatric episode, and who agree to participate, will be included in the study. Participants will have to complete an online questionnaire every 3 months over a 12-month period (at baseline (T0), at 3 months (T3), at 6 months (T6), at 9 month (T9) and at 12 months (T12))
Recruitment process A poster campaign will be carry out in all study locations. Patients aged between 10 and 25 visiting one of the study location will be invited to participate in the study. The clinical research associates will visit all study location on a weekly basis in order to present the study to eligible patients. After checking the inclusion criteria, the clinical research associate will call eligible patients (or their legal representative for patients under 18) to present the study, the implications related to study participation, and obtain their oral consent. Patients who were willing to participate in the study will be automatically identify by a number. Follow-up : Patients will have to complete an online questionnaire at different time of the study: at baseline, at 3 months, at 6 months, at 9 months and at 12 months. For the participants aged under 18, the questionnaire will have to complete by or with the help of the parental representative. Investigators will collect socio-demographic, clinical data related to the acute psychiatric episode, and health care pathway over time. Mental health assessments will be based on standardized questionnaires. Clinical research associates will send an email to all participants to complete the initial questionnaire (at baseline). Then, they will coordinate patient follow-up, and will send automatic reminder through email at the different times of the study :at 3 months (M3), 6 months (M6), 9 months (M9) and 12 months (M12) to complete the follow-up questionnaires online. Patients will be awarded a gift voucher worth €10 after each completed questionnaire.
Study Type
OBSERVATIONAL
Enrollment
400
Pediatric Emergency Department - Armand Trousseau Hospital
Paris, Île-de-France Region, France
ATRAP (Acute unit for child outpatients)
Paris, Île-de-France Region, France
C.P.O.A (Psychiatric Emergency Department)
Paris, Île-de-France Region, France
Pediatric Emergency Department - Necker Hospital
Paris, Île-de-France Region, France
CIAPA (Inpatient unit for Adolescents)
Paris, Île-de-France Region, France
Adult Emergency Department - Bichât Hospital
Paris, Île-de-France Region, France
Pediatric Emergency Department - Robert Debré Hospital
Paris, Île-de-France Region, France
Strengths and Difficulties Questionnaire (SDQ)
brief emotional and behavioural screening questionnaire for children and young people Minimal value : From Not True Maximum value : Certainly True
Time frame: Baseline
Strengths and Difficulties Questionnaire (SDQ)
brief emotional and behavioural screening questionnaire for children and young people at month 3 Minimal value : From Not True Maximum value : Certainly True
Time frame: Month 3
Strengths and Difficulties Questionnaire (SDQ)
brief emotional and behavioural screening questionnaire for children and young people at month 6 Minimal value : From Not True Maximum value : Certainly True
Time frame: Month 6
Strengths and Difficulties Questionnaire (SDQ)
brief emotional and behavioural screening questionnaire for children and young people at month 9 Minimal value : From Not True Maximum value : Certainly True
Time frame: Month 9
Strengths and Difficulties Questionnaire (SDQ)
brief emotional and behavioural screening questionnaire for children and young people at month 12 Minimal value : From Not True Maximum value : Certainly True
Time frame: Month 12
Hospital Anxiety and Depression Scale (HADS)
Measuring tool for anxiety and depression in a general medical population of patients at baseline 0-7 = Normal, 8-10 =Borderline abnormal (borderline case), 11-21 = Abnormal(case)
Time frame: baseline
Hospital Anxiety and Depression Scale (HADS)
Measuring tool for anxiety and depression in a general medical population of patients at month 3 0-7 = Normal, 8-10 =Borderline abnormal (borderline case), 11-21 = Abnormal(case)
Time frame: Month 3
Hospital Anxiety and Depression Scale (HADS)
Measuring tool for anxiety and depression in a general medical population of patients at month 6 0-7 = Normal, 8-10 =Borderline abnormal (borderline case), 11-21 = Abnormal(case)
Time frame: Month 6
Hospital Anxiety and Depression Scale (HADS)
Measuring tool for anxiety and depression in a general medical population of patients at month 9 0-7 = Normal, 8-10 =Borderline abnormal (borderline case), 11-21 = Abnormal(case)
Time frame: Month 9
Hospital Anxiety and Depression Scale (HADS)
Measuring tool for anxiety and depression in a general medical population of patients at month 12 0-7 = Normal, 8-10 =Borderline abnormal (borderline case), 11-21 = Abnormal(case)
Time frame: Month 12
Suicidal Behaviors Questionnaire (SBQ)
Self report questionnaire to identify risk factors for suicide in adolescents and adults. Scale from 0= I never had this thought to 6= Almost everyday
Time frame: baseline
Suicidal Behaviors Questionnaire (SBQ)
Self report questionnaire to identify risk factors for suicide in adolescents and adults at month 3 Scale from Scale from 0= I never had this thought to 6= Almost everyday
Time frame: month 3
Suicidal Behaviors Questionnaire (SBQ)
Self report questionnaire to identify risk factors for suicide in adolescents and adults at month 6 Scale from 0= I never had this thought to 6= Almost everyday
Time frame: month 6
Suicidal Behaviors Questionnaire (SBQ)
Self report questionnaire to identify risk factors for suicide in adolescents and adults at month 9 scale from 0= I never had this thought to 6= Almost everyday
Time frame: month 9
Suicidal Behaviors Questionnaire (SBQ)
Self report questionnaire to identify risk factors for suicide in adolescents and adults at month 12 scale from 0= I never had this thought to 6= Almost everyday
Time frame: month 12
Ask Suicide-Screening Questions (ASQ)
Screening tool to identify individuals that require further mental health/suicide safety assessment at baseline Yes or No scale If patient answers "No" to all questions 1 through 4, screening is complete (not necessary to ask question #5) If patient answers "Yes" to any of questions or refuses to answer, they are considered a positive screen.
Time frame: baseline
Ask Suicide-Screening Questions (ASQ)
Screening tool to identify individuals that require further mental health/suicide safety assessment at month 3 Yes or No scale If patient answers "No" to all questions 1 through 4, screening is complete (not necessary to ask question #5) If patient answers "Yes" to any of questions or refuses to answer, they are considered a positive screen.
Time frame: month 3
Ask Suicide-Screening Questions (ASQ)
Screening tool to identify individuals that require further mental health/suicide safety assessment at month 6 Yes or No scale If patient answers "No" to all questions 1 through 4, screening is complete (not necessary to ask question #5) If patient answers "Yes" to any of questions or refuses to answer, they are considered a positive screen.
Time frame: month 6
Ask Suicide-Screening Questions (ASQ)
Screening tool to identify individuals that require further mental health/suicide safety assessment at month 9 Yes or No scale If patient answers "No" to all questions 1 through 4, screening is complete (not necessary to ask question #5) If patient answers "Yes" to any of questions or refuses to answer, they are considered a positive screen.
Time frame: month 9
Ask Suicide-Screening Questions (ASQ)
Screening tool to identify individuals that require further mental health/suicide safety assessment at month 12 Yes or No scale If patient answers "No" to all questions 1 through 4, screening is complete (not necessary to ask question #5) If patient answers "Yes" to any of questions or refuses to answer, they are considered a positive screen.
Time frame: month 12
Addictive disorders
Questionnaire on alcohol and psychoactive substances consumption at baseline
Time frame: baseline
Addictive disorders
Questionnaire on alcohol and psychoactive substances consumption at month 3
Time frame: month 3
Addictive disorders
Questionnaire on alcohol and psychoactive substances consumption at month 6
Time frame: month 6
Addictive disorders
Questionnaire on alcohol and psychoactive substances consumption at month 9
Time frame: month 9
Addictive disorders
Questionnaire on alcohol and psychoactive substances consumption at month 12
Time frame: month 12
Quality of Life, Enjoyment, and Satisfaction Questionnaire- (Q-LES-Q)
self-report measure designed to obtain sensitive measures of the degree of enjoyment and satisfaction experienced in various areas of daily functioning in adults at baseline 5-point scale from 1 (Very Poor) to 5 (Very Good)
Time frame: baseline
Quality of Life, Enjoyment, and Satisfaction Questionnaire- (Q-LES-Q)
self-report measure designed to obtain sensitive measures of the degree of enjoyment and satisfaction experienced in various areas of daily functioning in adults at month 3 5-point scale from 1 (Very Poor) to 5 (Very Good)
Time frame: month 3
Quality of Life, Enjoyment, and Satisfaction Questionnaire- (Q-LES-Q)
self-report measure designed to obtain sensitive measures of the degree of enjoyment and satisfaction experienced in various areas of daily functioning in adults at month 6 5-point scale from 1 (Very Poor) to 5 (Very Good)
Time frame: month 6
Quality of Life, Enjoyment, and Satisfaction Questionnaire- (Q-LES-Q)
self-report measure designed to obtain sensitive measures of the degree of enjoyment and satisfaction experienced in various areas of daily functioning in adults at month 9 5-point scale from 1 (Very Poor) to 5 (Very Good)
Time frame: month 9
Quality of Life, Enjoyment, and Satisfaction Questionnaire- (Q-LES-Q)
self-report measure designed to obtain sensitive measures of the degree of enjoyment and satisfaction experienced in various areas of daily functioning in adults at month 12 5-point scale from 1 (Very Poor) to 5 (Very Good)
Time frame: month 12
Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (P-Q-LES-Q)
self-report measure designed to obtain sensitive measures of the degree of enjoyment and satisfaction experienced in various areas of daily functioning in children at baseline 5-point scale from 1 (Very Poor) to 5 (Very Good)
Time frame: baseline
Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (P-Q-LES-Q)
self-report measure designed to obtain sensitive measures of the degree of enjoyment and satisfaction experienced in various areas of daily functioning in children at month 3 5-point scale from 1 (Very Poor) to 5 (Very Good)
Time frame: month 3
Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (P-Q-LES-Q)
self-report measure designed to obtain sensitive measures of the degree of enjoyment and satisfaction experienced in various areas of daily functioning in children at month 6 5-point scale from 1 (Very Poor) to 5 (Very Good)
Time frame: month 6
Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (P-Q-LES-Q)
self-report measure designed to obtain sensitive measures of the degree of enjoyment and satisfaction experienced in various areas of daily functioning in children at month 9 5-point scale from 1 (Very Poor) to 5 (Very Good)
Time frame: month 9
Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (P-Q-LES-Q)
self-report measure designed to obtain sensitive measures of the degree of enjoyment and satisfaction experienced in various areas of daily functioning in children at month 12 5-point scale from 1 (Very Poor) to 5 (Very Good)
Time frame: month 12
Sleep disorders
Questionnaire on difficulties that affect children and adults' sleep patterns at baseline
Time frame: baseline
Sleep disorders
Questionnaire on difficulties affecting children and adults' sleep patterns at month 3
Time frame: month 3
Sleep disorders
Questionnaire on difficulties affecting children and adults' sleep patterns at month 6
Time frame: month 6
Sleep disorders
Questionnaire on difficulties affecting children and adults' sleep patterns at month 9
Time frame: month 9
Sleep disorders
questionnaire on difficulties affecting children and adults' sleep patterns at month 12
Time frame: month 12
Patient healthcare trajectory
Questionnaire on the type of health care professional, the mental health care services visited,the frequency of medical appointments, the health events (hospitalization, emergency unit, suicide attempt) at baseline
Time frame: baseline
Patient healthcare trajectory
Questionnaire on the type of health care professional, the mental health care services visited,the frequency of medical appointments, the health events (hospitalization, emergency unit, suicide attempt) at month 3
Time frame: month 3
Patient healthcare trajectory
Questionnaire on the type of health care professional, the mental health care services visited,the frequency of medical appointments, the health events (hospitalization, emergency unit, suicide attempt) at month 6
Time frame: month 6
Patient healthcare trajectory
Questionnaire on the type of health care professional, the mental health care services visited,the frequency of medical appointments, the health events (hospitalization, emergency unit, suicide attempt) at month 9
Time frame: month 9
Patient healthcare trajectory
Questionnaire on the type of health care professional, the mental health care services visited,the frequency of medical appointments, the health events (hospitalization, emergency unit, suicide attempt) at month 12
Time frame: month 12
social relation, social integration and social support
questionnaire on difficulties related to social relation, social integration and social support affecting children and adult' mental health at baseline
Time frame: baseline
social relation, social integration and social support
questionnaire on difficulties related to social relation, social integration and social support affecting children and adult' mental health at month 3
Time frame: month 3
social relation, social integration and social support
questionnaire on difficulties related to social relation, social integration and social support affecting children and adult' mental health at month 6
Time frame: month 6
social relation, social integration and social support
questionnaire on difficulties related to social relation, social integration and social support affecting children and adult' mental health at month 9
Time frame: month 9
social relation, social integration and social support
questionnaire on difficulties related to social relation, social integration and social support affecting children and adult' mental health at month 12
Time frame: month 12
sociodemographic , environmental and psycho social factors
socio-demographic variables questionnaire (age, sex, education, household, employment or schooling, income, health insurance, medical history, psychiatric history if any) at baseline
Time frame: baseline
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