Psychiatric Emergencies of Minors with and Without Migration Background

Overview

Journal Neuropsychiatr

Specialties Neurology
Psychiatry

Date 2016 Dec 15

PMID 27966096

Citations 10

Authors

Turkan Akkaya-Kalayci

Christian Popow

Thomas Waldhor

Dietmar Winkler

Zeliha Ozlu-Erkilic

Affiliations

Soon will be listed here.

Abstract

Background: The conditions of children and adolescents with migration background receiving emergency psychiatric care in Europe are not well known. Migrants usually attend regular psychiatric care less frequently than the autochthonous population. We therefore speculated that, being undertreated, they would be overrepresented among psychiatric emergency care patients.

Methods: We retrospectively analyzed the records of 1093 minors aged 4‑18 years treated during a period of three years at the psychiatric emergency outpatient clinic of the Department of Child and Adolescent Psychiatry at the Medical University of Vienna.

Results: More minors with migration background than natives consulted our emergency clinic. Most frequent reasons for referral were suicide attempts by Turkish patients, acute stress disorder in Serbian/Croatian/Bosnian and in Austrian patients. Psychiatric diagnoses like eating and personality disorders were mostly diagnosed in natives. We found gender specific differences between the groups.

Conclusions: The reasons for these differences possibly relate to deficits of adequate mental health-care in Austria, to intercultural and intrafamiliar conflicts related to acculturation distress in the migrant population. Prospective longitudinal studies focusing on the utilization of mental health care by the migrant children and the impact of the migration background on their mental health are needed for improving adequate culture-sensitive mental-health care for this population.

Citing Articles

Children's emotional and behavioral response following a migration: a scoping review.

Andrade A, Roca J, Perez S J Migr Health. 2023; 7:100176.

PMID: 37034241 PMC: 10074795. DOI: 10.1016/j.jmh.2023.100176.

Presentations to the Emergency Department for Problems Related to Mental Health: Sex Differences in Adolescents.

Flury R, Brockhus L, Muller M, Henssler J, Exadaktylos A, Klukowska-Rotzler J Int J Environ Res Public Health. 2022; 19(20).

PMID: 36293777 PMC: 9602638. DOI: 10.3390/ijerph192013196.

Barriers to accessing health care for people with chronic conditions: a qualitative interview study.

Schwarz T, Schmidt A, Bobek J, Ladurner J BMC Health Serv Res. 2022; 22(1):1037.

PMID: 35964086 PMC: 9375930. DOI: 10.1186/s12913-022-08426-z.

Transcultural differences in suicide attempts among children and adolescents with and without migration background, a multicentre study: in Vienna, Berlin, Istanbul.

Ozlu-Erkilic Z, Diehm R, Wenzel T, Bingol aglayan R, Gunes H, Uneri O Eur Child Adolesc Psychiatry. 2021; 31(11):1671-1683.

PMID: 34050830 PMC: 9666344. DOI: 10.1007/s00787-021-01805-7.

Characterizing individuals accessing mental health services in the UAE: a focus on youth living in Dubai.

Barbato M, Al Hemeiri S, Nafie S, Dhuhair B, Dabbagh N Int J Ment Health Syst. 2021; 15(1):29.

PMID: 33789685 PMC: 8011192. DOI: 10.1186/s13033-021-00452-4.

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