Psychiatric emergencies of minors with and without migration background; [Psychiatrische Akutvorstellungen von Minderjährigen mit und ohne Migrationshintergrund]

被引:19
作者
Akkaya-Kalayci T. [1 ,2 ]
Popow C. [2 ]
Waldhör T. [3 ]
Winkler D. [4 ]
Özlü-Erkilic Z. [1 ,2 ]
机构
[1] Outpatient Clinic of Transcultural Psychiatry and Migration Induced Disorders in Childhood and Adolescence, Department of Child and Adolescent Psychiatry, Medical University of Vienna, Währinger Gürtel 18–20, Vienna
[2] Department of Child and Adolescent Psychiatry, Medical University of Vienna, Währinger Gürtel 18–20, Vienna
[3] Department of Epidemiology, Medical University of Vienna, Kinderspitalgasse 15/I, Vienna
[4] Department of Psychiatry and Psychotherapy, Medical University of Vienna, Währinger Gürtel 18-20, Vienna
关键词
Children and adolescents; Migration background; Psychiatric emergency; Serbian/Croatian/Bosnian children and adolescents; Turkish children and adolescents;
D O I
10.1007/s40211-016-0213-y
中图分类号
学科分类号
摘要
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. © 2016, The Author(s).
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页码:1 / 7
页数:6
相关论文
共 39 条
[1]  
WHO Mental Health Gap Action Programme, (2010)
[2]  
Skala K., Bruckner T., Beating the odds: an approach to the topic of resilience in children and adolescents, Neuropsychiatr, 28, 4, pp. 208-217, (2014)
[3]  
Ozlu-Erkilic Z., Winkler D., Popow C., Zesch H., Akkaya-Kalayci T., A comparative study of Turkish-speaking migrants and natives living in Vienna/Austria concerning their life satisfaction – with a particular focus on satisfaction regarding their health, Int. J. Migr. Health Soc. Care, 11, 3, pp. 206-217, (2015)
[4]  
Alegria M., Vallas M., Pumariega A.J., Racial and ethnic disparities in pediatric mental health, Child Adolesc Psychiatr Clin N Am, 19, 4, pp. 759-774, (2010)
[5]  
Garcia C.M., Gilchrist L., Vazquez G., Leite A., Raymond N., Urban and rural immigrant Latino youths’ and adults’ knowledge and beliefs about mental health resources, J Immigr Minor Health, 13, 3, pp. 500-509, (2011)
[6]  
Pumariega A.J., Rothe E., Pumariega J.B., Mental health of immigrants and refugees, Community Ment Health J, 41, 5, pp. 581-597, (2005)
[7]  
Vollebergh W.A., ten Have M., Dekovic M., Oosterwegel A., Pels T., Veenstra R., Et al., Mental health in immigrant children in the Netherlands, Soc Psychiatry Psychiatr Epidemiol, 40, 6, pp. 489-496, (2005)
[8]  
Stansfeld S.A., Haines M.M., Head J.A., Bhui K., Viner R., Taylor S.J., Et al., Ethnicity, social deprivation and psychological distress in adolescents: school-based epidemiological study in east London, Br J Psychiatry, 185, pp. 233-238, (2004)
[9]  
Child and adolescent mental health, (2014)
[10]  
de Wit M.A., Tuinebreijer W.C., Dekker J., Beekman A.J., Gorissen W.H., Schrier A.C., Et al., Depressive and anxiety disorders in different ethnic groups: a population based study among native Dutch, and Turkish, Moroccan and Surinamese migrants in Amsterdam, Soc Psychiatry Psychiatr Epidemiol, 43, 11, pp. 905-912, (2008)