Læknablaðið : fylgirit - 01.08.2003, Blaðsíða 32

ABSTRACTS / 27TH NORDIC PSYCHIATRIC CONGRESS
S - VIII / 1 Thursday 14/8,11:00-12:30
Acute admissions in adolescent psychiatry - I:
Epidemiological data, discussion and future directions
Bertrmul I.autli, Sigurður Rafn A. Levy, National University Hospital, Department of
Child and Adolescent Psychiatry, Dalbraut 12, 105 Reykjavík, lceland. Guðlaug M.
Júlíusdóttir.
sigrafn@landspitali.is
Background: Emergency requests for acute admission in adoles-
cent psychiatry have recently dramatically increased in Iceland, as
in many other countries. The adolescent psychiatric unit of the
National University Hospital is the only one of that kind in Iceland,
which makes the population admitted quite representative. More
than 140 patients have been admilted over 2001 and 2002, and
epidemiological data have been collected by the clinical team.
Ainis: To describe the population admitted: age, sex, circumstances
of admission, diagnostics, family, social and school factors, adverse
events, length of stay in the unit, treatment plans after discharge.
Method: Three members of the multidisciplinary team of the unit
gathered information from hospital files. Tlie sheet used for infor-
mation gathering is kept in the individual hospital file. Information
was coded before statistical analysis so results could not be traced
back to individuals.
Results and condusions: The results are compared with another
similar study published in 1994 and differences are discussed. Com-
parisons are also made with available data from other countries.
Retrospective questions about acute admissions in adolescent
psychiatry are raised, and future directions are discussed.
S-VIII/2 Thursday 14/8,11:00-12:30
Acute admissions in adolescent psychiatry - II. family,
school and social factors - discussion and future
directions
GuAluiig M Jiílíusdóttir, Social Worker, National University Hospilal, Department of
Child and Adolescent Psychiatry, Dalbraut 12,105 Reykjavík, Iceland. Bertrand Lauth,
Sigurður Rafn A. Levy.
g udljul@landspilali. is
Background: Family, school and social factors are known to play an
important role in the activation of crisis that often lead to emer-
gency request for acute admission in an adolescent psychiatric unit.
Aims: This study focuses on the family, school and social factors
that have been identified in the whole population of adolescents
admitted in the only adolescent psychiatric unit in Iceland over 2
years time period.
Metliod: This study is a part of a broader epidemiological study of
all admissions in 2001 and 2002. Three members of the multidisci-
plinary team of the unit gathered information from hospital files.
The information was coded so it could not be traced back to the
individual and the sheet used in the information gathering is kept in
the individual hospital file.
Results and conclusions: The presentation will try to determine
what kind of service patients get and what kind of institutions are
requested after discharge. Hypothesis will also be developed regar-
ding the influence of social factors.
32 LæKNABLAÐIÐ / FYLGIRIT 48 2003/89
One of the main hypothesis is that family, school and social
factors contribute to the psychological state of the patient. Another
hypothesis is that those factors play a role in the process of emer-
gency request for acute admissions.
S- VIII /3 Thursday 14/8,11:00-12:30
Acute Admissions in Adolescent Psychiatry III: Abuse
and Neglect as Risk Factors
Sigurður Rafn A. Levy, Guðlaug M. Júlíusdóttir, Bertrand Lauth. National University
Hospital, Department of Child and Adolescent Psychiatry, Dalbraut 12,105 Reykjavík,
Iceland.
sigrafn@landspitali. is
Background: Child abuse and neglect are considered as very seri-
ous social problem and harmful for children and their development.
and goes against their legal rights. It is perceived common that
children admitted to the only adolescent psychiatry ward in Iceland
had been mistreated, but the rate has not been studied before.
Aim: Statistical mapping of the group admilted to the ward, and in
this part of the study to estimate abuse and neglect as risk factors.
Method: This study is a part of a broader epidemiological study of
all admittances in 2001 and 2002. Three members of the multidisci-
plinary team of the unit gathered information from hospital files.
The sheet used for information gathering is kept in the individual
hospital file, information was coded before statistical analysis so
results could not be traced back to individuals.
Rcsults and conclusions: Neglect and abuse is much more common
among patients admitted to adolescent psychiatric wards, than in the
general population. Nearly half of the whole group has been neglec-
ted in one way or another and nearly half of the girls have been sexu-
ally abused. These factors seem to be crucial in mental welfare of
adolescents. These results underline that collaboration between the
social system and the hospital should be strong and structured, and
the whole community should be more aware about this risk.
S-IX/1 Thursday 14/8,11:00-12:30
Organisational aspects
Óllar Gudmundsson MD, Psychiatrist, Landspítali University Hospital
ottarg@landspitali. is
The availability of in-patient alcohol treatment is greater in Iceland
than most other western countries. Laymen-organizations and
religious groups have built hospitals and treatment centers that
treat thousands of alcoholics each year. Most of these treatment-
units use the 12-step program and the AA-movement has grown
enormously in Iceland in recent years. Alcohol-treatment is free of
charge in Iceland for the patient and there is no limit how many
times a patient can be hospitalised for his/her problems.
The alcohol and drug addiction unit at the Landspitali Univer-
sity Hospital has put forward a different approach with main emp'
hasis on out-patient treatment where a modified 12-step program b
combined with traditional methods of psychiatry and psychology-
Most of our patients suffer from other comorbidity beside theif
addiction. We have tried to select those patient with psychiatrif
.