Prolonged hospitalizations for mental causes in childhood in córdoba: an analysis from public health and with focus on rights.
Hospitalization in mental health is a measure of care of third level complexity and the last therapeutic measure to utilize for the least possible time when other therapeutic instances have been exhausted (Ley Nac. de Salud Mental Nro. 26.657). The aim was to analyze the causes which m...
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| Autores principales: | , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2019
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/25716 |
| Aporte de: |
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I10-R10article-25716 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-10 |
| container_title_str |
Revistas de la UNC |
| language |
Español |
| format |
Artículo revista |
| topic |
hospitalization mental health suicidal behaviors gender psychopathological disorders human rights hospitalización salud mental comportamientos suicidas trastornos psicopatológicos género derechos de los niños |
| spellingShingle |
hospitalization mental health suicidal behaviors gender psychopathological disorders human rights hospitalización salud mental comportamientos suicidas trastornos psicopatológicos género derechos de los niños Rossetti, ME Decca, MG Bella, ME Prolonged hospitalizations for mental causes in childhood in córdoba: an analysis from public health and with focus on rights. |
| topic_facet |
hospitalization mental health suicidal behaviors gender psychopathological disorders human rights hospitalización salud mental comportamientos suicidas trastornos psicopatológicos género derechos de los niños |
| author |
Rossetti, ME Decca, MG Bella, ME |
| author_facet |
Rossetti, ME Decca, MG Bella, ME |
| author_sort |
Rossetti, ME |
| title |
Prolonged hospitalizations for mental causes in childhood in córdoba: an analysis from public health and with focus on rights. |
| title_short |
Prolonged hospitalizations for mental causes in childhood in córdoba: an analysis from public health and with focus on rights. |
| title_full |
Prolonged hospitalizations for mental causes in childhood in córdoba: an analysis from public health and with focus on rights. |
| title_fullStr |
Prolonged hospitalizations for mental causes in childhood in córdoba: an analysis from public health and with focus on rights. |
| title_full_unstemmed |
Prolonged hospitalizations for mental causes in childhood in córdoba: an analysis from public health and with focus on rights. |
| title_sort |
prolonged hospitalizations for mental causes in childhood in córdoba: an analysis from public health and with focus on rights. |
| description |
Hospitalization in mental health is a measure of care of third level complexity and the last therapeutic measure to utilize for the least possible time when other therapeutic instances have been exhausted (Ley Nac. de Salud Mental Nro. 26.657).
The aim was to analyze the causes which motivate a prolonged psychiatric hospitalization of children/adolescents in the city of Cordoba.
Exploratory and retrospective study, mixed technique, qualitative and quantitative study based on clinical records of children/adolescents hospitalized in Hospital de Niños de Cordoba between years 2009-2016 with hospitalizations of more than 30 days. The cases were divided into two groups, group with prolonged hospitalizations from 31 to 59 days (GIP) and group with prolonged hospitalizations of more than 60 days (GIMP). The data were analyzed by frequency analysis, chi-square test and qualitative analysis of documentary records.
Five hundred fifty-seven hospitalizations were performed in the period. In 15.9% (n = 89) of the registries was observed more than 30 days of hospitalization, in which 64 corresponded to hospitalizations between 30-60 days (GIP) and 25 hospitalizations over than 60 days (GIMP). The most frequent reasons of hospitalization for the GIP were suicidal behaviors 23.44%, and psychomotor excitement episodes 15,6%. In the GIMP were episodes of psychomotor exacerbation 24% and hetero-aggression 32%. Reasons of intake, as well as diagnosis of release, showed a differentiated behavior by gender. In males, the most frequent diagnosis was behavior disorders and in females developmental personality disorders. In the GIMP the 36% (n=9) were children /adolescents who lived in conditions of shelter, being that group the one that presented the highest risk of re-hospitalization (p <0.01; OR = 3.6). Regarding health, the qualitative analysis showed difficulties in access to intermediate devices (day hospital), stigmatizing behavior attitudes in healthcare professionals and situations of violation of the rights of children living in institutional care both from their families and from State institutions.
Prolonged hospitalizations evidenced a differentiated behavior by gender associated to pathologies of impulsive-aggressive spectrum and factors of social vulnerability.
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| publisher |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2019 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/25716 |
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