19 May Nearly every tenth of inpatients arrives in fetters to the restricted CAP ward in Hungary
Nearly every tenth of inpatients arrives in fetters to the restricted CAP ward in Hungary
Individual presentation9Sófi Gyula, Heim Pal's National Children's Hospital, Hungary
Room 3BThu 10:30 - 12:00
The psychiatric profile of Hungarian delinquent youths who need in-patient care. The prevalence of mental disorders among delinquent youths is relatively well known, but the issue was poorly studied in Hungary. The presentation provides information on the issue by summarizing the experiences obtained at the Heim Pál Children Hospital, Budapest. Exceptional value of the observations collected during the past 10 years is that the delinquent and non-delinquent, same age-group juveniles came to the ward from the same geographical region with some kinds of behavioral manifestations of their mental disorders. The study was based on the patient population diagnosed and treated over the last 10 years in the hospital. The average population size per year was 645, out of which on average 57/year were delinquents, aged 16,3 years on average. Diagnoses were based on the Hungarian version of the MINI International Neuropsychiatric Interview for Children and Adolescents. Leading psychopathologies in delinquents were conduct-disorder (76,2% of cases), attention-deficit/hyperactivity disorder (17,6%) and oppositional-defiant (14,9%) syndrome. Substance using were a “general” comorbidity with 78,4% of cases within the delinquent group. An enormous rise of drug induced psychosis with 19,2% were seen in 2019 (detailed toxicological analysis of the samples is in progress actually). Comorbidities were also high, and were shown an average 36,8% of the sample, with the leading non-suicidal self-harm (NSSH) disorder by 83,8%! These figures were 2,1 (ADHD) – 8,7 (CD) times larger than in non-delinquent populations diagnosed and treated over the same period on the ward. Comorbidity of anxious disorder combined with ADHD and or CD/ODD were 3,2%, while the remaining ones have a higher anxiety with 10,1%. Mental disorders involving externalizing behaviors were considerably more frequent in the investigated Hungarian delinquent population than in non-delinquents studied in parallel, but figures were overall similar to those reported in other countries. Earlier observation of Lichtenstein et al (2012, N. Engl. J. Med.) had a conclusion on reducing criminality recidivism by ADHD medications, what suggests the need for assess and offer for treatment of more delinquent juveniles than actually do.