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Detention of children and adolescents under mental health legislation: a scoping review of prevalence, risk factors, and legal frameworks.
Schölin, Lisa; Tucker, Zack; Chopra, Arun; Borschmann, Rohan; McKay, Colin.
Afiliación
  • Schölin L; Centre for Pesticide Suicide Prevention, University of Edinburgh, Edinburgh, UK. lisa.scholin@ed.ac.uk.
  • Tucker Z; Masters student at University of Edinburgh, Edinburgh, UK.
  • Chopra A; Mental Welfare Commission for Scotland, Edinburgh, UK.
  • Borschmann R; Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.
  • McKay C; Centre for Adolescent Health, Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, Australia.
BMC Pediatr ; 24(1): 12, 2024 01 04.
Article en En | MEDLINE | ID: mdl-38178014
ABSTRACT

BACKGROUND:

For individuals with severe mental illness, involuntary assessment and/or treatment (hereafter detention) can be a necessary intervention to support recovery and may even be lifesaving. Despite this, little is known about how often these interventions are used for children and adolescents.

METHODS:

This global scoping review set out to (1) map the current evidence around mental health detentions of children and adolescents (< 18 years); (2) identify the clinical, sociodemographic, and behavioural factors associated with detention; and (3) document the views of professionals and young people on the implementation of mental health legislation.

RESULTS:

After searching databases of peer-reviewed literature and citation chaining, 42 articles from 15 jurisdictions were included. About one fifth of psychiatric admissions in national register data were detentions, however trends were only available for a few high-income Western countries. The circumstances justifying detention and the criteria authorising detention varied between studies, with a mix of clinical factors and observed behaviours reported as the reason(s) warranting/precipitating a detention. Particular groups were more likely to experience detention, such as children and adolescents from minority ethnic communities and those with a documented history of abuse. There was a notable absence of qualitative research exploring the views of professionals or children and adolescents on detention.

CONCLUSION:

Further research is needed to explore the impact of detention on those aged < 18 years, including national register-based studies and qualitative studies. This is particularly relevant in nations currently undergoing legislative reform.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Salud Mental / Internamiento Involuntario / Trastornos Mentales Tipo de estudio: Diagnostic_studies / Etiology_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies / Systematic_reviews Límite: Adolescent / Child / Humans Idioma: En Revista: BMC Pediatr Asunto de la revista: PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Salud Mental / Internamiento Involuntario / Trastornos Mentales Tipo de estudio: Diagnostic_studies / Etiology_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies / Systematic_reviews Límite: Adolescent / Child / Humans Idioma: En Revista: BMC Pediatr Asunto de la revista: PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido