Özet:

Background: The purpose of this study was to perform a retrospective file examination of the sociodemographic characteristics, symptoms leading to admission, length of stay in the inpatient unit, diagnoses, and psychotropic drugs used by children and adolescents who were treated in the psychiatric inpatient unit. Materials and Methods: The records of patients aged under 18 (n=85) receiving treatment on an inpatient basis at the Harran University Medical Faculty Psychiatry Department inpatient unit between 1 August, 2016, and 1 September, 2018, were screened retrospectively. Case data were assessed using a data form produced by the author in terms of age, sex, parental ages, symptoms resulting in admission, diagnoses received, length of hospitalization, presence of multiple hospitalizations, and psychotropic drug use. Case diagnoses were based on clinical interviews using Diagnostic and Statistical Manual of Mental Disorders 5th edition (DSM-5) criteria. SPSS 23.0 software (SPSS Inc., Chicago, USA) was used for statistical analysis. Statistical significance was defined as p<0.05. Results: Fifty-six of the patients included in the study were female and 29 were male. Major depressive disorder was the most frequent diagnosis among the patients (n: 30, 35.3%). The mean duration of hospitalization was 20.6±19.6 days. Eighty-five (100%) of the 85 patients had used one psychotropic agent during treatment. Antipsychotics were the most preferred drug group in our study (87.6%). Conclusions: Mood disorders constituted the most common reason for hospitalization. Psychotropics were used by all patients during hospitalization. Schizophreniform disorder and substance-related disorders were significantly higher in boys, while rates of conduct disorder and borderline personality disorder were significantly higher in girls. Since child and adolescent in-patient units are not available in all provinces, in clinical practice treatment is administered on an inpatient basis in adult psychiatric units. It is important for patients to be followed-up by child and adolescent psychiatry specialists in terms of being treated under emergency conditions without having to wait in line for treatment by being hospitalized in adult psychiatric units in places where there are no in-patient ünits for children and adolescents.

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