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Pediatric Consultation-Liaison Psychiatry pp 145–159Cite as

Acute Mental Status Change

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Abstract

Acute mental status changes in children and adolescents can often be a harbinger of a medical or psychiatric illness that requires an urgent and timely assessment. Acute mental status changes in a child can accompany acute changes in vital signs, which indicate need for an expedited evaluation. This chapter gives examples of presentations of acute mental status changes and their management. The interface between delirium and psychosis can be difficult to delineate, and examples of these conditions are given.

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References

  • Birmaher, B., & Brent, D. (2007). Practice parameter for the assessment and treatment of children and adolescents with depressive disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 46(11), 1503–1526.

    Article  Google Scholar 

  • Brusilow, S. W., & Cooper, A. J. (2011). Encephalopathy in acute liver failure resulting from acetaminophen intoxication: New observations with potential therapy. Critical Care Medicine, 39(11), 2550–2553.

    Article  CAS  Google Scholar 

  • Cannon, M., Jones, P., Huttunen, M. O., et al. (1999). School performance in Finnish children and later development of schizophrenia: A population-based longitudinal study. Archives of General Psychiatry, 56(5), 457–463.

    Article  CAS  Google Scholar 

  • Coentre, R., Silva-dos-Santos, A., Lopes, J., et al. (2009). Initial medical work-up in first-episode psychosis – RCAAP. Early Intervention in Psychiatry, 3(1), 10–18.

    Article  Google Scholar 

  • De Gregorio, D., Comai, S., Posa, L., et al. (2016). d-Lysergic Acid Diethylamide (LSD) as a model of psychosis: Mechanism of action and pharmacology. International Journal of Molecular Sciences, 17(11)Pii, E1953. https://doi.org/10.3390/ijms17111953.

    Article  Google Scholar 

  • Dolle, K., Schulte-Korne, G., O’Leary, A. M., et al. (2012). The Beck depression inventory-II in adolescent mental health patients: Cut-off scores for detecting depression and rating severity. Psychiatry Research, 200(2–3), 843–848.

    Article  Google Scholar 

  • Findling, R. L. (2016). Evidence-based pharmacologic treatment of pediatric bipolar disorder. The Journal of Clinical Psychiatry, 77(Suppl), e2.

    Article  Google Scholar 

  • Gardiner, P., & Dvorkin, L. (2006). Promoting medication adherence in children. American Family Physician, 74(5), 793–798.

    PubMed  Google Scholar 

  • Gaudreau, J. (2012). Insights into the neural mechanisms underlying delirium. American Journal of Psychiatry, 169(5), 450–451.

    Article  Google Scholar 

  • Ghuran, A., van der Wieken, L., & Nolan, J. (2001). Cardiovascular complications of recreational drugs. British Medical Journal, 323(7311), 464–466.

    Article  CAS  Google Scholar 

  • Gochman, P., Miller, R., & Rapoport, J. (2011). Childhood-onset schizophrenia: The challenge of diagnosis. Current Psychiatry Reports, 13(5), 321–322.

    Article  Google Scholar 

  • Grover, S., Kate, N., Malhotra, S., et al. (2012). Symptom profile of delirium in children and adolescents – Does it differ from adults and elderly? General Hospital Psychiatry, 34(6), 626–632.

    Article  Google Scholar 

  • Gusmao-Flores, et al. (2012). The confusion assessment method for the intensive care unit (CAM-ICU) and intensive care delirium screening checklist (ICDSC) for the diagnosis of delirium: A systematic review and meta-analysis of clinical studies. Critical Care, 16, R115.

    Article  Google Scholar 

  • https://www.nimh.nih.gov/health/topics/…/fact-sheet-first-episode-psychosis.html

    Google Scholar 

  • IACAPAP. (2012). Mood disorders chapter E.2. Bipolar disorder in children and adolescents.

    Google Scholar 

  • Joyce, C., et al. (2015). Journal of Child and Adolescent Psychopharmacology, 25(9), 666–670.

    Article  CAS  Google Scholar 

  • Karnik, N. S., Joshi, S. V., Paterno, C., et al. (2007). Subtypes of pediatric delirium: A treatment algorithm. Psychosomatics, 48(3), 253–257.

    Article  Google Scholar 

  • Kelly, P., & Frosch, E. (2012). Recognition of delirium on pediatric hospital services. Psychosomatics, 53, 446–451.

    Article  Google Scholar 

  • Kim, Y., Santos, R., Gage, F., et al. (2017). Molecular mechanisms of bipolar disorder: Progress made and future challenges. Frontiers in Cellular Neuroscience, 11, 30.

    PubMed  PubMed Central  Google Scholar 

  • Lee, C., & Hutto, B. (2008). Recognizing thyrotoxicosis in a patient with bipolar mania: A case report. Annals of General Psychiatry, 7, 3.

    Article  Google Scholar 

  • Mufson, L., & Sills, R. (2006). Interpersonal psychotherapy for depressed adolescents (IPT-A): An overview. Nordic Journal of Psychiatry, 60(6), 431–437.

    Article  Google Scholar 

  • National Estimates of Drug-Related Emergency Department Visits. (n.d.). HHS Publication No. (SMA) 13-4760, DAWN Series D-39. Rockville, MD.

    Google Scholar 

  • National Institute for Health and Care Excellence, UK. (2016). Psychosis and schizophrenia in children and young people: recognition and management.

    Google Scholar 

  • NIMH >> Bipolar Disorder in Children and Teens: http://www.nimh.nih.gov/health/publications/bipolar-disorder…children

    Google Scholar 

  • NIMH >> Major Depression Among Adolescents: https://www.nimh.nih.gov/health/statistics/…/major-depression-among-adolescents.shtml

    Google Scholar 

  • Pediatric delirium – iacapap 2015 Chapter I.5 IACAPAP textbook of child and adolescent mental health.

    Google Scholar 

  • Pediatric delirium – iacapap. iacapap.org/wp-content/uploads/1.5-DELIRIUM-2015.pdf.

    Google Scholar 

  • PICU/PCU Delirium Clinical Pathway-ICU Children’s Hospital of Philadelphia. www.chop.edu/clinical-pathway/picu-pcu-delirium-clinical-pathway

  • Probing the lithium-response pathway in hiPSCs implicates the phosphoregulatory set-point for a cytoskeletal modulator in bipolar pathogenesis. Proceedings of the National Academy of Sciences, 2017, 201700111.

    Google Scholar 

  • Ries Merikangas, K., Nakamura, E., & Kessler, R. (2009). Epidemiology of mental disorders in children and adolescents. Dialogues in Clinical Neuroscience, 11(1), 7–20.

    Google Scholar 

  • Thom, R. (2017). Pediatric Delirium. American Journal of Psychiatry, Residents’ Journal, 12(2), 6–8.

    Article  Google Scholar 

  • Traube, C., Silver, G., Kearney, J., et al. (2014). Cornell assessment of pediatric delirium: A valid, rapid, observational tool for screening delirium in the PICU. Critical Care Medicine, 42(3), 656–663.

    Article  Google Scholar 

  • Traube, C., Silver, G., Gerber, L. M., et al. (2017). Delirium and mortality in critically ill children: Epidemiology and outcomes of pediatric delirium. Critical Care Medicine, 45(5), 891–898.

    Article  Google Scholar 

  • Turkel, S. B., Trzepacz, P. T., & Tavare, C. J. (2006). Comparing symptoms of delirium in adults and children. Psychosomatics, 47(4), 320–324.

    Article  Google Scholar 

  • Turkel, S. B., et al. (2012). Journal of Child and Adolescent Psychopharmacology, 22(2), 126–130.

    Article  CAS  Google Scholar 

  • Youngstrom, E., Freeman, A., & Jenkins, M. (2009). The assessment of bipolar disorder in children and adolescents. Child and Adolescent Psychiatric Clinics of North America, 18(2), 353–359.

    Article  Google Scholar 

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Authors and Affiliations

  1. University of Hawaii, Honolulu, HI, USA

    Steven R. Williams

Authors
  1. Steven R. Williams
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Correspondence to Steven R. Williams .

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Editors and Affiliations

  1. Department of Psychiatry, University of Hawai‘i John A. Burns School of Medicine, Honolulu, HI, USA

    Anthony P. S. Guerrero

  2. Department of Psychiatry, University of Hawai‘i John A. Burns School of Medicine, Honolulu, HI, USA

    Paul C. Lee

  3. Faculty of Medicine and Health Sciences, NTNU, Department of Centre for Child and Youth Mental Health, Institute of Mental Health, Trondheim, Norway

    Norbert Skokauskas

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Williams, S.R. (2018). Acute Mental Status Change. In: Guerrero, A., Lee, P., Skokauskas, N. (eds) Pediatric Consultation-Liaison Psychiatry . Springer, Cham. https://doi.org/10.1007/978-3-319-89488-1_8

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  • DOI: https://doi.org/10.1007/978-3-319-89488-1_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-89487-4

  • Online ISBN: 978-3-319-89488-1

  • eBook Packages: MedicineMedicine (R0)

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