RESUMO
In the last decade, the Emergency Department of "Dr. Ricardo Gutiérrez" Children's Hospital in the city of Buenos Aires, Argentina, registered a signifcant increase in mental health consultations of children and adolescents. The increase in the demand for assistance was mainly due to self-injurious behavior, suicide attempts and situations of violence and abandonment. We analyze the variables that determine the characteristics of the current consultation and the change in the profile of the institutions called to respond to this demand. Finally, we reflect on the place of childhood and adolescence, considering the influence of cultural and socioeconomic changes of contemporary society.
Assuntos
Emergências , Transtornos Mentais , Adolescente , Criança , Hospitalização , Hospitais Pediátricos , Humanos , Transtornos Mentais/terapiaRESUMO
Through history, diagnosis and management of sex development disorders has been very difficult due to the significant impact on affected children, their families and care takers, representing a great challenge to healthcare professionals. Nowadays, there is significant debate regarding these children's care and outcome. This discussion is not only a medical issue, but it also includes legal and ethical matters. The Bioethics Committee of the "Hospital de Niños Ricardo Gutiérrez" has been considering this conflict and discussing its different aspects. Here we share our beliefs and opinions taking into account that they should not be considered the only and whole truth. There is an open debate in which all involved people should participate.