Hospitalizations for mental and behavioral disorders in children and adolescents in Brazil: an epidemiological analysis

Authors

DOI:

https://doi.org/10.53843/bms.v10i14.973

Keywords:

Adolescent, Child, Epidemiology, Mental health, Mental disorders

Abstract

Introduction: The periods of childhood and adolescence are crucial phases to the formation of individuals as they represent their initial contact with life in society and identity formation. As a result, they are more vulnerable to mental health issues. This article aims to analyze the hospital admissions for mental and behavioral disorders from 2018 to 2022 in Brazilian children and adolescents. Methodology: Ecological, observational epidemiological study, with a quantitative approach and temporal trend analysis with data obtained from the Hospital and Mortality Information Systems made available by the Information Technology Department of the Unified Health System. The variables used were region, year of hospital admission, sex, age group and race/color. Mental and behavioral disorders were separated according to Chapter V of the 10th Revision of the International Classification of Diseases. The data obtained were analyzed using descriptive statistics. Results: There were 94,921 hospitalizations of children and adolescents due to mental and behavioral disorders in the period analyzed. The South and Southeast regions accounted for 72% of the hospitalizations.  Hospitalizations due to mood disorders (28.39%), use of psychoactive substances (24.03%) and schizophrenia, schizotypal and delusional disorders (22.07%) were the most frequent. 51.79% of cases were male. The age group of 15 to 19 years corresponded to 76.92% of hospitalizations. White race/color represented 42.77% of records. Discussion: From 2018 to 2022, there was a significant increase in hospitalizations of children and adolescents due to mental and behavioral disorders. This situation cannot be explained by a single factor, but it is important to consider the consequences of the COVID-19 pandemic, family conflicts, drug use by parents, and the lack of family supervision as possible elements related to the worsening or decompensation of these disorders. Conclusion: The epidemiological aspects related to psychiatric disorders in children and adolescents must be assessed to improve prevention and control measures.

References

World Health Organization. Mental disorders [Internet]. 2022 [cited 2024 Jan 5]. Available from: https://www.who.int/news-room/fact-sheets/detail/mental-disorders

Poisk CC, Poisk EÁC, Miotto JFS, Linartevichi VF. Psicopatologias na infância e na adolescência. FAG Journal of Health [Internet]. 2019 [acesso em 25 novembro 2023];1(4):91–9. Disponível em: https://doi.org/10.35984/fjh.v1i4.153 DOI: https://doi.org/10.35984/fjh.v1i4.153

Freţian AM, Graf P, Kirchhoff S, Glinphratum G, Bollweg TM, Sauzet O, et al. The Long-Term Effectiveness of Interventions Addressing Mental Health Literacy and Stigma of Mental Illness in Children and Adolescents: Systematic Review and Meta-Analysis. Int J Public Health [Internet]. 2021 Dec 15 [cited 2023 Dec 15];66. Available from: https://doi.org/10.3389/ijph.2021.1604072 DOI: https://doi.org/10.3389/ijph.2021.1604072

World Health Organization. World mental health report: Transforming mental health for all [Internet]. Geneva; 2022 Jun [cited 2023 Nov 25]. Available from: https://www.who.int/publications/i/item/9789240049338

Sapien Labs. The Mental State of the World in 2022 [Internet]. 2023 Mar [cited 2023 Nov 25]. Available from: https://mentalstateoftheworld.report/

Bittencourt SA, Camacho LAB, Leal M do C. O Sistema de Informação Hospitalar e sua aplicação na saúde coletiva. Cad Saude Publica [Internet]. 2006 Jan [acesso em 19 novembro 2023];22(1):19–30. Disponível em: https://doi.org/10.1590/S0102-311X2006000100003 DOI: https://doi.org/10.1590/S0102-311X2006000100003

Brasil. Conselho Nacional de Saúde. Resolução no 510, de 7 de abril de 2016. Dispõe sobre as normas aplicáveis a pesquisas em Ciências Humanas e Sociais [Internet]. Diário Oficial da União. 2016 maio 24 [acesso em 2023 nov. 20]. Disponível em: https://www.in.gov.br/materia/-/asset_publisher/Kujrw0TZC2Mb/content/id/22917581.

Conceição DS, Andreoli SB, Esperidião MA, Santos DN Dos. Atendimentos de crianças e adolescentes com transtornos por uso de substâncias psicoativas nos Centros de Atenção Psicossocial no Brasil, 2008-2012. Epidemiologia e Serviços de Saúde [Internet]. 2018 [acesso em 20 novembro 2023];27(2):e2017206. Disponível em: https://doi.org/10.5123/S1679-49742018000200002 DOI: https://doi.org/10.5123/S1679-49742018000200002

Aydogdu ALF. Saúde mental das crianças durante a pandemia causada pelo novo coronavírus: revisão integrativa. Journal Health NPEPS [Internet]. 2020 Dec 1 [acesso em 20 novembro 2023];5(2):e4891. Disponível em: http://dx.doi.org/10.30681/252610104891 DOI: https://doi.org/10.30681/252610104891

Neves LC, Musial DC. Prevalência de transtornos mentais e comportamentais em crianças e adolescentes de 2010 a 2019, no estado do Acre, Brasil. Revista Brasileira de Neurologia e Psiquiatria [Internet]. 2021 [acesso em 20 novembro 2023];25(3):46–54. Disponível em: https://rbnp.emnuvens.com.br/rbnp/article/view/620

Perez JA, Rios LMS, Merelles SL, Duarte MB. Internações hospitalares por uso de substâncias psicoativas no Nordeste Brasileiro em 2018. Revista de Ciências Médicas e Biológicas [Internet]. 2020 Dec 5 [acesso em 3 janeiro 2024];19(3):405–10. Disponível em: https://doi.org/10.9771/cmbio.v19i3.36020 DOI: https://doi.org/10.9771/cmbio.v19i3.36020

Thiengo DL, Cavalcante MT, Lovisi GM. Prevalência de transtornos mentais entre crianças e adolescentes e fatores associados: uma revisão sistemática. J Bras Psiquiatr [Internet]. 2014 [acesso em 20 novembro 2023];63(4):360–72. Disponível em: https://doi.org/10.1590/0047-2085000000046 DOI: https://doi.org/10.1590/0047-2085000000046

Thomé ALP, Sperotto D. Uso de substâncias psicoativas na juventude: estudo das possíveis relações sociais vivenciadas na infância e adolescência associadas a este desfecho. Revista Brasileira de Neurologia e Psiquiatria [Internet]. 2021 [acesso em 20 novembro 2023];25(2):88–102. Disponível em: https://www.revneuropsiq.com.br/rbnp/article/view/565

World Health Organization. Mental health of adolescents [Internet]. 2021 [cited 2023 Nov 25]. Available from: https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health

Ahmad G, McManus S, Bécares L, Hatch SL, Das-Munshi J. Explaining ethnic variations in adolescent mental health: a secondary analysis of the Millennium Cohort Study. Soc Psychiatry Psychiatr Epidemiol [Internet]. 2022 Apr 1 [cited 2023 Nov 24];57(4):817–28. Available from: https://doi.org/10.1007/s00127-021-02167-w DOI: https://doi.org/10.1007/s00127-021-02167-w

Published

03.03.2025

How to Cite

1.
Hospitalizations for mental and behavioral disorders in children and adolescents in Brazil: an epidemiological analysis . BMS [Internet]. 2025 Mar. 3 [cited 2025 Jun. 23];10(14). Available from: https://bms.ifmsabrazil.org/bms/article/view/973