Objective: Cases who applied to the polyclinic, where we followed the patients under legally required health care clinic in the last year, were evaluated. It was aimed to compare the socio-demographic and clinical characteristics of patients who use and do not use substances. Methods: The files of cases aged 14-18 years with health precautions were reviewed retrospectively. Results: Thirty four patients (21 girls, 13 boys) had substance use. The mean age was 15.9±1.2 years and the mean duration of education was 9.5±1.9 years. Legally required counseling was 72% (n=54), education was 29.3% (n=22), institutional care was 22.7% (n=17) Smoking and alcohol use (p=0.001) school absenteeism (p=0.002), criminal behaviour (p=0.012), number of negative life events (p=0.025), exposure to emotional abuse (p=0.025) and care measures (p=0.017) were found to be higher in patients with substance use. Academic achievement was lower in patients using substance (p=0.001). At least one psychiatric diagnosis (p=0.001), more than one psychiatric diagnosis (p=0.001) and conduct disorder (p=0.016) were detected more frequently in the substance abuser group. Cannabis was the most frequently used substance (79.4%) in the group using drugs. Conclusion: Adolescents who are monitored with in the scope of under legally required health care and who use substances are different from the non-substance use group in terms of some socio-demographic and clinical characteristics. Knowing these features can contribute to the prevention and treatment studies of forensic medicine and child and adolescent mental health clinics working with patients who receive legally required treatment.

Background/Objectives: Child and adolescent psychiatry consultation-liaison services address heterogeneous management demands, while referral pathways and service organization may change over time. We examined whether information available before psychiatric assessment could predict six subsequent documented clinical management decisions and whether predictive performance remained transportable to a later service period. Methods: This retrospective prediction study included 656 unique patients aged 1–18 years. Six management domains coded from psychiatric consultation-response documentation were modeled using referral-note text, age, sex, and clinically harmonized referring department. L2-regularized logistic regression models incorporated term frequency–inverse document frequency text features. Internal performance was assessed using grouped repeated cross-validation. Temporal transportability was evaluated by applying models developed on 2013–2019 records (n = 447) to the 2022–2025 cohort (n = 209) without retraining or recalibration. The area under the precision–recall curve (AUPRC) was the primary metric. Results: Full-cohort cross-validated AUPRC ranged from 0.282 to 0.721. Temporal AUPRC ranged from 0.136 for psychosocial management to 0.663 for medication management decision; corresponding values were 0.282 for additional assessment, 0.586 for follow-up/reassessment, 0.415 for safety/disposition, and 0.575 for liaison/medical integration. Temporal discrimination was particularly weak for psychosocial management (AUROC = 0.532) and remained limited for additional assessment (AUROC = 0.587). Referring-department composition and several outcome prevalences changed substantially between periods. Although referral-note text contributed within the fitted models, its incremental temporal value over structured predictors was not established after false discovery rate correction; confidence intervals remained compatible with modest benefit or harm. Conclusions: Pre-assessment information contained management-domain-specific predictive signal for subsequent documented clinical management decisions, but transportability varied across clinical targets and service periods. These findings should be interpreted as evidence about temporal transportability rather than clinical implementation readiness. The results do not support automated clinical decision-making. Multicenter, preferably prospective, validation and evaluation of clinical utility and workflow impact are required before implementation.

Introduction and Purpose The aim of this study is to evaluate whether Frontal Alpha Asymmetry (FAA) can be used as a biomarker to assist in confirming the diagnosis, tracking the clinical course, and assessing treatment efficacy in adolescents diagnosed with Post-Traumatic Stress Disorder (PTSD). Material and Method: The study group consisted of female adolescents who were victims of sexual abuse and diagnosed with PTSD according to the K-SADS-PL DSM-5 (n=28). The control group was selected using Simple Random Sampling from female adolescents who met the exclusion criteria (n=23). Self-report scales were applied to the study group. At the first evaluation, an EEG was performed for all participants, with a follow-up EEG conducted for the study group after four months of treatment. Data were analyzed using SPSS 26.0. Results: A significant difference in FAA values was found between the groups. The average FAA value in the study group was negative compared to the control group, indicating left asymmetry in the study group. After four months of treatment, the negative FAA value shifted to a positive value, suggesting right asymmetry post-treatment. Furthermore, there were significant differences in the study group’s pre- and post-treatment mean scores on the BDI, CGI, CAPS, and STAI scales. Conclusion: The findings of our study support that FAA may serve as a useful biomarker in monitoring the clinical course and assessing treatment efficacy in patients diagnosed with PTSD.

Çocuk ihmal ve istismarının görülme sıklığı ve resmi kurumlara yansımaları toplumların yaşadığı olağan üstü yaşam olaylarından etkilenebilmektedir. Çalışmamızda bir üniversite hastanesinde tanılanan çocuk ihmali ve istismarı olgularının pandemi sürecinden nasıl etkilendiğinin araştırılması amaçlanmıştır. Çocuk ve Ergen Psikiyatrisi Polikliniğine diğer bölümlerden konsülte edilen ve doğrudan başvuruları sonucu ihmal ve istismar edildiği düşünülerek Aile ve Sosyal Hizmetler İl Müdürlüğü’ne (ASHİM) bildirimi yapılan 139 çocuğun dosyaları geriye dönük olarak incelenmiştir. Pandemi döneminde yapılan bildirimler pandemi öncesi yapılan bildirimlere göre daha yüksekti (p<0,05). Bildirimi yapılan olgularda okul terki, alkol kullanımı, madde kullanımı, suça sürüklenme, cinsel istismar ve suisid girişimde bulunma oranı pandemi öncesine göre yüksek bulundu. (p<0,05). Cinsel istismara uğrama kızlarda daha fazla iken, suça sürüklenme ve ruhsal tanı alma oranı erkeklerde daha yüksekti (p<0,05). Parçalanmış aileye sahip olan olguların çekirdek aileye sahip olanlara göre ruhsal tanı alma oranı daha yüksekti (p<0,05). Ruhsal tanı alanların tanı almayanlara göre haklarında tedbir kararı alınma oranı daha yüksekti (p<0,05). Ruhsal tanı alanlar hakkında alınan tedbir sayısı tanı almayanlara göre daha yüksekti(p<0,05). COVID-19 salgınının kısa süre içerisinde tüm dünyayı etkisi altına alması olağan hayat akışını tümden değiştirerek bireylerin yaşamında birçok olumsuz durum meydana getirmiştir. Meydana gelen bu sorunlardan en çok etkilenen kesim ise şüphesiz gelişim çağında ve okul döneminde olan çocuklar olmuştur. Çalışmamız sonucunda ortaya çıkan bulgular pandemi döneminde çocukların riskli davranışlarında ve çocuklara yönelik ihmal ve istismar durumlarında artışlar olduğunu desteklemektedir.