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EV0176

Comparison of comorbidity rates among young people admitted to a specialist eating disorder unit and a general adolescent unit

COMPARISON OF PREVALENCE OF COMORBIDITIES AMONG YPS ADMITTED TO SEDU(CAMHS) AND GAU (CAMHS)

Adolescents admitted to a specialist eating disorder unit have a significantly higher comorbidity burden, rates of anxiety and suicide attempts, and length of stay than those admitted to a general adolescent unit.

The aim was to compare demographic characteristics, mean length of stay (LOS), and the prevalence and patterns of secondary psychiatric comorbidities among young people admitted to a specialist eating disorder unit (SEDU) and a general adolescent unit (GAU) within child and adolescent mental health services (CAMHS). This retrospective comparative cohort analysis, based on clinical audit records, included 84 adolescents (SEDU n=34; GAU n=50). Data were analyzed using IBM SPSS 27.0 with chi-square/Fisher’s exact tests, an independent-samples t-test, and the Mann–Whitney U test. Mean age was similar across the two units (15.45 ± 1.52 and 15.74 ± 1.23; p=0.349). In the SEDU, 97.1% were female by gender and 100.0% were biologically female, compared with 44.0% and 50.0%, respectively, in the GAU (p=0.000). Length of stay was 104.87 ± 77.63 days in the SEDU and 52.60 ± 44.66 days in the GAU (p=0.000). The primary diagnosis was anorexia nervosa in 100.0% of SEDU cases, whereas GAU diagnoses included psychosis (42.0%), mood dysregulation (28.0%), obsessive-compulsive disorder (6.0%), anxiety (6.0%), and other conditions (18.0%) (p=0.000). At least one confirmed comorbidity was identified in 91.2% (n=31) of SEDU cases and 66.0% (n=33) of GAU cases, with a significant difference on Fisher’s exact test (p=0.008). In the distribution of comorbidities, anxiety was present in 35.3% (n=12) of SEDU cases and 14.0% (n=7) of GAU cases (p=0.022), while suicide attempts were recorded in 23.5% (n=8) of SEDU cases and 0.0% (n=0) of GAU cases (p=0.000). No significant differences were found for self-harm (44.1% versus 46.0%; p=0.864), autism spectrum disorder (26.5% versus 30.0%; p=0.725), or ADHD (11.8% versus 8.0%; p=0.564). In conclusion, admissions to a specialist eating disorder unit show marked diagnostic complexity that distinguishes them from admissions to general psychiatric units, characterized by high rates of secondary anxiety, greater clinical acuity associated with active suicide attempts, and longer hospital stays.

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