Table 4 The indications of hospitalization.
From: Premonitory symptoms of Feeding and Eating Disorders in pediatric age
I. Biological decompensation (includes all the serious organic conditions) a. Serious weight loss (25-40%) b. Rapidly evolutive weight loss c. Total refusal of food d. Serious complications of malnutrition as syncopations, convulsions, cardiac arrhythmias or congestive heart failure, dehydration, acrocyanosis, instability of physiological parameters (Systolic Blood Pressure ≤ 90 mmHg, Heart Rate ≤ 40 / min, body temperature ≤36 °C) |
II. Psychological decompensation (includes all high risk situations and the psychiatric comorbidities) a. Suicide attempts b. Self-mutilations c. Abuse of drugs or other substances d. Severe depression e. Anxiety f. Obsessive-compulsive personality disorder Borderline personality disorder g. Sexual or physical abuse. |
III. Other situations a. Failure of outpatient treatment, after attempt of 2-3 months without any modifications in the clinical picture b. Problematic family situation c. Request from the patient or from his family |