Evidence map›Paper›PMID 26583932›Full record

ArticlePediatric emergency care2015

Self-harm, Assault, and Undetermined Intent Injuries Among Pediatric Emergency Department Visits.

Elizabeth D Ballard, Luther G Kalb, Roma A Vasa, Mitchell Goldstein, Holly C Wilcox

Abstract read
In one paragraph

Article in Pediatric emergency care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
  2. Incidence and Correlates of Emergency Department Visits for Deliberate Self-Harm Among Asian American Youth.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023
    Article
  3. Observational
  4. Article
  5. Prevalence and clinical correlates of self-harm and suicidality during admission of children in a mental health inpatient unit.European psychiatry : the journal of the Association of European Psychiatrists · 2020
    Article
  6. National Surveillance of Injury in Children and Adolescents in the Republic of Korea: 2011-2017.International journal of environmental research and public health · 2020
    Article
  7. Article
  8. Article
  9. Non-fatal self-inflicted versus undetermined intent injuries: patient characteristics and incidence of subsequent self-inflicted injuries.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2019
    Article
  10. Article
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Elizabeth D BallardFrom the *Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine; †Department of Mental Health, Johns Hopkins Bloomberg School of Public Health; ‡Center for Autism and Related Disorders, Kennedy Krieger Institute; §Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD.
Luther G Kalb
Roma A Vasa
Mitchell Goldstein
Holly C Wilcox

Funding

Developmental Pathways to Suicide AttemptR21MH090480 · NIMH · JOHNS HOPKINS UNIVERSITY · PI WILCOX, HOLLY C · 2011 to 2012
$472k
Intramural NIH HHS Z99 MH999999NIMH NIH HHS R21 MH090480NIMH NIH HHS R21MH090480
6 · The paper itself

Abstract

objectivesAlthough injuries are a known cause of morbidity and mortality among children and adolescents, little is known about the epidemiology of injury-related emergency department (ED) visits in the United States by injury intent. The objective of this analysis was to examine ED outcomes, defined as death in the ED, inpatient admission, and visit cost, among ED visits stratified by injury intent (i.e., self-harm, assault, and injury with undetermined intent, as compared with unintentional injuries).

methodsAll injury-related ED visits in the United States for children and adolescents, ages 8 to 17 years, were identified using the 2008 Nationwide Emergency Department Sample. Multivariate survey weighted logistic and linear regression analyses were then used to estimate the likelihood of death on ED visit, inpatient admission, and cost across the 4 injury types.

resultsIn 2008, with the use of weighted estimates, there were 66,895 self-harm, 176,125 assault, 24,144 undetermined injury, and 4,244,589 unintentional injury ED visits among children 8 to 17 years. Visits due to self-harm, assault and undetermined injuries were more likely to result in death during the ED visit compared with visits due to unintentional injuries. Self-harm and undetermined intent were also associated with greater odds of inpatient admission as well as 90% and 60% higher ED visit costs, respectively.

conclusionsData from this nationwide sample of pediatric ED visits highlight the resource burden of self-harm, undetermined intent, and assault injury visits. Pediatric EDs may provide a window of opportunity for better case identification and intervention with children experiencing violence and injury.

Indexed as

AdolescentChildChild MortalityCross-Sectional StudiesEmergency Service, HospitalFemaleHumansMalePatient AdmissionPediatricsSelf-Injurious BehaviorSurveys and QuestionnairesUnited States

Identifiers

PMID26583932
PMCPMC4706151

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.