ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2018
Use of the emergency department as a first point of contact for mental health care by immigrant youth in Canada: a population-based study.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.
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52 citing papers in PubMed, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.
- Pooled it
- Intentional injuries in newcomers to Alberta, 2016-2023.Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- Mental Health Outcome Trends in a Nationally Representative Sample of Canadian Migrant Adolescents From 2014 to 2022.The Journal of school health · 2026Article
- Behavioral health needs of newcomer patients in a pediatric emergency department.International journal for equity in health · 2026Article
- A systematic review of global mental health service utilisation in young refugees and asylum seekers.BJPsych open · 2026Review
- Evaluation of an Artificial Intelligence and Online Psychotherapy Initiative to Improve Access and Efficiency in an Ambulatory Psychiatric Setting: Évaluation d'une initiative de psychothérapie en ligne basée sur l'intelligence artificielle visant à améliorer l'accès et l'efficacité en milieu psychiatrique ambulatoire.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2026Article
- Child Health Research Using linked Multi-domain Canadian Administrative Data: A Scoping Review.International journal of population data science · 2026Article
- Using large language models as a scalable mental status evaluation technique.NPP - digital psychiatry and neuroscience · 2025Article
- Wait-List Controlled Pilot Trial of a Preventive Mental Health Intervention for Refugee Youth.Journal of immigrant and minority health · 2025Article
- All-cause and cause-specific hospitalization rates among temporary and permanent residents living in Canada: A linkage study.Canadian journal of public health = Revue canadienne de sante publique · 2025Article
- Addressing health inequalities and barriers to access among adolescent migrants in Chile: a mixed methods study.International journal for equity in health · 2025Article
- Minoritized and Poorly Understood: A Scoping Review of Mental and Physical Health Among Arab Adolescents in Canada and the United States.American journal of human biology : the official journal of the Human Biology Council · 2025Article
- Association Between Patient Sociodemographic and Clinical Characteristics and Acute Mental Health Service Utilization Within One Year Following Enrollment in the Rapid Access and Stabilization Program in Nova Scotia.Journal of clinical medicine · 2025Article
- Trends and socioeconomic inequalities in acute mental health service use in Canada, 2004-2019: a nationally representative retrospective cohort study.BMJ mental health · 2025Article
- Inequalities in paediatric hospitalisations for costly and prevalent conditions in Ontario, Canada: a population-based cohort study.Lancet regional health. Americas · 2025Article
- Article
- Community-driven mental health priorities for immigrant youth in Alberta.Frontiers in health services · 2025Article
- Longitudinal study examining the relationship between physical activity and psychiatric hospitalizations in canadian adolescents and young adults utilizing record linkage.Scientific reports · 2024Article
- Language ability and virtual mental healthcare utilisation among immigrant and refugee youth: a population-based cohort study.Archives of disease in childhood · 2024Article
- Medical imaging utilization in migrants compared with nonmigrants in a universal healthcare system: A population-based matched cohort study.PLoS medicine · 2024Article
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Authors and funding
7 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmergency department visits as a first point of contact for people with mental illness may reflect poor access to timely outpatient mental health care. We sought to determine the extent to which immigrants use the emergency department as an entryway into mental health services.
methodsWe used linked health and demographic administrative data sets to design a population-based cohort study. We included youth (aged 10-24 yr) with an incident mental health emergency department visit from 2010 to 2014 in Ontario, Canada (
resultsThe cohort included 2194 (1.8%) refugee, 6680 (5.6%) non-refugee immigrant and 109 977 (92.5%) nonimmigrant youth. Rates of first mental health contact in the emergency department were higher among refugee (61.3%) and non-refugee immigrant youth (57.6%) than non-immigrant youth (51.3%) (refugee aRR 1.17, 95% CI 1.13-1.21; non-refugee immigrant aRR 1.10, 95% CI 1.08-1.13). Compared with non-refugee immigrants, refugees had a higher rate of first mental health contact in the emergency department (aRR 1.06, 95% CI 1.02-1.11). We also observed higher rates among recent versus longer-term immigrants (aRR 1.10, 95% CI 1.05-1.16) and immigrants from Central America (aRR 1.17, 95% CI 1.08-1.26) and Africa (aRR 1.15, 95% CI 1.06-1.24) versus from North America and Western Europe.
interpretationImmigrant youth are more likely to present with a first mental health crisis to the emergency department than non-immigrants, with variability by region of origin and time since migration. Immigrants may face barriers to access and use of outpatient mental health services from a physician. Efforts are needed to reduce stigma and identify mental health problems early, before crisis, among immigrant populations.
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