ArticleGeneral hospital psychiatry
Predictors of self-harm emergency department visits in adolescents: A statewide longitudinal study.
Article in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Characteristics of Adolescents and Young Adults Visiting an Emergency Department Due to Self-Harm or Suicide Attempts: Risk Factors for Severe Medical Outcome and Short-Term Revisits.Journal of Korean medical science · 2026Article
- Self-harm surveillance: an analysis of ICD-10-CM code R45.88, non-suicidal self-harm, with no co-occurring injury code.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025Article
- Emergency psychiatric care for children and adolescents: factors associated with multiple visits and hospital admissions.European child & adolescent psychiatry · 2025Article
- Exploring Mediators of Mental Health Service Use Among Transgender Individuals in Ontario, Canada.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2023Article
- Factors Affecting Emergency Medical Utilization After Self-harm and Effectiveness of Community-Based Suicide Prevention Provisions in Preventing Self-harm: A Nationwide Registry-Based Study in Korea.Community mental health journal · 2023Article
- Health Diagnoses and Service Utilization in the Year Before Youth and Young Adult Suicide.Psychiatric services (Washington, D.C.) · 2023Article
- 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 · 2023Article
- Association between suicide attempt and previous healthcare utilization among homeless youth.Suicide & life-threatening behavior · 2022Article
- Pediatric suicide by violent means: a cry for help and a call for action.Injury epidemiology · 2022Article
- Suicide Risk Among Hospitalized Versus Discharged Deliberate Self-Harm Patients: Generalized Random Forest Analysis Using a Large Claims Data Set.American journal of preventive medicine · 2022Article
- Reduced rate of postpartum readmissions among homeless compared with non-homeless women in New York: a population-based study using serial, cross-sectional data.BMJ quality & safety · 2022Article
- Emergency Department Visits for Non-suicidal Self-harm, Suicidal Ideation, and Suicide Attempts in Children and Adolescents.Child psychiatry and human development · 2022Article
- Biosignature of self-injury behaviors in adolescence: Role of β-endorphin in an acute inpatient unit.Frontiers in psychiatry · 2022Article
- Health-Care Utilization Due to Suicide Attempts Among Homeless Youth in New York State.American journal of epidemiology · 2021Article
- Self-harm injury hospitalisations: an analysis of case selection criteria.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2021Article
- 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 · 2020Article
- Characteristics and Trends of Suicide Attempt or Non-suicidal Self-injury in Children and Adolescents Visiting Emergency Department.Journal of Korean medical science · 2020Article
- Emergency Department Use and Inpatient Admissions and Costs Among Adolescents With Deliberate Self-Harm: A Five-Year Follow-Up Study.Psychiatric services (Washington, D.C.) · 2020Article
- Adolescent Intentional Ingestions in a Community Hospital.Hospital pediatrics · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveThis study investigated patient- and area-level characteristics associated with adolescent emergency department (ED) patients' risk of subsequent ED visits for self-harm.
methodRetrospective analysis of adolescent patients presenting to a California ED in 2010 (n = 480,706) was conducted using statewide, all-payer, individually linkable administrative data. We examined associations between multiple predictors of interest (patient sociodemographic factors, prior ED utilization, and residential mobility; and area-level characteristics) and odds of a self-harm ED visit in 2010. Patients with any self-harm in 2010 were followed up over several years to assess predictors of recurrent self-harm.
resultsSelf-harm patients (n = 5539) were significantly more likely than control patients (n = 16,617) to have prior histories of ED utilization, particularly for mental health problems, substance abuse, and injuries. Residential mobility also increased risk of self-harm, but racial/ethnic minority status and residence in a disadvantaged zipcode decreased risk. Five-year cumulative incidence of recurrent self-harm was 19.3%. Admission as an inpatient at index visit, Medicaid insurance, and prior ED utilization for psychiatric problems or injury all increased recurrent self-harm risk.
conclusionsA range of patient- and area-level characteristics observable in ED settings are associated with risk for subsequent self-harm among adolescents, suggesting new targets for intervention in this clinical context.
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