ArticleFrontiers in psychiatry2019
Changes in the Use of Emergency Care for the Youth With Mental Health Problems Over Decades: A Repeated Cross Sectional Study.
Article in Frontiers in psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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.
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.
Who cites it
18 citing papers in PubMed, 31 citations in OpenAlex.
- Therapy Dogs for Anxiety in Children in the Emergency Department: A Randomized Clinical Trial.JAMA network open · 2025Trial
- Evaluation of the mental health transition navigation model in child and adolescent mental health settings: findings from a pre-post, mixed-methods study.European child & adolescent psychiatry · 2026Article
- Trends in nonurgent mental health presentations to emergency departments: insights from the first nationwide study in Germany.BMC psychiatry · 2025Article
- Preventing Adolescent Suicide: Feasibility and Preliminary Outcome Evaluation of a Theatre-Based Gatekeeper Training for Teachers.International journal of environmental research and public health · 2024Article
- Parents' Experiences of Accessing Mental Health Services for Their Adolescents With Mental Health Challenges: A Scoping Review.Journal of clinical nursing · 2024Article
- Gender-specific pathways in mental health crisis in adolescents, from consultation to (in)voluntary admission: a retrospective study.BMC psychiatry · 2024Article
- Bridging the gap between the emergency department and outpatient care: feasibility of a short-term psychiatric crisis intervention for children and adolescents.European child & adolescent psychiatry · 2023Article
- Clinical Practice Guidelines for Assessment and Management of Children and Adolescents Presenting with Psychiatric Emergencies.Indian journal of psychiatry · 2023Article
- Trends of repeated emergency department visits among adolescents and young adults for substance use: A repeated cross-sectional study.PloS one · 2023Article
- Urgent psychiatric consultations for suicide attempt and suicidal ideation before and after the COVID-19 pandemic in an Italian pediatric emergency setting.Frontiers in psychiatry · 2023Article
- Correlates of child mental health and substance use related emergency department visits in Ontario: A linked population survey and administrative health data study.International journal of population data science · 2023Article
- Hospitalisation in Child Neuropsychiatry: A Case Study Along a Five-Year Epidemiological-Clinical Trend.Clinical neuropsychiatry · 2022Article
- Article
- A Retrospective Study on the Factors Associated with Long-Stay Hospitalization in a Child Neuropsychiatry Unit.Healthcare (Basel, Switzerland) · 2021Article
- The ongoing impact of COVID-19 on asthma and pediatric emergency health-seeking behavior in the Bronx, an epicenter.The American journal of emergency medicine · 2021Article
- Suicidality Presented to a Child and Adolescent Psychiatry Emergency Service: Increasing Rate and Changing Characteristics.Frontiers in psychiatry · 2021Article
- Unmet Needs and Classical Pitfalls in the Management of Adolescents With Behavioral Problems in Emergency.Frontiers in psychiatry · 2021Article
- Repeating a suicide attempt during adolescence: risk and protective factors 12 months after hospitalization.European child & adolescent psychiatry · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To understand whether changes exist in the types of youths mental health problems addressed in emergency in a context of increasing demand, we conducted a retrospective chart review in an emergency care outpatient unit. Data from children and adolescents admitted at four different time periods (years 1981, 1992, 2002, and 2017) were compared to determine trends in terms of patients' characteristics, nature of the mental health problems and final care decisions. Between 1981 and 2017 there was a 3.85 times increase in the annual number of patients presenting to the emergency consultations. The proportion of youths being referred for anxiety or depressive symptoms sharply increased over time, while no differences were found for the proportion of aggressive behaviors and suicidal attempts. Anxiety disorders became the most frequent discharge psychiatric disorder in youths admitted in the emergency unit, rising from 5% in 1981 to 34% in 2017. Significant changes were also observed in the source of referral to the emergency unit; in particular emergency consultations in 2017 were about twice as likely as in 1981 to be requested directly by the family. This data suggested that the increased use of emergency services observed over the last decades is associated with significant changes in the patient and his/her family's demands about mental health difficulties. Such findings are worth considering for mental health interventions that aim to address the emergency overcrowding issue.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.