ArticleAcademic pediatrics
Mental Health Service Use Before and After a Suicidal Crisis Among Children and Adolescents in a United States National Medicaid Sample.
Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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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
7 citing papers in PubMed, 9 citations in OpenAlex.
- Characterizing the Use of Home-Based Behavioral Health Services Among Children in Foster Care.Children and youth services review · 2026Article
- Institutional Betrayal in Inpatient Psychiatry: Effects on Trust and Engagement With Care.Psychiatric services (Washington, D.C.) · 2025Article
- Racial and Gender Disparities in Suicide and Mental Health Care Utilization in a Pediatric Primary Care Setting.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
- A classification system for youth outpatient behavioral health services billed to medicaid.Frontiers in health services · 2024Article
- Article
- Follow-up After Pediatric Mental Health Emergency Visits.Pediatrics · 2023Article
- Pediatric emergency departments' readiness for change toward improving suicide prevention: A mixed-methods study with US leaders.Journal of the American College of Emergency Physicians open · 2022Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 1 country.
Funding
Abstract
introductionMental health follow-up after an emergency department (ED) visit for suicide ideation/attempt is a critical component of suicide prevention for young people.
methodsWe analyzed 2009 to 2012 Medicaid Analytic EXtract for 62,139 treat-and-release ED visits and 30,312 ED-to-hospital admissions for suicide ideation/attempt among patients ages 6 to 17 years. We used mixed-effects logistic regression models to examine associations between patients' health care utilization prior to the ED visit and likelihood of completing a 30-day mental health follow-up visit.
resultsOverall, for treat-and-release ED visits, 49% had a 30-day follow-up mental health visit, and for ED-to-hospital admissions, 67% had a 30-day follow-up mental health visit. Having a mental health visit in the 30 days preceding the ED visit was the strongest predictor of completing a mental health follow-up visit (ED treat-and-release: adjusted odds ratio [AOR] 11.01; 95% confidence interval [CI] 9.82-12.35; ED-to-hospital AOR 4.60; 95% CI 3.16-6.68). Among those with no mental health visit in the 30 days preceding the ED visit, only 25% had an ambulatory mental health follow-up visit. Having a general health care visit in the 30 days preceding the ED visit had a much smaller association with completing a mental health follow-up visit (ED treat-and-release: AOR 1.17; 95% CI 1.09-1.24; ED-to-hospital AOR 1.25; 95% CI 1.17-1.34).
conclusionsYoung people without an existing source of ambulatory mental health care have low rates of mental health follow-up after an ED visit for suicide ideation or attempt, and opportunities exist to improve mental health follow-up for youth with recent general health care visits.
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