ArticleThe Journal of pediatrics2021
Emergency Department Visits for Suicidal Ideation and Self-Harm in Rural and Urban Youths.
Article in The Journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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Who cites it
12 citing papers in PubMed, 26 citations in OpenAlex.
- Review
- Understanding suicidal ideation in southeastern Iran: a cross-sectional analysis of demographic and socioeconomic correlates.BMC psychology · 2025Article
- Emergency department visits among rural and urban older adults: disparities in ambulatory and emergency care sensitive conditions.BMC health services research · 2025Article
- Trends and Disparities in Firearm Injuries Among Emerging Adults: A 15-Year Analysis of Emergency Department Admissions in the U.S.AJPM focus · 2025Article
- Experiences and Perceptions of Self-Harm in Rural-Dwelling Adults: A Rapid Review of Qualitative Evidence.Health expectations : an international journal of public participation in health care and health policy · 2025Review
- Bullying Victimization, Non-suicidal Self-injury, and Psychotic-like Experiences in Chinese Rural Adolescents: Exploring Transactional Associations.Research on child and adolescent psychopathology · 2025Article
- Association of emergency department characteristics with presence of recommended pediatric-specific behavioral health policies.Journal of the American College of Emergency Physicians open · 2024Article
- Associations between Physical Activity, Mental Health, and Suicidal Behavior in Korean Adolescents: Based on Data from 18th Korea Youth Risk Behavior Web-Based Survey (2022).Behavioral sciences (Basel, Switzerland) · 2024Article
- Self-harm and rurality in Canada: an analysis of hospitalization data from 2015 to 2019.Social psychiatry and psychiatric epidemiology · 2023Article
- Comparisons of mental health symptoms, treatment access, and self-harm behaviors in rural adolescents before and during the COVID-19 pandemic.European child & adolescent psychiatry · 2023Article
- Impact of the COVID-19 Pandemic on Adolescent Self-Harm: Based on a National Emergency Department Information System.International journal of environmental research and public health · 2023Article
- Supporting youth mental health during the COVID-19 pandemic.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2021Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 1 country.
Funding
Abstract
objectivesTo compare emergency department (ED) visit rates for suicidal ideation and/or self-harm among youth by urban-rural location of residence. STUDY
designThis is a retrospective analysis of ED visits for suicidal ideation and/or self-harm by youths aged 5-19 years (n = 297 640) in the 2016 Nationwide Emergency Department Sample, a representative sample of all US ED visits. We used weighted Poisson generalized linear models to compare population-based visit rates by urban-rural location of patient residence, adjusted for age, sex, and US Census region. For self-harm visits, we compared injury mechanisms by urban-rural location.
resultsAmong patients with ED visits for suicidal ideation and/or self-harm, the median age was 16 years, 65.9% were female, 15.9% had a rural location of patient residence, and 0.1% resulted in mortality. The adjusted ED visit rate for suicidal ideation/or and self-harm did not differ significantly by urban-rural location. For the subset of visits for self-harm, the adjusted visit rate was significantly higher in small metropolitan (adjusted incidence rate ratio [aIRR], 1.39; 95% CI, 1.01-1.90), micropolitan (aIRR, 1.46; 95% CI, 1.10-1.93), and noncore areas (aIRR, 1.39; 95% CI, 1.03-1.87) compared with large metropolitan areas. When stratified by injury mechanism, ED visit rates for self-inflicted firearm injuries were higher among youths living in rural areas compared with those in urban areas (aIRR, 3.03; 95% CI, 1.32-6.74).
conclusionsCompared with youths living in urban areas, youths living in rural areas had higher ED visit rates for self-harm, including self-inflicted firearm injuries. Preventive approaches for self-harm based in community and ED settings might help address these differences.
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