Evidence map›Paper›PMID 34794519›Full record

ArticleBJPsych open2021

Hospital admissions for stress-related presentations among school-aged adolescents during term time versus holidays in England: weekly time series and retrospective cross-sectional analysis.

Ruth Blackburn, Omotomilola Ajetunmobi, Louise Mc Grath-Lone, Pia Hardelid, Roz Shafran, Ruth Gilbert, Linda Wijlaars

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BJPsych open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Ruth BlackburnUCL Institute of Health Informatics, University College London, UK.
Omotomilola AjetunmobiUCL Institute of Health Informatics, University College London, UK.
Louise Mc Grath-LoneUCL Institute of Health Informatics, University College London, UK.ORCID https://orcid.org/0000-0003-0867-6673
Pia HardelidPopulation, Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, University College London, UK.
Roz ShafranPopulation, Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, University College London, UK.
Ruth GilbertPopulation, Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, University College London, UK.
Linda WijlaarsPopulation, Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, University College London, UK.
University College London · GB

Funding

Medical Research Council MR/S003797/1
6 · The paper itself

Abstract

backgroundSchools are a potential stressor for adolescents and may contribute to emergency hospital admissions.

aimsWe describe rates of stress-related presentations (SRPs) among school-aged adolescents (11-17 years) during school terms and holidays, and explore differences by age and gender.

methodUsing national administrative hospital data, we defined an SRP as an emergency hospital admission with a primary diagnosis related to pain, psychosomatic symptoms (e.g. fatigue) or mental health problems, or with self-harm indicated in any diagnostic position. We estimated incidence rate ratios for weekly SRPs in term time versus holidays from 2014-2015 to 2017-2018, using negative binomial regression models, stratified by age and gender. We estimated the cumulative incidence of any SRP between 11 and 17 years by analysing prior hospital admission histories of adolescents with an SRP in 2017-2018.

resultsOver the 4-year study period, 305 491 SRPs in 171 013 school-aged adolescents accounted for 31% of emergency admissions for this group. SRPs were predominantly for mental health problems or self-harm (38%), or pain (35%). Weekly admission rates for SRPs were higher in term time than holidays for all ages (age-specific incidence rate ratios were 1.15-1.49 for girls and 1.08-1.60 for boys). Rates were highest for girls aged 14 and 15 years. The estimated cumulative incidence of any SRP between 11 and 17 years was 7.9% for girls and 4.1% for boys.

conclusionsHospital admissions for SRPs are common among adolescents, affecting around two girls and one boy in every classroom. Higher rates in term time than holidays suggest that school factors may contribute.

Indexed as

administrative dataAdolescentsmental healthschoolstress

Identifiers

PMID34794519
PMCPMC8612011
OpenAlexW3214251797

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.