Evidence map›Paper›PMID 35219262›Full record

ArticlePsychiatry research2022

Racial and demographic disparities in emergency department utilization for mental health concerns before and during the COVID-19 pandemic.

Francesca Penner, Aishwarya Rajesh, Kerry L Kinney, Kara L Mabus, Kimberly G Barajas, Kevin R McKenna, Crystal S Lim

Abstract read
In one paragraph

Article in Psychiatry research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

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  12. The Paper Chase: A Team Science Training Exercise.Training and education in professional psychology · 2024
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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.

Francesca PennerDepartment of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, MS, United States; Child Study Center, Yale School of Medicine, New Haven, CT, United States. Electronic address: francesca.penner@yale.edu.
Aishwarya RajeshDepartment of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, MS, United States; Department of Radiology, Washington University School of Medicine, St. Louis, MO, United States.
Kerry L KinneyDepartment of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, MS, United States.
Kara L MabusDepartment of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, MS, United States.
Kimberly G BarajasDepartment of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, MS, United States; Psychiatry and Behavioral Medicine, Seattle Children's Hospital, Seattle, WA, United States.
Kevin R McKennaDepartment of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, MS, United States; VA Palo Alto Health Care System, Palo Alto, CA, United States.
Crystal S LimDepartment of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, MS, United States.

Funding

TRAINING PROGRAM IN CHILDHOOD NEUROPSYCHIATRIC DISORDERST32MH018268 · NIMH · YALE UNIVERSITY · PI Michael H Bloch, MICHAEL J CROWLEY · 1985 to 2026
$11.0M
NIMH NIH HHS T32 MH018268
6 · The paper itself

Abstract

This study investigated whether emergency department (ED) visits for mental health concerns increased during the COVID-19 pandemic, taking a health disparities lens. ED encounters from the only academic medical center in Mississippi were extracted from March-December 2019 and 2020, totaling 2,842 pediatric (ages 4-17) and 17,887 adult (ages 18-89) patients. Visits were coded based on primary ED diagnosis. For adults, there were fewer depression/anxiety ED visits during the pandemic, not moderated by any demographic factor, but no differences for serious mental illness or alcohol/substance use. For youth, there were significantly fewer ED visits for behavior problems during the pandemic among children in the lower socioeconomic status (SES) category; there were no differences for depression/anxiety. Regardless of year, adults in the lower SES category were more likely to visit the ED for mental health, Black adults were less likely to visit the ED for depression/anxiety or alcohol/substance use, and Black children were less likely to visit the ED for behavioral concerns. Results suggest that access to outpatient and telehealth services remains critical for mental health care during the pandemic and underline the importance of race- and SES-related factors in use of the ED for mental health concerns beyond the pandemic.

Indexed as

COVID-19PandemicsAdolescentAdultAgedAged, 80 and overChildChild, PreschoolDemographyEmergency Service, HospitalHumansMental HealthMiddle AgedYoung AdultAnxietyChild behavior problemsDepressionHealth disparitiesSerious mental illnessSoutheastern United StatesSubstance use

Identifiers

PMID35219262
PMCPMC8840823

What OpenQuestion holds

Textmetadata
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.