Evidence map›Paper›PMID 35640990›Full record

ArticleBMJ open2022

Returning to the emergency department: a retrospective analysis of mental health re-presentations among young people in New South Wales, Australia.

Patricia Cullen, Robert Neil Leong, Bette Liu, Natasha Walker, Katharine Steinbeck, Rebecca Ivers, Michael Dinh

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
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.

Patricia CullenSchool of Population Health, University of New South Wales, Sydney, New South Wales, Australia patricia.cullen@unsw.edu.au.
Robert Neil LeongSchool of Population Health, University of New South Wales, Sydney, New South Wales, Australia.
Bette LiuSchool of Population Health, University of New South Wales, Sydney, New South Wales, Australia.
Natasha WalkerSchool of Population Health, University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0001-5870-4156
Katharine SteinbeckDiscipline of Child and Adolescent Health, Faculty of Medicine and Health, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
Rebecca IversSchool of Population Health, University of New South Wales, Sydney, New South Wales, Australia.
Michael DinhNSW Institute of Trauma and Injury Management, NSW Agency for Clinical Innovation, Sydney, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to describe mental health emergency department (ED) presentations among young people aged 8-26 years in New South Wales, Australia, and to identify key characteristics associated with higher risk of ED mental health re-presentation. DESIGN, SETTING AND

participantsRetrospective analysis of linked ED data records for mental health presentations between 1 January 2015 and 30 June 2018.

main outcome measuresThe main outcome was the total number of mental health ED re-presentations within 1 year, following initial presentation. Count regression models were fitted to estimate factors associated with higher likelihood of re-presentations.

resultsForty thousand two hundred and ninety patients were included in the analyses, and 9713 (~25%) re-presented during the following year; 1831 (20%) presented at least three times. On average, patients re-presented 0.61 times per 365 person-days, with average time until first re-presentation of ~92 days but greatest risk of re-presentation within first 30-60 days. Young people with self-harm or suicidal diagnoses at initial presentation were more likely to re-present. Re-presentations were highest among young people <15 years (IRR 1.18 vs ≥20 years old), female (IRR=1.13 vs male), young people residing outside of major cities (IRR 1.08 vs major cities) and Aboriginal and Torres Strait Islander young people (IRR 1.27 vs non-Indigenous).

conclusionsED mental health re-presentation is high among young people. We demonstrate factors associated with re-presentation that EDs could target for timely, high-quality care that is youth friendly and culturally safe, with appropriate referral pathways into community-based primary and mental healthcare services.

Indexed as

Emergency Service, HospitalMental HealthAdolescentAdultAustraliaAustralian Aboriginal and Torres Strait Islander PeoplesFemaleHumansMaleNew South WalesRetrospective StudiesYoung AdultACCIDENT & EMERGENCY MEDICINEChild & adolescent psychiatryMENTAL HEALTHPaediatric A&E and ambulatory carePAEDIATRICS

Identifiers

PMID35640990
PMCPMC9171221

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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.