ArticlePediatrics2022
Trends in Suicidal Ideation-Related Emergency Department Visits for Youth in Illinois: 2016-2021.
Article in Pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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13 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Comparison of paediatric emergency department visits for attempted suicide, self-harm, and suicidal ideation before and during the COVID-19 pandemic: a systematic review and meta-analysis.The lancet. Psychiatry · 2023Pooled it
- Current and Desired Behavioral Health Resources for Children: A Survey of Illinois Emergency Departments.Journal of the American College of Emergency Physicians open · 2026Article
- Preliminary Validity for a Brief Caregiver-Report Screener for Suicidal Thoughts and Behaviors in Children Under Age 8.JAACAP open · 2025Article
- Early Pubertal Timing, Suicidality, and Self-Injurious Behaviors in Preadolescents: Evidence for Concurrent and Emergent Risk Prediction.Journal of the American Academy of Child and Adolescent Psychiatry · 2025Article
- Characteristics Differentiating Preadolescents With Suicidal Ideation From Those Who Display Suicidal Behaviors.Suicide & life-threatening behavior · 2025Article
- Caregiver-child affective dynamics during preschool predict preadolescent suicidal thoughts and behaviors.Personality and individual differences · 2025Article
- Provider Perspectives on the Use of Mental Health Apps, and the BritePath App in Particular, With Adolescents at Risk for Suicidal Behavior: Qualitative Study.JMIR human factors · 2025Article
- Preschool-Onset Major Depressive Disorder as a Strong Predictor of Suicidal Ideation and Behaviors Into Preadolescence.Journal of the American Academy of Child and Adolescent Psychiatry · 2024Article
- Magnitude and Associated Factors of Suicidal Ideation and Attempts among High School Adolescents of Jimma Town, Ethiopia.Ethiopian journal of health sciences · 2023Article
- Introduction: The influence of COVID-19 pandemic policy on child and adolescent mental health: strong signal or mostly noise?Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 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
- Article
- Preteen Suicide Risk Screening in the Pediatric Outpatient Setting: A Clinical Pathway.Journal of the Academy of Consultation-Liaison PsychiatryReview
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesIncreasing suicide rates and emergency department (ED) mental health visits reflect deteriorating mental health among American youth. This population-based study analyzes trends in ED visits for suicidal ideation (SI) before and during the coronavirus disease 2019 (COVID-19) pandemic.
methodsWe analyzed Illinois hospital administrative data for ED visits coded for SI from January 2016 to June 2021 for youth aged 5 to 19 years. We characterized trends in patient sociodemographic and clinical characteristics, comparing three equal 22 month periods and analyzed patient and hospital characteristics associated with the likelihood of hospitalization.
resultsThere were 81 051 ED visits coded for SI at 205 Illinois hospitals; 24.6% resulted in hospitalization. SI visits accounted for $785 million in charges and 145 160 hospital days over 66 months. ED SI visits increased 59% from 2016 through 2017 to 2019 through 2021, with a corresponding increase from 34.6% to 44.3% of SI principal diagnosis visits (both P < .001). Hospitalizations increased 57% between prepandemic fall 2019 and fall 2020 (P = .003). After controlling for demographic and clinical characteristics, youth were 84% less likely to be hospitalized if SI was their principal diagnosis and were more likely hospitalized if coded for severe mental illness, substance use, anxiety, or depression, or had ED visits to children's or behavioral health hospitals.
conclusionsThis study documents child ED SI visits in Illinois spiked in 2019, with an additional surge in hospitalizations during the pandemic. Rapidly rising hospital use may reflect worsening mental illness and continued difficulty in accessing low cost, high-quality outpatient mental health services.
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