Evidence map›Paper›PMID 37133634›Full record

ArticleCJEM2023

An evaluation of satisfaction with emergency department care in children and adolescents with mental health concerns.

Conné Lategan, Amanda S Newton, Jennifer Thull-Freedman, Antonia Stang, Eddy Lang, Paul Arnold, Michael Stubbs, Stephen B Freedman

Open access · bronzeAbstract read
In one paragraph

Article in CJEM, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. A Mixed Methods Exploration of Emergency Service Use Among Autistic Youth.Journal of autism and developmental disorders · 2026
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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

8 authors at 3 institutions in 1 country.

Conné LateganDepartment of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.ORCID 0000-0001-7504-1841
Amanda S NewtonDepartment of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Jennifer Thull-FreedmanDepartments of Pediatrics and Emergency Medicine, Cumming School of Medicine, University of Calgary, Alberta Children's Hospital, Calgary, AB, Canada.ORCID 0000-0002-8367-7994
Antonia StangDepartment of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.ORCID 0000-0002-6680-0620
Eddy LangDepartment of Emergency Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.ORCID 0000-0003-0850-4337
Paul ArnoldThe Mathison Centre for Mental Health Research and Education and Department of Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Michael StubbsDepartment of Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Stephen B FreedmanDepartments of Pediatrics and Emergency Medicine, Cumming School of Medicine, University of Calgary, Alberta Children's Hospital, Calgary, AB, Canada. stephen.freedman@albertahealthservices.ca.ORCID 0000-0003-2319-6192
University of Calgary · CAAlberta Children's Hospital · CAUniversity of Alberta · CA

Funding

Alberta Children's Hospital Foundation Professorship in Child HealthAlberta Children's Hospital Foundation WellnessAlberta Innovates - Health Solutions Innovation in the Health SystemAlberta Innovates - Health Solutions Partnership for Research
6 · The paper itself

Abstract

objectivesWe hypothesized that an association exists between satisfaction with ED mental health care delivery and patient and system characteristics. Primary: To evaluate overall satisfaction with ED mental health care delivery. Secondary: To explore aspects of ED mental health care delivery associated with general satisfaction, and patient and ED visit characteristic associated with total satisfaction scores and reported care experience themes.

methodsWe enrolled patients < 18 years of age presenting with a mental health concern between February 1, 2020 and January 31, 2021, to two pediatric EDs in Alberta, Canada. Satisfaction data were collected using the Service Satisfaction Scale, a measure of global satisfaction with mental health services. Association of general satisfaction with ED mental health care was evaluated using Pearson's correlation coefficient and variables associated with total satisfaction score was assessed using multivariable regression analyses. Inductive thematic analysis of qualitative feedback identified satisfaction and patient experience themes.

results646 participants were enrolled. 71.2% were Caucasian and 56.3% female. Median age was 13 years (IQR 11-15). Parents/caregivers (n = 606) and adolescents (n = 40) were most satisfied with confidentiality and respect in the ED and least satisfied with how ED services helped reduce symptoms and/or problems. General satisfaction was associated with perceived amount of help received in the ED (r = 0.85) and total satisfaction with evaluation by a mental health team member (p = 0.004) and psychiatrist consultation (p = 0.05). Comments demonstrated satisfaction with ED provider attitudes and interpersonal skills and dissatisfaction with access to mental health and addictions care, wait time, and the impact of COVID-19.

conclusionsThere is a need to improve ED mental health care delivery, with a focus on timely access to ED mental health providers. Access to outpatient/community-based mental health care is needed to complement care received in the ED and to provide continuity of care for youth with mental health concerns.

Indexed as

COVID-19Mental HealthAdolescentAlbertaChildEmergency Service, HospitalFemaleHumansMalePatient SatisfactionPersonal SatisfactionEmergency departmentMental healthPatient satisfactionPediatric

Identifiers

PMID37133634
PMCPMC10155139
OpenAlexW4367834187

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.