Evidence map›Paper›PMID 37706294›Full record

ArticleBJPsych open2023

Patterns of emergency department presentations for a youth mental health cohort: data-linkage cohort study.

Frank Iorfino, Catherine McHugh, Matthew Richards, Adam Skinner, Ante Prodan, Jo-An Occhipinti, Yun Ju Christine Song, Simon Chiu, Simon Judkins, Elizabeth Scott and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BJPsych open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. A prognostic model for predicting functional impairment in youth mental health services.European psychiatry : the journal of the Association of European Psychiatrists · 2024
    Article
  3. Ethical challenges in contemporary psychiatry: an overview and an appraisal of possible strategies and research needs.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2024
    Article
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

11 authors.

Frank IorfinoBrain and Mind Centre, University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0003-1109-0972
Catherine McHughBrain and Mind Centre, University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-4891-4966
Matthew RichardsBrain and Mind Centre, University of Sydney, Sydney, New South Wales, Australia.
Adam SkinnerBrain and Mind Centre, University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-9823-1506
Ante ProdanBrain and Mind Centre, University of Sydney, Sydney, New South Wales, Australia; Translational Health Research Institute, Western Sydney University, Sydney, New South Wales, Australia; and School of Computer, Data and Mathematical Sciences, Western Sydney University, Sydney, New South Wales, Australia.
Jo-An OcchipintiBrain and Mind Centre, University of Sydney, Sydney, New South Wales, Australia; and Computer Simulation & Advanced Research Technologies, Sydney, New South Wales, Australia.
Yun Ju Christine SongBrain and Mind Centre, University of Sydney, Sydney, New South Wales, Australia.
Simon ChiuBrain and Mind Centre, University of Sydney, Sydney, New South Wales, Australia.
Simon JudkinsAustin Hospital, Heidelberg, Victoria, Australia.
Elizabeth ScottBrain and Mind Centre, University of Sydney, Sydney, New South Wales, Australia; and St Vincent's Private Hospital, Sydney, New South Wales, Australia.
Ian B HickieBrain and Mind Centre, University of Sydney, Sydney, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary youth mental health services in Australia have increased access to care for young people, yet the longer-term outcomes and utilisation of other health services among these populations is unclear.

aimsTo describe the emergency department presentation patterns of a help-seeking youth mental health cohort.

methodData linkage was performed to extract Emergency Department Data Collection registry data (i.e. emergency department presentations, pattern of re-presentations) for a transdiagnostic cohort of 7024 youths (aged 12-30 years) who presented to mental health services. Outcome measures were pattern of presentations and reason for presentations (i.e. mental illness; suicidal behaviours and self-harm; alcohol and substance use; accident and injury; physical illness; and other).

resultsDuring the follow-up period, 5372 (76.5%) had at least one emergency department presentation. The presentation rate was lower for males (IRR = 0.87, 95% CI 0.86-0.89) and highest among those aged 18 to 24 (IRR = 1.117, 95% CI 1.086-1.148). Almost one-third (31.12%) had an emergency department presentation that was directly associated with mental illness or substance use, and the most common reasons for presentation were for physical illness and accident or injury. Index visits for mental illness or substance use were associated with a higher rate of re-presentation.

conclusionsMost young people presenting to primary mental health services also utilised emergency services. The preventable and repeated nature of many presentations suggests that reducing the ongoing secondary risks of mental disorders (i.e. substance misuse, suicidality, physical illness) could substantially improve the mental and physical health outcomes of young people.

Indexed as

data linkagedepressionEmergency departmentmental illnessyouth

Identifiers

PMID37706294
PMCPMC10594097

What OpenQuestion holds

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Registered trials

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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.