Evidence map›Paper›PMID 38309579›Full record

ArticleAcademic pediatrics2024

COVID-19 and Youth Mental Health Disparities: Intersectional Trends in Depression, Anxiety and Suicide Risk-Related Diagnoses.

Laura M Prichett, Robert H Yolken, Emily G Severance, Destini Carmichael, Yong Zeng, Yongyi Lu, Andrea S Young, Tina Kumra

Open access · hybridAbstract read
In one paragraph

Article in Academic pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
18.5field-weighted citation impact, top 1% 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

23 citing papers in PubMed, 29 citations in OpenAlex.

  1. Twenty Years in the Making: Government, University, and Community Partnership to Advance School Mental Health.Prevention science : the official journal of the Society for Prevention Research · 2026
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  17. Contributing Factors to the Rise in Adolescent Anxiety and Associated Mental Health Disorders: A Narrative Review of Current Literature.Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc · 2025
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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 1 institution in 1 country.

Laura M PrichettDepartment of Pediatrics (LM Prichett, D Carmichael, Y Zeng, Y Lu, and T Kumra), Division of General Pediatrics, Johns Hopkins School of Medicine, Baltimore, Md. Electronic address: LPriche1@jhmi.edu.
Robert H YolkenDepartment of Pediatrics (RH Yolken and EG Severance), Stanley Division of Developmental Neurovirology, Johns Hopkins School of Medicine, Baltimore, Md.
Emily G SeveranceDepartment of Pediatrics (RH Yolken and EG Severance), Stanley Division of Developmental Neurovirology, Johns Hopkins School of Medicine, Baltimore, Md.
Destini CarmichaelDepartment of Pediatrics (LM Prichett, D Carmichael, Y Zeng, Y Lu, and T Kumra), Division of General Pediatrics, Johns Hopkins School of Medicine, Baltimore, Md.
Yong ZengDepartment of Pediatrics (LM Prichett, D Carmichael, Y Zeng, Y Lu, and T Kumra), Division of General Pediatrics, Johns Hopkins School of Medicine, Baltimore, Md.
Yongyi LuDepartment of Pediatrics (LM Prichett, D Carmichael, Y Zeng, Y Lu, and T Kumra), Division of General Pediatrics, Johns Hopkins School of Medicine, Baltimore, Md.
Andrea S YoungDepartment of Psychiatry and Behavioral Sciences (AS Young), Division of Child and Adolescent Psychiatry, Johns Hopkins School of Medicine, Baltimore, Md.
Tina KumraDepartment of Pediatrics (LM Prichett, D Carmichael, Y Zeng, Y Lu, and T Kumra), Division of General Pediatrics, Johns Hopkins School of Medicine, Baltimore, Md.
Johns Hopkins University · US

Funding

The Johns Hopkins Clinical Research Scholars in Women's Health (BIRCWH)K12AR084229 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI Daniel Ernest Ford, NANCY E GLASS · 2023 to 2026
$2.7M
Preventive Effects of Treatment for Childhood Mental Illness on Adolescent Substance UseK23DA044288 · NIDA · JOHNS HOPKINS UNIVERSITY · PI YOUNG, ANDREA S · 2018 to 2022
$784k
NIAMS NIH HHS K12 AR084229NIDA NIH HHS K23 DA044288
6 · The paper itself

Abstract

objectivesMental health disparities were prevalent among racially and ethnically minoritized youth prior to the COVID-19 pandemic. As complete datasets from 2022 become available, we can estimate the extent to which the pandemic further magnified existing inequities. Our objective was to quantify disparities in trajectories of depression, anxiety, and suicide risk-related diagnoses in youth before and after the start of the COVID-19 pandemic, using an intersectional lens of race, ethnicity and gender.

methodsUsing electronic medical record data from one mid-Atlantic health care system (2015-2022), we evaluated changes in annual rates of depression, anxiety and suicide risk-related diagnoses in 29,117 youths, aged 8-20 years, using graphical analysis, comparison of adjusted mean differences (AMD) and adjusted mixed multilevel logistic regression.

resultsAlmost all racial and gender subgroups had significantly higher rates of depression and anxiety after the start of COVID-19 compared to the years prior, with the greatest changes observed in Hispanic and Asian females. Suicide risk-related diagnoses significantly increased among all female subgroups, with the largest increase among Asian females (AMD 4.8, 95% CI 0.2-9.3) and Black females (AMD 4.6, 95% CI 2.2-6.9).

conclusionsRates of depression, anxiety, and suicidal thoughts and/or behaviors in young people continued to increase in the post-pandemic period. Many pre-existing disparities between subgroups, especially females, significantly widened, highlighting the importance of using an intersectional lens. Urgent action is warranted, including universal screening of pediatric patients for suicide risk, broadening effective treatment and support options in minoritized patients, and increasing support services to patients and families.

Indexed as

AnxietyCOVID-19DepressionHealth Status DisparitiesSuicideAdolescentAsianChildEthnicityFemaleHispanic or LatinoHumansMaleMental HealthUnited StatesYoung AdultadolescentCOVID-19disparitiesmental healthsuicide

Identifiers

PMID38309579
PMCPMC11193644
OpenAlexW4391554720

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.