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ArticleEuropean child & adolescent psychiatry2025

Emergency psychiatric care for children and adolescents: factors associated with multiple visits and hospital admissions.

Berta Ezquerra, Inmaculada Peñuelas-Calvo, Ines Marti-Estevez, Maria Taracena-Cuerda, Enrique Baca-García, Alejandro Porras-Segovia

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Article in European child & adolescent psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

6 authors.

Berta EzquerraDepartment of Psychiatry, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.
Inmaculada Peñuelas-CalvoDepartment of Child and Adolescent Psychiatry, Hospital Universitario 12 de Octubre, Avda. De Córdoba s/n, Madrid, 28041, Spain. inmaculada.penuelas@salud.madrid.org.
Ines Marti-EstevezDepartment of Psychiatry and Clinical Psychology, Hospital Universitario Niño Jesús, Madrid, Spain.
Maria Taracena-CuerdaDepartment of Child and Adolescent Psychiatry, Hospital Universitario 12 de Octubre, Avda. De Córdoba s/n, Madrid, 28041, Spain.
Enrique Baca-GarcíaDepartment of Psychiatry, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.
Alejandro Porras-SegoviaMental Health Research Group, Health Research Institute Jimenez Díaz Foundation, Madrid, Spain.

Funding

Instituto de Salud Carlos III & European Regional Development Fund ISCIII JR22/00011
6 · The paper itself

Abstract

Given the increased demand for mental health resources in the child and adolescent population, this study aims to describe the emergency psychiatric care of the children and adolescents and to explore factors associated with multiple visits and hospital admissions. All patients < 18 years of age who visited the psychiatric ED(ED) of a University Hospital in Madrid, Spain, during 2022 were included. Data were collected by the attending psychiatrist upon first 2022 ED visit (index visit) and during any ED revisit. Electronic health records of all included patients were revised to contrast information and complete missing data. Logistic regressions and correlation analyses were used to explore factors associated with multiple ED visits and hospitalisations. N = 397 patients were included. Factors associated with multiple ED visits were: being LGTBQ+, having eating problems, substance use, consulting for psychosis upon first visit, having a history of suicidal behaviour, previous mental health service use or previous hospitalisations, having two or more psychiatric diagnoses, and being diagnosed of eating disorders or depression. Factors associated with hospitalisation include female gender, older age, LGTBQ+, family conflicts, first or second-generation migrants, history of abuse, eating problems, drug use, history of suicidal behaviour, previous mental health service use or previous hospitalisations, psychiatric comorbidity, and eating disorders diagnosis. Identifying predictors that lead to different clinical pathways and use of mental health services can improve clinical outcomes and resource use.

Indexed as

Emergency Services, PsychiatricHospitalizationMental DisordersAdolescentChildChild, PreschoolFemaleHumansMaleSpainAdolescentsChildrenEDMental healthSuicideSuicide attemptSuicide ideation

Identifiers

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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.