Evidence map›Paper›PMID 39952394›Full record

ArticleAcademic pediatrics

Cost of Intentional Drug Overdose and Other Self-Harm Among Youth in the United States, 2021.

Laura M Prichett, Nancy S Weinfield, Michael J Miller, Brian R E Schultz, Barry S Solomon, Eileen M McDonald, Leticia M Ryan

Abstract read
In one paragraph

Article in Academic pediatrics. 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
  2. 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

7 authors.

Laura M PrichettDepartment of Pediatrics (LM Prichett and BS Solomon), Division of General Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Md. Electronic address: LPriche1@jhmi.edu.
Nancy S WeinfieldKaiser Permanente Mid-Atlantic Permanente Research Institute (NS Weinfield and MJ Miller), Washington, DC.
Michael J MillerKaiser Permanente Mid-Atlantic Permanente Research Institute (NS Weinfield and MJ Miller), Washington, DC.
Brian R E SchultzDepartment of Pediatrics (BRE Schultz and LM Ryan), Division of Pediatric Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, Md.
Barry S SolomonDepartment of Pediatrics (LM Prichett and BS Solomon), Division of General Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Md; Department of Health, Behavior and Society (BS Solomon, EM McDonald, and LM Ryan), Johns Hopkins Bloomberg School of Public Health, Baltimore, Md.
Eileen M McDonaldDepartment of Health, Behavior and Society (BS Solomon, EM McDonald, and LM Ryan), Johns Hopkins Bloomberg School of Public Health, Baltimore, Md.
Leticia M RyanDepartment of Pediatrics (BRE Schultz and LM Ryan), Division of Pediatric Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, Md; Department of Health, Behavior and Society (BS Solomon, EM McDonald, and LM Ryan), Johns Hopkins Bloomberg School of Public Health, Baltimore, Md.

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
NIAMS NIH HHS K12 AR084229
6 · The paper itself

Abstract

objectiveTo quantify the annual direct health care cost of intentional overdose and other types of self-harm resulting in emergency department and/or inpatient encounters among youth in the United States.

methodsUsing the 2021 Nationwide Emergency Department Sample and National Inpatient Sample datasets, produced by the Agency for Healthcare Research and Quality Healthcare Cost and Utilization Project, we determined nationally representative cross-sectional frequencies and costs for specific types of self-harm encounters among 8- to 21-year-old pediatric and young adult patients.

resultsThe total combined 1-year cost of all self-harm encounters was $869 million (95% confidence interval [CI] $841M-$897M). The majority of this cost was due to intentional overdose-related encounters, which totaled $530 million (95% CI $512M-$547M). Of this total, $232 million (95% CI $223M-$241M) was paid by public insurers and $296 million (95% CI $281M-$312M) was paid by private insurers. Encounters by females accounted for 79% of the intentional overdose costs ($420 million, 95% CI $404M-$435M).

conclusionsBased on 2021 data, preventing youth intentional overdose could save the US health system up to $530 million, annually. As we collectively work to prevent suicide deaths among young people, it is important to recognize the needs of the larger group of youth who are engaging in serious self-harm and nonfatal suicidal acts, the majority of whom are young females. Prevention of intentional overdose in this population should be a priority, both in terms of upstream public health efforts and promotion of evidence-based methods of safer storage.

Indexed as

Drug OverdoseEmergency Service, HospitalHealth Care CostsSelf-Injurious BehaviorAdolescentChildCross-Sectional StudiesFemaleHumansMaleSuicide, AttemptedUnited StatesYoung Adultcostintentional overdoseself-harmsuicide attempt

Identifiers

PMID39952394
PMCPMC12048248

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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.