ArticleThe American journal of emergency medicine2025
Trends in substance use-related emergency department visits by youth, 2018-2023.
Article in The American journal of emergency medicine, 2025. 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.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of adolescent alcohol-related harm trends in high-income countries with declines in adolescent consumption.Addiction (Abingdon, England) · 2025Pooled it
- Adolescent Substance Use Screening in the Emergency Department.Journal of the American College of Emergency Physicians open · 2026Review
- Predictors of outpatient treatment engagement following a visit to a specialized emergency department for substance use: A cohort study using high-resolution electronic health records.Addiction (Abingdon, England) · 2026Article
- Trends in Hospital Admissions for Psychoactive Substance Intoxication Among Children, Adolescents, and Young Adults in Slovenia, 2013-2023.Journal of clinical medicine · 2026Article
- Opioid-related emergency department visits in Saudi Arabia: an interrupted time series analysis of visit patterns pre-COVID-19 and post-COVID-19.BMJ public health · 2026Article
- Evolving sex-specific trends in mental health-related emergency department visits (2010-2023): insights from 643 French general hospitals.Frontiers in public health · 2025Article
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Abstract
backgroundWe aimed to examine trends in substance use-related emergency department (ED) visits for youth from 2018 to 2023, compare the patient characteristics, types of substance involved, and ED disposition for these visits, and calculate revisit frequency.
methodsRetrospective review of electronic health records (EHRs) from six EDs in an urban healthcare system to identify 12-21-year-old patients with substance use-related ED visits from 2018 to 2023. Visits were identified by International Classification of Diseases, 10th Revision Clinical Modification codes for substance use. Proportions of substance use-related visits each year were compared by age group (12-14y, 15-17y, 18-21y), sex, race/ethnicity, and substance type. Logistic regression was used to assess characteristics associated with substance use-related visits, hospital admissions, and ED revisits.
resultsOf 151,764 ED visits for 12-21-year-olds, 3.0 % were for substance use. From 2018 to 2023, substance use-related ED visits increased from 2.8 % to 3.4 % of all ED visits (p < 0.001) and were most often by 18-21-year-olds (79.4 %), yet there were significant increases in visits by 12-14-year-olds and 15-17-year-olds. Visits for females increased from 43.4 % to 52.4 % from 2018 to 2023 (p < 0.001). Although visits for alcohol were most frequent (53.4 %), cannabis visits increased from 17.9 % to 35.3 %, with increases across all age groups (p < 0.001). Nineteen percent of visits involved patients that had an ED revisit for a substance use-related diagnosis within one year.
conclusionSubstance use-related ED visits increased from 2018 to 2023, with an increase in visits for cannabis over time. These findings can inform targeted ED-based interventions for substance use in youth.
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