Evidence map›Paper›PMID 41584258›Full record

ArticleJournal of the American College of Emergency Physicians open2026

Mental Health Symptom Screening Among Adult Emergency Department Patients: A Cross-Sectional Study.

Jacob Langkiet, Elizabeth Hutzel-Dunham, Jennifer L Brown, Michael S Lyons, Caroline Freiermuth, Jon E Sprague, Joshua Lambert, Robert S Braun, Andrew K Littlefield, Jennifer A Frey and 8 more

Abstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

18 authors.

Jacob LangkietDepartment of Emergency Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Elizabeth Hutzel-DunhamDepartment of Emergency Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Jennifer L BrownDepartment of Psychological Sciences, Purdue University, West Lafayette, Indiana, USA.
Michael S LyonsDepartment of Emergency Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Caroline FreiermuthDepartment of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Jon E SpragueThe Ohio Attorney General's Center for the Future of Forensic Science, Bowling Green State University, Bowling Green, Ohio, USA.
Joshua LambertCollege of Nursing, University of Cincinnati, Cincinnati, Ohio, USA.
Robert S BraunDepartment of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Andrew K LittlefieldDepartment of Psychological Sciences, Texas Tech University, Lubbock, Texas, USA.
Jennifer A FreyDepartment of Emergency Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Daniel BachmannDepartment of Emergency Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Jason J BischofDepartment of Emergency Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Michael V PantalonLong Island University, Brookville, New York, USA.
Rachel M AnconaDepartment of Emergency Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Amanda CarrollDepartment of Emergency Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Dan PetrovitchDepartment of Psychological Sciences, Texas Tech University, Lubbock, Texas, USA.
Katie P HimesDepartment of Psychological Sciences, Texas Tech University, Lubbock, Texas, USA.
Brittany E PunchesDepartment of Emergency Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USA.

Funding

Decision-Making Factors for Therapeutic Opioid Use after Emergency CareK08DA049948 · NIDA · UNIVERSITY OF CINCINNATI · PI PUNCHES, BRITTANY E · 2021 to 2025
$955k
NIDA NIH HHS K08 DA049948
6 · The paper itself

Abstract

Objectives: Mental health symptoms profoundly influence healthcare outcomes and utilization. Although mental health conditions are common in emergency department (ED) patients, routine, noncrisis screening is not consistently implemented; thus, problems may go unrecognized outside of psychiatric crisis presentations. We aimed to estimate the prevalence of current symptoms of anxiety, depression, and posttraumatic stress disorder (PTSD) among ED patients using validated screening tools. Methods: We conducted a secondary analysis of cross-sectional data from 1305 randomly selected, adult patients from 3 urban, academic EDs. Validated survey instruments included (i) Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety Short Form 8a, (ii) Emotional Distress Depression Short Form 8a, and (iii) Primary Care PTSD Short Form. The primary outcome was the proportion of ED patients screening positive for elevated symptoms. We also describe the demographic characteristics of the sample and select social determinants of health. Results: Participants had a median age of 48 years (IQR, 32-59); 53.1% were female and 49.0% were White. Socioeconomic challenges were common, with 57.2% unemployed and 45.5% reported annual income below $35,000. Overall, 706/1305 (54.1%, 95% CI, 51.4-56.8) screened positive for elevated symptoms for at least 1 mental health condition: anxiety 46.9% ( Conclusion: Over half of ED patients screened positive for elevated symptoms. These findings underscore the epidemiologic burden of mental health symptoms in the ED and highlight the potential value of further research into brief, systematic screening during ED visits to identify and connect patients with appropriate mental health resources.

Indexed as

anxietydepressionemergency departmentmental health screeningposttraumatic stress disorder

Identifiers

PMID41584258
PMCPMC12830188

What OpenQuestion holds

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LicenceCC BY
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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.