Behavioral Health Diagnoses Among Children and Adolescents Hospitalized in the United States: Observations and Implications

Psychiatric Services : a Journal of the American Psychiatric Association
Natalia N EgorovaLawrence C Kleinman

Abstract

The study described rates and characteristics of U.S. children hospitalized with a behavioral (mental or substance use) disorder. This cross-sectional analysis of data from the 2012 Kids' Inpatient Database included 483,281 hospitalizations in general and children's hospitals of persons under age 21 with a primary or secondary behavioral diagnosis. The admission rate with any behavioral diagnosis was 5.5 per 1,000 children in the U.S. population, with 2.9 having a primary behavioral diagnosis. Common primary diagnoses included depression (34%), other mood (31%), psychotic (9%), and substance use (7%) disorders. The most common behavioral diagnoses secondary to a primary diagnosis that is not behavioral were depression (26%), attention-deficit disorder (26%), and substance use disorders (22%). Suicide or self-harm was rarely the primary diagnosis (.1%) but complicated 12% of admissions with a primary behavioral diagnosis. Variations in admissions (per 1,000 children in the U.S. population) with a primary behavioral diagnosis were noted by race-ethnicity (blacks, 3.2; whites, 2.9; and Hispanics, 1.4), insurance (public, 2.9; private, 2.0), and geographic region. Fifty-nine of every 1,000 peripartum admissions in the 12-20 age gro...Continue Reading

Citations

Nov 7, 2019·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Charlotte Z Woods-HillJulia S Sammons
Jun 20, 2020·Administration and Policy in Mental Health·Sarah McCue HorwitzRobert L Findling
Mar 8, 2021·The Journal of Allergy and Clinical Immunology. in Practice·Alexandra KulikovaE Sherwood Brown
Sep 7, 2021·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Radion SvynarenkoLisa C Lindley
Sep 27, 2019·Pediatrics·Naomi S BardachMichael D Cabana

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