Changes in the Use of Emergency Care for the Youth With Mental Health Problems Over Decades: A Repeated Cross Sectional Study

Frontiers in Psychiatry
Xavier BenarousDavid Cohen

Abstract

To understand whether changes exist in the types of youths mental health problems addressed in emergency in a context of increasing demand, we conducted a retrospective chart review in an emergency care outpatient unit. Data from children and adolescents admitted at four different time periods (years 1981, 1992, 2002, and 2017) were compared to determine trends in terms of patients' characteristics, nature of the mental health problems and final care decisions. Between 1981 and 2017 there was a 3.85 times increase in the annual number of patients presenting to the emergency consultations. The proportion of youths being referred for anxiety or depressive symptoms sharply increased over time, while no differences were found for the proportion of aggressive behaviors and suicidal attempts. Anxiety disorders became the most frequent discharge psychiatric disorder in youths admitted in the emergency unit, rising from 5% in 1981 to 34% in 2017. Significant changes were also observed in the source of referral to the emergency unit; in particular emergency consultations in 2017 were about twice as likely as in 1981 to be requested directly by the family. This data suggested that the increased use of emergency services observed over the...Continue Reading

References

Dec 3, 2003·The British Journal of Psychiatry : the Journal of Mental Science·Hélène Verdoux, Jean Tignol
Aug 10, 2004·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·Jennifer BraschJanet Richmond
Apr 22, 2009·Pediatric Emergency Care·Jacqueline Grupp-PhelanUNKNOWN Pediatric Emergency Care Applied Research Network
Oct 1, 2009·CJEM·Amanda S NewtonTerry P Klassen
Sep 22, 2010·Journal of the American Academy of Child and Adolescent Psychiatry·Kathleen Ries MerikangasJoel Swendsen
Apr 27, 2011·Pediatrics·Margaret A DolanUNKNOWN Committee on Pediatric Emergency Medicine
Feb 1, 2014·The American Journal of Psychiatry·Philip ShawEllen Leibenluft
Feb 21, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Zachary E Pittsenbarger, Rebekah Mannix
Jul 10, 2014·Clinical Pediatrics·Alan E Simon, Kenneth C Schoendorf
Aug 11, 2015·The Journal of Pediatrics·Elisa MapelliQuynh Doan
Mar 5, 2016·Current Psychiatry Reports·Beau CarubiaB Harrison Levine

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