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“Could we have predicted this?” The association of a future mental health need in young people with a non‐specific complaint and frequent emergency department visits

OBJECTIVE: Mental health emergencies among young people are increasing. There is growing pressure for emergency departments to screen patients for mental health needs even when it is not their chief complaint. We hypothesized that young people with an initial non‐specific condition and emergency dep...

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Autores principales: Fang, Andrea, Hersh, Melissa, Birgisson, Natalia, Saynina, Olga, Wang, Nancy E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8495458/
https://www.ncbi.nlm.nih.gov/pubmed/34632448
http://dx.doi.org/10.1002/emp2.12556
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author Fang, Andrea
Hersh, Melissa
Birgisson, Natalia
Saynina, Olga
Wang, Nancy E
author_facet Fang, Andrea
Hersh, Melissa
Birgisson, Natalia
Saynina, Olga
Wang, Nancy E
author_sort Fang, Andrea
collection PubMed
description OBJECTIVE: Mental health emergencies among young people are increasing. There is growing pressure for emergency departments to screen patients for mental health needs even when it is not their chief complaint. We hypothesized that young people with an initial non‐specific condition and emergency department (ED) revisits have increased mental health needs. METHODS: Retrospective, observational study of the California Office of Statewide Health Planning and Development Emergency Department Discharge Dataset (2010–2014) of young people (11–24 years) with an index visit for International Classification of Diseases, Ninth Revision diagnostic codes of “Symptoms, signs, and ill‐defined conditions” (Non‐Specific); “Diseases of the respiratory system” (Respiratory) and “Unintentional injury” (Trauma) who were discharged from a California ED. Patients were excluded if they had a prior mental health visit, chronic disease, or were pregnant. ED visit frequency was counted over 12 months. Regression models were created to analyze characteristics associated with a mental health visit. RESULTS: Patients in the Non‐Specific category compared to the Respiratory category had 1.2 times the odds of a future mental health visit (OR 1.20; 95% CI 1.17–1.24). Patients with ≥1 ED revisit, regardless of diagnostic category, had 1.3 times the odds of a future mental health visit. Patients with both a Non‐Specific index visit and 1, 2, and 3 or more revisits with non‐specific diagnoses had increasing odds of a mental health visit (OR 1.38; 95% CI 1.29–1.47; OR 1.70; 95% CI 1.46–1.98; OR 2.20; 95% CI 1.70–2.87, respectively.) CONCLUSIONS: Young people who go to the ED for non‐specific conditions and revisits may benefit from targeted ED mental health screening.
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spelling pubmed-84954582021-10-08 “Could we have predicted this?” The association of a future mental health need in young people with a non‐specific complaint and frequent emergency department visits Fang, Andrea Hersh, Melissa Birgisson, Natalia Saynina, Olga Wang, Nancy E J Am Coll Emerg Physicians Open Pediatrics OBJECTIVE: Mental health emergencies among young people are increasing. There is growing pressure for emergency departments to screen patients for mental health needs even when it is not their chief complaint. We hypothesized that young people with an initial non‐specific condition and emergency department (ED) revisits have increased mental health needs. METHODS: Retrospective, observational study of the California Office of Statewide Health Planning and Development Emergency Department Discharge Dataset (2010–2014) of young people (11–24 years) with an index visit for International Classification of Diseases, Ninth Revision diagnostic codes of “Symptoms, signs, and ill‐defined conditions” (Non‐Specific); “Diseases of the respiratory system” (Respiratory) and “Unintentional injury” (Trauma) who were discharged from a California ED. Patients were excluded if they had a prior mental health visit, chronic disease, or were pregnant. ED visit frequency was counted over 12 months. Regression models were created to analyze characteristics associated with a mental health visit. RESULTS: Patients in the Non‐Specific category compared to the Respiratory category had 1.2 times the odds of a future mental health visit (OR 1.20; 95% CI 1.17–1.24). Patients with ≥1 ED revisit, regardless of diagnostic category, had 1.3 times the odds of a future mental health visit. Patients with both a Non‐Specific index visit and 1, 2, and 3 or more revisits with non‐specific diagnoses had increasing odds of a mental health visit (OR 1.38; 95% CI 1.29–1.47; OR 1.70; 95% CI 1.46–1.98; OR 2.20; 95% CI 1.70–2.87, respectively.) CONCLUSIONS: Young people who go to the ED for non‐specific conditions and revisits may benefit from targeted ED mental health screening. John Wiley and Sons Inc. 2021-10-07 /pmc/articles/PMC8495458/ /pubmed/34632448 http://dx.doi.org/10.1002/emp2.12556 Text en © 2021 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Pediatrics
Fang, Andrea
Hersh, Melissa
Birgisson, Natalia
Saynina, Olga
Wang, Nancy E
“Could we have predicted this?” The association of a future mental health need in young people with a non‐specific complaint and frequent emergency department visits
title “Could we have predicted this?” The association of a future mental health need in young people with a non‐specific complaint and frequent emergency department visits
title_full “Could we have predicted this?” The association of a future mental health need in young people with a non‐specific complaint and frequent emergency department visits
title_fullStr “Could we have predicted this?” The association of a future mental health need in young people with a non‐specific complaint and frequent emergency department visits
title_full_unstemmed “Could we have predicted this?” The association of a future mental health need in young people with a non‐specific complaint and frequent emergency department visits
title_short “Could we have predicted this?” The association of a future mental health need in young people with a non‐specific complaint and frequent emergency department visits
title_sort “could we have predicted this?” the association of a future mental health need in young people with a non‐specific complaint and frequent emergency department visits
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8495458/
https://www.ncbi.nlm.nih.gov/pubmed/34632448
http://dx.doi.org/10.1002/emp2.12556
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