Mental Health Visits: Examining Socio-demographic and Diagnosis Trends in the Emergency Department by the Pediatric Population.
| Autor: | Holder SM; Department of Public Health Sciences and the Institute of Family and Neighborhood Life, Clemson University, Clemson, SC, USA. sholder2@ghs.org.; Department of Psychiatry & Behavioral Medicine, Greenville Health System, 701 Grove Road, Greenville, SC, 29605, USA. sholder2@ghs.org., Rogers K; Department of Psychiatry & Behavioral Medicine, Greenville Health System, 701 Grove Road, Greenville, SC, 29605, USA., Peterson E; Department of Psychiatry & Behavioral Medicine, Greenville Health System, 701 Grove Road, Greenville, SC, 29605, USA., Ochonma C; Department of Psychiatry & Behavioral Medicine, Greenville Health System, Arnold School of Public Health, University of South Carolina, 701 Grove Road, Greenville, SC, 29605, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Child psychiatry and human development [Child Psychiatry Hum Dev] 2017 Dec; Vol. 48 (6), pp. 993-1000. |
| DOI: | 10.1007/s10578-017-0719-y |
| Abstrakt: | The emergency department (ED) is increasingly being used for mental health visits by children and adolescents. It is estimated that 21-23% of youth have a diagnosable psychiatric or substance use disorder. Using data from the ED of a tertiary medical center, we examined trends in mental health diagnoses over a 5-year period. In school age children the most prevalent diagnoses were anxiety disorders (28.4%); disorders first usually diagnosed in infancy, childhood, or adolescence (26.5%), and mood disorders (18.6%). High school students were more likely to visit the ED for anxiety disorders (30%). Females (34.5%) presented more for anxiety disorders compared to males (22.7%). Mental health visits and diagnoses were higher during school months (September-May) and lower in the summer months (June-August). The diagnosis trends identified in this study have clinical implications that can contribute to evidence-based restructuring of mental health resources and screenings. |
| Databáze: | MEDLINE |
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