Mental health emergency department visits: An exploration of case definitions in North Carolina.

Autor: LeMasters K; Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, USA; Injury and Violence Prevention Branch, Division of Public Health, North Carolina Department of Health and Human Services, USA. Electronic address: Katherine.lemasters@unc.edu., Cox ME; Injury and Violence Prevention Branch, Division of Public Health, North Carolina Department of Health and Human Services, USA., Fliss M; Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, USA; Injury and Violence Prevention Branch, Division of Public Health, North Carolina Department of Health and Human Services, USA., Seibert J; Injury and Violence Prevention Branch, Division of Public Health, North Carolina Department of Health and Human Services, USA., Brown C; North Carolina Department of Health and Human Services, USA; University of North Carolina School of Medicine, Department of Psychiatry, USA., Proescholdbell S; Injury and Violence Prevention Branch, Division of Public Health, North Carolina Department of Health and Human Services, USA.
Jazyk: angličtina
Zdroj: The American journal of emergency medicine [Am J Emerg Med] 2022 Jul; Vol. 57, pp. 103-106. Date of Electronic Publication: 2022 May 05.
DOI: 10.1016/j.ajem.2022.04.053
Abstrakt: Background: Mental health (MH) disorders comprise a high disease burden and have long-lasting impacts. To improve MH, it is important to define public health MH surveillance.
Methods: We compared MH related definitions using ICD-10-CM codes: The Council of State and Territorial Epidemiologists' (CSTE) surveillance indicators for all MH, mood or depressive, schizophrenic, and drug/alcohol-induced disorders; and North Carolina's (NC) syndromic surveillance system's definition for anxiety/mood/psychotic disorders, and suicide/self-harm. We compared code definitions and frequent codes in 2019 emergency department (ED) data for those age ≥ 10 years.
Results: CSTE's definition resulted in over one million MH-related visits (23% of all ED visits) and NC's definitions in 451,807 MH-related visits (9% of all ED visits). Using CSTE's broadest definition, nicotine use was the most common visit type; using NC's definitions, it was major depressive disorder.
Conclusions: Standardizing population-level MH indicators benefits surveillance efforts. Given its prevalence, efforts should focus on documenting MH to improve treatment and prevention.
Competing Interests: Declaration of Competing Interest The authors have no conflicts of interest to declare.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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