A review of emergency department visits made by youth and adults with autism spectrum disorder from the parent perspective

Lunsky, Yona; Tint, Ami; Weiss, Jonathan A.; Palucka, Anna M.; Bradley, Elspeth

doi:10.1108/aia-08-2017-0019

Cited by 9 publications

(17 citation statements)

References 25 publications

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“…Lack of knowledge and difficulty navigating services are identified as significant barriers to accessing appropriate mental health services by autistic people (Lake, Perry, & Lunsky, 2014). Adjustments that may improve access include provision of quiet rooms, removal of potential sensory distractions, and allowance for additional time to articulate problems and concerns (Lunsky, Tint, Weiss, Palucka, & Bradley, 2018). Multi-disciplinary service models incorporating health professionals who have autism knowledge, who are willing to listen and patiently develop a therapeutic alliance with the autistic person, that are co-developed with autistic people, and that take a holistic and lifespan approach are recommended and urgently needed.…”

Section: F) Prevention and Service Accessmentioning

confidence: 99%

Suicide and Autism: A Lifespan Perspective

Hedley¹,

Hayward²,

Uljarević³

2022

End of Life and People With Intellectual and Developmental Disability

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People with Autism Spectrum Disorder (ASD) are at increased risk of suicidal behaviour compared to the general population; the largest population-based study to date demonstrates a sevenfold increased risk of premature death by suicide. This chapter provides an overview of: a) the current literature regarding risk and prevalence of suicide behaviour in autism; b) the role of intellectual disability/intellectual developmental disorder in suicide in autism; c) correlates, risk and protective factors; d) dimensional constructs of suicide, including autistic traits; e) current approaches to suicide assessment, including potential modifications and; f) suicide prevention and service access. We consider these topics by drawing on state-of-theart research, the perspective of lived experience, and consideration of the potential impacts of major events such as the coronavirus (COVID-19) pandemic.

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Section: F) Prevention and Service Accessmentioning

confidence: 99%

Suicide and Autism: A Lifespan Perspective

Hedley¹,

Hayward²,

Uljarević³

2022

End of Life and People With Intellectual and Developmental Disability

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“…Chun Shing Kwok [ 25 ] reported that cardiovascular disease is the leading cause of death in emergency departments. Lunsky y [ 26 ] reported that the proportion of elderly patients due to cardiovascular diseases is relatively large, and the diseases reported by them include myocardial infarction, heart failure, arrhythmia, angina pectoris, and hypertensive emergencies.…”

Section: Discussionmentioning

confidence: 99%

Dynamic changes of emergency visits: a retrospective observational study

et al. 2022

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Background With more emergency visits, there is increasing pressure to provide emergency medical services globally and locally. This study aimed to investigate the epidemiological characteristics and the disease spectrum of patients presenting in the last three years to the Department of Emergency Medicine of Tianjin Medical University General Hospital, a tertiary hospital in Tianjin, China, to improve the services of the emergency medicine department. Methods A retrospective study was conducted on all patients in the Department of Emergency Medicine of Tianjin Medical University General Hospital from Jan 1, 2017, 00:00:00 to Dec 31, 2020, 23:59:59, including variables like medical record number, gender, age, date of admission, principal diagnosis. The data were analyzed by SPSS statistical software; statistical charts were prepared by GraphPad Prism9.0 and SPSS 20.0; statistical tables were made by Microsoft Excel. Results A total of 1,314,916 patients presented to the Department of Emergency Medicine of Tianjin Medical University General Hospital from Jan 1, 2017, 00:00:00 to Dec 31, 2020, 23:59:59. In terms of gender distribution, the male–female ratio was 0.78∶1. As for age distribution, patients aged 60–69 were the most (23.47%), and patients younger than 20 years were the least (2.80%). Concerning monthly data, the number of visits peaked during January and December. The distribution of daily visits showed the feature of three highs and a low. The top three prevalence diseases in the emergency disease spectrum were respiratory, cardiovascular, and digestive diseases. The respiratory system was the most common in patients with infectious diseases (200,912, accounting for 86.97%). Among the patients suffering from infectious diseases, the number of patients with respiratory infections peaked in 2019 (73,530) and was the lowest in 2020 (20,078). Conclusions From 2017 to 2019, the demand for emergency services in Tianjin Medical University General Hospital continued to increase, but it was greatly affected by COVID-19 in 2020. This emergency department is mainly for patients with respiratory system, circulatory system and digestive system diseases, and its treatment time is relatively centralized. The prevention of diseases for people of all ages, especially female patients and the elderly, should be strengthened, and emergency medical resources should be allocated reasonably according to the peak months and crowed periods of patients.

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“…of studies were from Canada, 14,29,30 two (29%) were from Australia, 31,32 and one (14%) from the USA. 33 Most were conducted in pediatric specific EDs (n = 5, 71%).…”

Section: Dovepressmentioning

confidence: 99%

“…The mean year of publication was 2019, with the majority (71%) of studies published after 2016. Three studies were classified as quantitative design (n = 3, using cross-sectional surveys 30,31,33 ), three studies were classified as qualitative design (descriptive phenomenology, 32 grounded theory, 14 interpretive description 34 ) and one as a mixed-method design, 29 utilizing interviews, journey mapping and surveys. Cumulatively, there were 523 participants in the included studies (note overlap in participants from three studies 7,14,15 ), ranging from 14 to 421 across studies.…”

Section: Dovepressmentioning

confidence: 99%

Seeking Care for Children with Intellectual and/or Developmental Disabilities in the Emergency Department: A Mixed Methods Systematic Review of Parents’ Experiences and Information Needs

Elliott,

Rahman,

Scott

et al. 2024

OAEM

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A review of emergency department visits made by youth and adults with autism spectrum disorder from the parent perspective

Cited by 9 publications

References 25 publications

Suicide and Autism: A Lifespan Perspective

Suicide and Autism: A Lifespan Perspective

Dynamic changes of emergency visits: a retrospective observational study

Seeking Care for Children with Intellectual and/or Developmental Disabilities in the Emergency Department: A Mixed Methods Systematic Review of Parents’ Experiences and Information Needs

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