Disparities in Psychiatric Emergency Department Visits among Youth in Hawai'i, 2000-2010

Matsu, Courtenay; Goebert, Deborah; Chung‐Do, Jane J.; Carlton, Barry; Sugimoto-Matsuda, Jeanelle; Nishimura, Stephanie T.

doi:10.1016/j.jpeds.2012.09.006

Cited by 17 publications

(21 citation statements)

References 17 publications

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“…(5,12) The prevalent ages seen in this study agree with results of other studies on substance use among adolescents. (4,9,14) Among participants of our study, the age with the most care was delivered at 16 years (617 cares), followed by 15 years (134) and 17 years (116).…”

Section: Discussionmentioning

confidence: 90%

“…(1,4) Most of the adolescents and young people who were substance users had histories of multiple psychosocial conditions, such as difficulty learning, family conflicts, and social problems. In addition, the use of substances in this age range is sometimes associated with some psychiatric comorbidities, such as depression and anxiety disorders, which along with drug abuse, are considered important risk factors for suicide among young individuals.…”

Section: Discussionmentioning

confidence: 99%

“…Some studies have been emphasizing that psychiatric emergency service has the role of providing access to the mental health system; (1,4) however, many patients are not referred to psychiatric care and thus do not receive treatment. This has led to an increase in chronicity and severity of disorders and their consequences.…”

Section: Discussionmentioning

confidence: 99%

“…(2) Studies on use of psychiatric emergency services by young patients have emphasized that this sector can be the first and even a unique source of health-care for this population. (1,3,4) For this reason, such services must become well educated in substance consumption, risk behaviors, and medical and psychosocial consequences of substance use.…”

Section: Introductionmentioning

confidence: 99%

“…(4,5) In the past few decades, the frequency of use of psychiatric emergency services by children and adolescents has increased. This increased may be due to the rise in prevalence of mental health problems in this age range, difficulty accessing community services, and stigma concerning mental health in health services.…”

Section: Introductionmentioning

confidence: 99%

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Crianças e adolescentes usuários de substâncias no serviço de emergência psiquiátrica

2015

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Objective: To describe characteristics of children and adolescents who used the psychiatric emergency service because of disorders caused by substance use. We analyzed frequencies and care outcomes. Methods: This cross-sectional study was carried out in a psychiatric emergency service. Care was delivered to patients 18 years of age and younger who were substance users. Results: We performed 4,198 cares delivered at a psychiatric emergency service for children and adolescents. Of these, 1,007 were due to problems related to substance use. The prevalent age was 12 to 17 years. Most participants were white, attended elementary education, were Catholic, and used multiple substances. The majority of participants were hospitalized or discharged. Conclusion: This study permitted characterization of psychiatric emergency services provided to children and adolescents. Critical aspects were young age, use of multiple substances, and nonadherence to treatment. ResumoObjetivo: Descrever as características de crianças e adolescentes que utilizaram o serviço de emergência psiquiátrica devido aos transtornos pelo uso de substâncias analisando a frequência e desfechos dos atendimentos. Métodos: Estudo transversal realizado em serviço de emergência psiquiátrica sendo considerado o atendimento aos menores de 18 anos correspondentes ao uso de substâncias. Resultados: Foram realizados 4.198 atendimentos de emergência psiquiátrica para crianças e adolescentes. Destes, 1.007 eram por problemas relacionados ao uso substâncias, com idade prevalente de 12 aos 17 anos, com predomínio da cor branca, cursando ensino fundamental, religião católica e policonsumo. A maioria foi internada ou recebeu alta. Conclusão: Foi possível caracterizar os atendimentos de emergência psiquiátrica, destacando a idade precoce, o policonsumo e a não continuidade de tratamento como aspectos críticos.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Crianças e adolescentes usuários de substâncias no serviço de emergência psiquiátrica

2015

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Adjacent Psychiatric Emergency Services to the Main Emergency Room

Haack

Majid

Karpa

et al. 2020

Models of Emergency Psychiatric Services That Work

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Mental health care use in adolescents with and without mental disorders

Jörg

Visser

Ormel

et al. 2015

Eur Child Adolesc Psychiatry

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The aim of the study was to estimate the proportion of adolescents with and without a psychiatric diagnosis receiving specialist mental health care and investigate their problem levels as well as utilization of other types of mental health care to detect possible over- and undertreatment. Care utilization data were linked to psychiatric diagnostic data of 2230 adolescents participating in the TRAILS cohort study, who were assessed biannually starting at age 11. Psychiatric diagnoses were established at the fourth wave by the Composite International Diagnostic Interview. Self-, parent- and teacher-reported emotional and behavioral problems and self-reported mental health care use were assessed at all four waves. Of all diagnosed adolescents, 35.3 % received specialist mental health care. This rate increased to 54.5 % when three or more disorders were diagnosed. Almost a third (28.5 %) of specialist care users had no psychiatric diagnosis; teachers gave them relatively high ratings on attention and impulsivity subscales. Diagnosed adolescents without specialist mental health care also reported low rates of other care use. We found no indication of overtreatment. Half of the adolescents with three or more disorders do not receive specialist mental health care nor any other type of care, which might indicate unmet needs.

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Disparities in Psychiatric Emergency Department Visits among Youth in Hawai'i, 2000-2010

Cited by 17 publications

References 17 publications

Crianças e adolescentes usuários de substâncias no serviço de emergência psiquiátrica

Crianças e adolescentes usuários de substâncias no serviço de emergência psiquiátrica

Adjacent Psychiatric Emergency Services to the Main Emergency Room

Mental health care use in adolescents with and without mental disorders

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