“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
Abstract 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 emerg...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-10-01
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| Series: | Journal of the American College of Emergency Physicians Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/emp2.12556 |
| _version_ | 1827956268557402112 |
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| author | Andrea Fang Melissa Hersh Natalia Birgisson Olga Saynina Nancy E Wang |
| author_facet | Andrea Fang Melissa Hersh Natalia Birgisson Olga Saynina Nancy E Wang |
| author_sort | Andrea Fang |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-04-09T15:00:46Z |
| format | Article |
| id | doaj.art-615dba98d0d24a7ca1aafe362c39332f |
| institution | Directory Open Access Journal |
| issn | 2688-1152 |
| language | English |
| last_indexed | 2024-04-09T15:00:46Z |
| publishDate | 2021-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj.art-615dba98d0d24a7ca1aafe362c39332f2023-05-01T17:35:54ZengWileyJournal of the American College of Emergency Physicians Open2688-11522021-10-0125n/an/a10.1002/emp2.12556“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 visitsAndrea Fang0Melissa Hersh1Natalia Birgisson2Olga Saynina3Nancy E Wang4Department of Emergency Medicine Stanford University School of Medicine Palo Alto California USADepartment of Emergency Medicine Valley Children's Hospital Madera California USADepartment of Emergency Medicine Stanford University School of Medicine Palo Alto California USAStanford Center for Policy Outcomes and Prevention Stanford California USADepartment of Emergency Medicine Stanford University School of Medicine Palo Alto California USAAbstract 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.https://doi.org/10.1002/emp2.12556Young people ED mental health visitsyoung people mental health needsyoung people mental health screeningyoung people repeat ED visits |
| spellingShingle | Andrea Fang Melissa Hersh Natalia Birgisson Olga Saynina Nancy E Wang “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 Journal of the American College of Emergency Physicians Open Young people ED mental health visits young people mental health needs young people mental health screening young people repeat ED 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 | Young people ED mental health visits young people mental health needs young people mental health screening young people repeat ED visits |
| url | https://doi.org/10.1002/emp2.12556 |
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