Changing Rates of Self-Harm and Mental Disorders by Sex in Youths Presenting to Ontario Emergency Departments: Repeated Cross-Sectional Study.
child and adolescent psychiatry
emergency service
hospital
mental health
self-harm
sex differences
suicide
Journal
Canadian journal of psychiatry. Revue canadienne de psychiatrie
ISSN: 1497-0015
Titre abrégé: Can J Psychiatry
Pays: United States
ID NLM: 7904187
Informations de publication
Date de publication:
11 2019
11 2019
Historique:
pubmed:
12
6
2019
medline:
30
9
2020
entrez:
12
6
2019
Statut:
ppublish
Résumé
To document the rates of intentional self-harm and mental disorders among youths aged 13 to 17 years visiting Ontario emergency departments (EDs) from 2003-2017. This was a repeated cross-sectional observational design. Outcomes were rates of adolescents with (1) at least 1 self-harm ED visit and (2) a visit with a mental disorder code. Rates of youths with self-harm visits fell 32% from 2.6/1000 in 2003 to 1.8 in 2009 but rose 135% to 4.2 by 2017. The slope of the trend in self-harm visits changed from -0.18 youths/1000/year (confidence interval [CI], -0.24 to -0.13) during 2003 to 2009 to 0.31 youths/1000/year (CI, 0.27 to 0.35) during 2009 to 2017 ( Rates of adolescents with self-harm and mental health ED visits have increased since 2009, with greater increases among females. Research is required on the determinants of adolescents' self-harm and mental health ED visits and how they can be addressed in that setting. Sufficient treatment resources must be supplied to address increased demands for services.
Identifiants
pubmed: 31184929
doi: 10.1177/0706743719854070
pmc: PMC6882075
doi:
Types de publication
Journal Article
Observational Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
789-797Références
Psychiatr Serv. 2015 Nov;66(11):1167-72
pubmed: 26129992
PLoS One. 2017 Jan 26;12(1):e0170979
pubmed: 28125701
Pediatr Emerg Care. 2015 Aug;31(8):555-9
pubmed: 25834957
Pediatrics. 2015 Jul;136(1):28-34
pubmed: 26077475
J Adolesc Health. 2013 Apr;52(4):486-92
pubmed: 23298982
Arch Suicide Res. 2013;17(4):323-34
pubmed: 24224667
J Pediatr. 2015 Oct;167(4):905-10
pubmed: 26256019
J Am Acad Child Adolesc Psychiatry. 2010 Oct;49(10):980-9
pubmed: 20855043
Pediatr Emerg Care. 2016 Oct;32(10):658-663
pubmed: 26945191
Child Adolesc Psychiatry Ment Health. 2012 Mar 30;6(1):13
pubmed: 22463379
Can J Psychiatry. 2019 Apr;64(4):265-274
pubmed: 30978144
Med J Aust. 2018 May 7;208(8):348-353
pubmed: 29669496
Health Rep. 2009 Jun;20(2):35-42
pubmed: 19728584
Lancet Psychiatry. 2018 Feb;5(2):167-174
pubmed: 29246453
Dev Psychol. 2006 May;42(3):407-17
pubmed: 16756433
Can J Psychiatry. 2019 Feb;64(2):88-97
pubmed: 30282479
J Public Health (Oxf). 2017 Mar 1;39(1):65-73
pubmed: 27000842
Can J Psychiatry. 2014 Mar;59(3):152-9
pubmed: 24881164
Health Inf Manag. 1997 Mar-May;27(1):31-8
pubmed: 10169442
Qual Health Res. 2015 Oct;25(10):1334-46
pubmed: 25662942
Nature. 2018 Feb 22;554(7693):432-434
pubmed: 29469108
JAMA Pediatr. 2019 Jun 1;173(6):598-600
pubmed: 30958529
J Am Acad Child Adolesc Psychiatry. 2017 Jun;56(6):506-514
pubmed: 28545756
J Affect Disord. 2014 Jan;152-154:320-5
pubmed: 24148790
J Am Acad Child Adolesc Psychiatry. 2012 Feb;51(2):213-222.e1
pubmed: 22265367
BMJ. 2017 Oct 18;359:j4351
pubmed: 29046278
Psychiatr Serv. 2015 Sep;66(9):930-7
pubmed: 25975889
Clin Psychol Rev. 2015 Jun;38:55-64
pubmed: 25795294
JMIR Ment Health. 2018 Apr 06;5(2):e27
pubmed: 29625954
PLoS Med. 2015 Oct 06;12(10):e1001885
pubmed: 26440803
J Can Acad Child Adolesc Psychiatry. 2018 Apr;27(2):112-121
pubmed: 29662522
N Engl J Med. 2017 Apr 6;376(14):1301-1303
pubmed: 28301297
Implement Sci. 2016 Jul 07;11(1):90
pubmed: 27389410
Int J Methods Psychiatr Res. 2017 Sep;26(3):
pubmed: 28233360
Can J Public Health. 2013 Feb 11;104(2):e124-30
pubmed: 23618204
PLoS One. 2013 Oct 30;8(10):e77555
pubmed: 24204868
J Clin Psychol. 2016 Mar;72(3):249-62
pubmed: 26613372
Can J Psychiatry. 2014 Oct;59(10):523-30
pubmed: 25565685
Open Med. 2014 Jul 15;8(3):e87-99
pubmed: 25426177
Can J Psychiatry. 2016 Feb;61(2):119-24
pubmed: 27253703
BMJ Open. 2016 Feb 16;6(2):e009749
pubmed: 26883238
Pediatrics. 2019 Apr;143(4):
pubmed: 30886112
West J Emerg Med. 2014 Feb;15(1):1-6
pubmed: 24578760
Can J Public Health. 2016 Oct 20;107(3):e303-e311
pubmed: 27763847
PLoS One. 2017 Aug 16;12(8):e0181722
pubmed: 28813437
J Am Acad Child Adolesc Psychiatry. 2014 Oct;53(10):1082-91
pubmed: 25245352
Chronic Dis Can. 2002 Fall;23(4):139-45
pubmed: 12517321
CJEM. 2019 Jan;21(1):75-86
pubmed: 29199945
J Am Acad Child Adolesc Psychiatry. 2013 Dec;52(12):1260-71
pubmed: 24290459
Pediatrics. 2018 Apr;141(4):
pubmed: 29555689
CMAJ. 2008 Jan 29;178(3):306-12
pubmed: 18227450
BMJ. 2014 Oct 21;349:g5954
pubmed: 25335825
Med J Aust. 2018 May 7;208(8):343-348
pubmed: 29669495