Pediatric Emergency Department Visits Associated with Mental Health Conditions Before and During the COVID-19 Pandemic - United States, January 2019-January 2022

In 2021, a national emergency* for children's mental health was declared by several pediatric health organizations, and the U.S. Surgeon General released an advisory on mental health among youths. These actions resulted from ongoing concerns about children's mental health in the United Sta...

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Veröffentlicht in:MMWR. Morbidity and mortality weekly report 2022-02, Vol.71 (8), p.319-324
Hauptverfasser: Radhakrishnan, Lakshmi, Leeb, Rebecca T, Bitsko, Rebecca H, Carey, Kelly, Gates, Abigail, Holland, Kristin M, Hartnett, Kathleen P, Kite-Powell, Aaron, DeVies, Jourdan, Smith, Amanda R, van Santen, Katharina L, Crossen, Sophia, Sheppard, Michael, Wotiz, Samantha, Lane, Rashon I, Njai, Rashid, Johnson, Amelia G, Winn, Amber, Kirking, Hannah L, Rodgers, Loren, Thomas, Craig W, Soetebier, Karl, Adjemian, Jennifer, Anderson, Kayla N
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container_end_page 324
container_issue 8
container_start_page 319
container_title MMWR. Morbidity and mortality weekly report
container_volume 71
creator Radhakrishnan, Lakshmi
Leeb, Rebecca T
Bitsko, Rebecca H
Carey, Kelly
Gates, Abigail
Holland, Kristin M
Hartnett, Kathleen P
Kite-Powell, Aaron
DeVies, Jourdan
Smith, Amanda R
van Santen, Katharina L
Crossen, Sophia
Sheppard, Michael
Wotiz, Samantha
Lane, Rashon I
Njai, Rashid
Johnson, Amelia G
Winn, Amber
Kirking, Hannah L
Rodgers, Loren
Thomas, Craig W
Soetebier, Karl
Adjemian, Jennifer
Anderson, Kayla N
description In 2021, a national emergency* for children's mental health was declared by several pediatric health organizations, and the U.S. Surgeon General released an advisory on mental health among youths. These actions resulted from ongoing concerns about children's mental health in the United States, which was exacerbated by the COVID-19 pandemic (1,2). During March-October 2020, among all emergency department (ED) visits, the proportion of mental health-related visits increased by 24% among U.S. children aged 5-11 years and 31% among adolescents aged 12-17 years, compared with 2019 (2). CDC examined changes in U.S. pediatric ED visits for overall mental health conditions (MHCs) and ED visits associated with specific MHCs (depression; anxiety; disruptive behavioral and impulse-control disorders; attention-deficit/hyperactivity disorder; trauma and stressor-related disorders; bipolar disorders; eating disorders; tic disorders; and obsessive-compulsive disorders [OCD]) during 2019 through January 2022 among children and adolescents aged 0-17 years, overall and by sex and age. After declines in weekly visits associated with MHCs among those aged 0-17 years during 2020, weekly numbers of ED visits for MHCs overall and for specific MHCs varied by age and sex during 2021 and January 2022, when compared with corresponding weeks in 2019. Among adolescent females aged 12-17 years, weekly visits increased for two of nine MHCs during 2020 (eating disorders and tic disorders), for four of nine MHCs during 2021 (depression, eating disorders, tic disorders, and OCD), and for five of nine MHCs during January 2022 (anxiety, trauma and stressor-related disorders, eating disorders, tic disorders, and OCD), and overall MHC visits during January 2022, compared with 2019. Early identification and expanded evidence-based prevention and intervention strategies are critical to improving children's and adolescents' mental health (1-3), especially among adolescent females, who might have increased need.
doi_str_mv 10.15585/mmwr.mm7108e2
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These actions resulted from ongoing concerns about children's mental health in the United States, which was exacerbated by the COVID-19 pandemic (1,2). During March-October 2020, among all emergency department (ED) visits, the proportion of mental health-related visits increased by 24% among U.S. children aged 5-11 years and 31% among adolescents aged 12-17 years, compared with 2019 (2). CDC examined changes in U.S. pediatric ED visits for overall mental health conditions (MHCs) and ED visits associated with specific MHCs (depression; anxiety; disruptive behavioral and impulse-control disorders; attention-deficit/hyperactivity disorder; trauma and stressor-related disorders; bipolar disorders; eating disorders; tic disorders; and obsessive-compulsive disorders [OCD]) during 2019 through January 2022 among children and adolescents aged 0-17 years, overall and by sex and age. After declines in weekly visits associated with MHCs among those aged 0-17 years during 2020, weekly numbers of ED visits for MHCs overall and for specific MHCs varied by age and sex during 2021 and January 2022, when compared with corresponding weeks in 2019. Among adolescent females aged 12-17 years, weekly visits increased for two of nine MHCs during 2020 (eating disorders and tic disorders), for four of nine MHCs during 2021 (depression, eating disorders, tic disorders, and OCD), and for five of nine MHCs during January 2022 (anxiety, trauma and stressor-related disorders, eating disorders, tic disorders, and OCD), and overall MHC visits during January 2022, compared with 2019. 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Morbidity and mortality weekly report</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Radhakrishnan, Lakshmi</au><au>Leeb, Rebecca T</au><au>Bitsko, Rebecca H</au><au>Carey, Kelly</au><au>Gates, Abigail</au><au>Holland, Kristin M</au><au>Hartnett, Kathleen P</au><au>Kite-Powell, Aaron</au><au>DeVies, Jourdan</au><au>Smith, Amanda R</au><au>van Santen, Katharina L</au><au>Crossen, Sophia</au><au>Sheppard, Michael</au><au>Wotiz, Samantha</au><au>Lane, Rashon I</au><au>Njai, Rashid</au><au>Johnson, Amelia G</au><au>Winn, Amber</au><au>Kirking, Hannah L</au><au>Rodgers, Loren</au><au>Thomas, Craig W</au><au>Soetebier, Karl</au><au>Adjemian, Jennifer</au><au>Anderson, Kayla N</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pediatric Emergency Department Visits Associated with Mental Health Conditions Before and During the COVID-19 Pandemic - United States, January 2019-January 2022</atitle><jtitle>MMWR. Morbidity and mortality weekly report</jtitle><addtitle>MMWR Morb Mortal Wkly Rep</addtitle><date>2022-02-25</date><risdate>2022</risdate><volume>71</volume><issue>8</issue><spage>319</spage><epage>324</epage><pages>319-324</pages><issn>0149-2195</issn><eissn>1545-861X</eissn><abstract>In 2021, a national emergency* for children's mental health was declared by several pediatric health organizations, and the U.S. Surgeon General released an advisory on mental health among youths. These actions resulted from ongoing concerns about children's mental health in the United States, which was exacerbated by the COVID-19 pandemic (1,2). During March-October 2020, among all emergency department (ED) visits, the proportion of mental health-related visits increased by 24% among U.S. children aged 5-11 years and 31% among adolescents aged 12-17 years, compared with 2019 (2). CDC examined changes in U.S. pediatric ED visits for overall mental health conditions (MHCs) and ED visits associated with specific MHCs (depression; anxiety; disruptive behavioral and impulse-control disorders; attention-deficit/hyperactivity disorder; trauma and stressor-related disorders; bipolar disorders; eating disorders; tic disorders; and obsessive-compulsive disorders [OCD]) during 2019 through January 2022 among children and adolescents aged 0-17 years, overall and by sex and age. After declines in weekly visits associated with MHCs among those aged 0-17 years during 2020, weekly numbers of ED visits for MHCs overall and for specific MHCs varied by age and sex during 2021 and January 2022, when compared with corresponding weeks in 2019. Among adolescent females aged 12-17 years, weekly visits increased for two of nine MHCs during 2020 (eating disorders and tic disorders), for four of nine MHCs during 2021 (depression, eating disorders, tic disorders, and OCD), and for five of nine MHCs during January 2022 (anxiety, trauma and stressor-related disorders, eating disorders, tic disorders, and OCD), and overall MHC visits during January 2022, compared with 2019. Early identification and expanded evidence-based prevention and intervention strategies are critical to improving children's and adolescents' mental health (1-3), especially among adolescent females, who might have increased need.</abstract><cop>United States</cop><pub>U.S. Government Printing Office</pub><pmid>35202358</pmid><doi>10.15585/mmwr.mm7108e2</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0149-2195
ispartof MMWR. Morbidity and mortality weekly report, 2022-02, Vol.71 (8), p.319-324
issn 0149-2195
1545-861X
language eng
recordid cdi_proquest_reports_2756126110
source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access
subjects Adolescent
Adolescents
Age Distribution
Age groups
Anxiety
Caregivers
Child
Child, Preschool
Coronaviruses
COVID-19
COVID-19 - epidemiology
Eating disorders
Emergency medical care
Emergency medical services
Emergency service
Emergency Service, Hospital - statistics & numerical data
Emergency Treatment - trends
Facilities and Services Utilization - trends
Female
Females
Health services
Hospitals
Humans
Infant
Male
Mental depression
Mental disorders
Mental Disorders - classification
Mental Disorders - psychology
Mental Health
Mental health care
Obsessive compulsive disorder
Pandemics
Pediatric emergencies
Pediatrics
Public health
SARS-CoV-2
Sentinel Surveillance
Sex Distribution
Social networks
Teenagers
Trauma
United States - epidemiology
title Pediatric Emergency Department Visits Associated with Mental Health Conditions Before and During the COVID-19 Pandemic - United States, January 2019-January 2022
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