Mental health emergency department visits: An exploration of case definitions in North Carolina
Mental health (MH) disorders comprise a high disease burden and have long-lasting impacts. To improve MH, it is important to define public health MH surveillance. We compared MH related definitions using ICD-10-CM codes: The Council of State and Territorial Epidemiologists' (CSTE) surveillance...
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| Veröffentlicht in: | The American journal of emergency medicine 2022-07, Vol.57, p.103-106 |
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| creator | LeMasters, Katherine Cox, Mary E. Fliss, Mike Seibert, Julie Brown, Carrie Proescholdbell, Scott |
| description | Mental health (MH) disorders comprise a high disease burden and have long-lasting impacts. To improve MH, it is important to define public health MH surveillance.
We compared MH related definitions using ICD-10-CM codes: The Council of State and Territorial Epidemiologists' (CSTE) surveillance indicators for all MH, mood or depressive, schizophrenic, and drug/alcohol-induced disorders; and North Carolina's (NC) syndromic surveillance system's definition for anxiety/mood/psychotic disorders, and suicide/self-harm. We compared code definitions and frequent codes in 2019 emergency department (ED) data for those age ≥ 10 years.
CSTE's definition resulted in over one million MH-related visits (23% of all ED visits) and NC's definitions in 451,807 MH-related visits (9% of all ED visits). Using CSTE's broadest definition, nicotine use was the most common visit type; using NC's definitions, it was major depressive disorder.
Standardizing population-level MH indicators benefits surveillance efforts. Given its prevalence, efforts should focus on documenting MH to improve treatment and prevention.
•There are large discrepancies in Mental Health visit prevalence by definition.•Broad Mental Health definitions also capture Substance Use.•Excluding Substance Use, major depressive disorder is the most common code.•Standardizing Mental Health indicators is important for surveillance efforts. |
| doi_str_mv | 10.1016/j.ajem.2022.04.053 |
| format | Article |
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We compared MH related definitions using ICD-10-CM codes: The Council of State and Territorial Epidemiologists' (CSTE) surveillance indicators for all MH, mood or depressive, schizophrenic, and drug/alcohol-induced disorders; and North Carolina's (NC) syndromic surveillance system's definition for anxiety/mood/psychotic disorders, and suicide/self-harm. We compared code definitions and frequent codes in 2019 emergency department (ED) data for those age ≥ 10 years.
CSTE's definition resulted in over one million MH-related visits (23% of all ED visits) and NC's definitions in 451,807 MH-related visits (9% of all ED visits). Using CSTE's broadest definition, nicotine use was the most common visit type; using NC's definitions, it was major depressive disorder.
Standardizing population-level MH indicators benefits surveillance efforts. Given its prevalence, efforts should focus on documenting MH to improve treatment and prevention.
•There are large discrepancies in Mental Health visit prevalence by definition.•Broad Mental Health definitions also capture Substance Use.•Excluding Substance Use, major depressive disorder is the most common code.•Standardizing Mental Health indicators is important for surveillance efforts.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2022.04.053</identifier><identifier>PMID: 35550927</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Alcohol ; Anxiety ; Codes ; Coronaviruses ; COVID-19 ; Emergency medical care ; Emergency medical services ; Epidemiology ; Health surveillance ; Mental depression ; Mental disorders ; Mental health ; Mental health care ; Mood ; Nicotine ; Pandemics ; Psychosis ; Public health ; Self destructive behavior ; Self-injury ; Suicide ; Suicides & suicide attempts ; Surveillance</subject><ispartof>The American journal of emergency medicine, 2022-07, Vol.57, p.103-106</ispartof><rights>2022 Elsevier Inc.</rights><rights>Copyright © 2022 Elsevier Inc. All rights reserved.</rights><rights>2022. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c434t-f7af0eed90f7c5c442f7df1ac23c44ee1ddf77dbc41d56dba6502d264770e9083</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2670065548?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,777,781,882,3537,27905,27906,45976,64364,64366,64368,72218</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35550927$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>LeMasters, Katherine</creatorcontrib><creatorcontrib>Cox, Mary E.</creatorcontrib><creatorcontrib>Fliss, Mike</creatorcontrib><creatorcontrib>Seibert, Julie</creatorcontrib><creatorcontrib>Brown, Carrie</creatorcontrib><creatorcontrib>Proescholdbell, Scott</creatorcontrib><title>Mental health emergency department visits: An exploration of case definitions in North Carolina</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>Mental health (MH) disorders comprise a high disease burden and have long-lasting impacts. To improve MH, it is important to define public health MH surveillance.
We compared MH related definitions using ICD-10-CM codes: The Council of State and Territorial Epidemiologists' (CSTE) surveillance indicators for all MH, mood or depressive, schizophrenic, and drug/alcohol-induced disorders; and North Carolina's (NC) syndromic surveillance system's definition for anxiety/mood/psychotic disorders, and suicide/self-harm. We compared code definitions and frequent codes in 2019 emergency department (ED) data for those age ≥ 10 years.
CSTE's definition resulted in over one million MH-related visits (23% of all ED visits) and NC's definitions in 451,807 MH-related visits (9% of all ED visits). Using CSTE's broadest definition, nicotine use was the most common visit type; using NC's definitions, it was major depressive disorder.
Standardizing population-level MH indicators benefits surveillance efforts. Given its prevalence, efforts should focus on documenting MH to improve treatment and prevention.
•There are large discrepancies in Mental Health visit prevalence by definition.•Broad Mental Health definitions also capture Substance Use.•Excluding Substance Use, major depressive disorder is the most common code.•Standardizing Mental Health indicators is important for surveillance efforts.</description><subject>Alcohol</subject><subject>Anxiety</subject><subject>Codes</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Emergency medical care</subject><subject>Emergency medical services</subject><subject>Epidemiology</subject><subject>Health surveillance</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Mood</subject><subject>Nicotine</subject><subject>Pandemics</subject><subject>Psychosis</subject><subject>Public health</subject><subject>Self destructive behavior</subject><subject>Self-injury</subject><subject>Suicide</subject><subject>Suicides & suicide attempts</subject><subject>Surveillance</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kUFv1DAQhS0EotvCH-CALHHhkjB27HiDUKVqRQGpwAXOlteedB0l9mJnV_Tf42hLBRw4WfZ88-aNHyEvGNQMWPtmqM2AU82B8xpEDbJ5RFZMNrxaM8UekxWoRlatkuqMnOc8ADAmpHhKzhopJXRcrYj-jGE2I92hGecdxQnTLQZ7Rx3uTZqnUqVHn_2c39KrQPHnfozJzD4GGntqTcZC9j745SlTH-iXmIrQxqQ4-mCekSe9GTM-vz8vyPfr9982H6ubrx8-ba5uKisaMVe9Mj0gug56ZaUVgvfK9cxY3pQLInOuV8ptrWBOtm5rWgnc8VYoBdjBurkglyfd_WE7obPFdzKj3ic_mXSno_H670rwO30bj7pTXBWxIvD6XiDFHwfMs558tjiOJmA8ZM3bMmy9BtUV9NU_6BAPKZT1CqUAWinF4oifKJtizgn7BzMM9JKfHvSSn17y0yB0ya80vfxzjYeW34EV4N0JwPKZR49JZ-tLYOh8QjtrF_3_9H8BVcyuQw</recordid><startdate>20220701</startdate><enddate>20220701</enddate><creator>LeMasters, Katherine</creator><creator>Cox, Mary E.</creator><creator>Fliss, Mike</creator><creator>Seibert, Julie</creator><creator>Brown, Carrie</creator><creator>Proescholdbell, Scott</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20220701</creationdate><title>Mental health emergency department visits: An exploration of case definitions in North Carolina</title><author>LeMasters, Katherine ; 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To improve MH, it is important to define public health MH surveillance.
We compared MH related definitions using ICD-10-CM codes: The Council of State and Territorial Epidemiologists' (CSTE) surveillance indicators for all MH, mood or depressive, schizophrenic, and drug/alcohol-induced disorders; and North Carolina's (NC) syndromic surveillance system's definition for anxiety/mood/psychotic disorders, and suicide/self-harm. We compared code definitions and frequent codes in 2019 emergency department (ED) data for those age ≥ 10 years.
CSTE's definition resulted in over one million MH-related visits (23% of all ED visits) and NC's definitions in 451,807 MH-related visits (9% of all ED visits). Using CSTE's broadest definition, nicotine use was the most common visit type; using NC's definitions, it was major depressive disorder.
Standardizing population-level MH indicators benefits surveillance efforts. Given its prevalence, efforts should focus on documenting MH to improve treatment and prevention.
•There are large discrepancies in Mental Health visit prevalence by definition.•Broad Mental Health definitions also capture Substance Use.•Excluding Substance Use, major depressive disorder is the most common code.•Standardizing Mental Health indicators is important for surveillance efforts.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>35550927</pmid><doi>10.1016/j.ajem.2022.04.053</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0735-6757 |
| ispartof | The American journal of emergency medicine, 2022-07, Vol.57, p.103-106 |
| issn | 0735-6757 1532-8171 |
| language | eng |
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| source | ScienceDirect Journals (5 years ago - present); ProQuest Central UK/Ireland |
| subjects | Alcohol Anxiety Codes Coronaviruses COVID-19 Emergency medical care Emergency medical services Epidemiology Health surveillance Mental depression Mental disorders Mental health Mental health care Mood Nicotine Pandemics Psychosis Public health Self destructive behavior Self-injury Suicide Suicides & suicide attempts Surveillance |
| title | Mental health emergency department visits: An exploration of case definitions in North Carolina |
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