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The charges of emergency division (ED) use are excessive earlier than and after self-inflicted damage amongst youths, in response to a examine revealed on-line Aug. 15 in JAMA Network Open.
Samaa Kemal, M.D., M.P.H., from the Northwestern University Feinberg School of Medicine in Chicago, and colleagues performed a retrospective cohort examine of ED encounters by youths aged 5 to 18 years with self-inflected accidents to look at ED use 90 days earlier than and 90 days after self-inflicted damage.
A complete of 15,593 ED encounters by youths (median age, 15 years) had been recognized and included within the evaluation. The researchers discovered that 24.2 % of youths had an ED encounter inside 90 days earlier than an index damage; 71.8 % of those occurred generally EDs and 38.2 % had been for psychological or behavioral well being.
Youths with public insurance coverage and people residing in rural areas had greater adjusted odds of getting an ED encounter inside 90 days earlier than an index go to (adjusted odds ratios, 1.77 and 1.31, respectively).
Overall, 26.7 % of youths had an ED encounter inside 90 days after an index damage; 69.2 % occurred generally EDs, and 47.9 % had been for psychological or behavioral well being. Higher odds of getting an ED encounter inside 90 days after an index go to had been seen for these with public insurance coverage, residing in rural areas, and residing in micropolitan areas (adjusted odds ratios, 1.72, 1.21, and 1.29, respectively).
“We discovered excessive charges of ED use by youths earlier than and after self-inflicted damage,” the authors write. “This discovering suggests a possibility for ED-based interventions, comparable to suicide threat screening, security planning, and linkage to providers.”
More info:
Samaa Kemal et al, Emergency Department Use by Youths Before and After Self-Inflicted Intentional Injury, JAMA Network Open (2024). DOI: 10.1001/jamanetworkopen.2024.27350
Nabil Abou Baker et al, Incorporating the Emergency Department within the Blueprint for Youth Suicide Prevention, JAMA Network Open (2024). DOI: 10.1001/jamanetworkopen.2024.27331
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Study finds ED use excessive earlier than and after self-inflicted damage amongst youths (2024, August 22)
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