Stephanie L Leon1,2, Christine Polihronis1, Paula Cloutier1,3, Roger Zemek1,3,4, Amanda S Newton5, Clare Gray1,3, Mario Cappelli1,3,6,7. 1. Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario. 2. University of Ottawa, Faculty of Social Sciences, School of Psychology, Ottawa, Ontario. 3. Children's Hospital of Eastern Ontario, Ottawa, Ontario. 4. University of Ottawa, Faculty of Medicine, Department of Pediatrics, Ottawa, Ontario. 5. University of Alberta, Department of Pediatrics, Faculty of Medicine and Dentistry, Edmonton, Alberta. 6. University of Ottawa, Faculty of Graduate and Postdoctoral Studies, Ottawa, Ontario. 7. Ontario Centre of Excellence for Child and Youth Mental Health, Ottawa, Ontario.
Abstract
OBJECTIVES: Approximately 45% of youth presenting to the emergency department (ED) for mental health (MH) concerns will have a repeat ED visit. Since youth greatly depend on their caregivers to access MH services, the objective of this study was to determine if family characteristics were associated with repeat ED visits. METHODS: A retrospective cohort study of youth aged 6-18 years (62% female) treated at a tertiary pediatric ED for a discharge diagnosis related to MH was conducted. Data were gathered from medical records, telephone interviews, and questionnaires. Family factor contribution was analyzed using a multivariable logistic regression model controlling for demographic, clinical and service utilization factors. Variables associated with earlier and more frequent visits were determined using cox regression and negative binomial regression. RESULTS: Of 266 participants, 70 (26%) had a repeat visit. While caregiver history of MH treatment decreased the odds of having a repeat ED visit, family functioning and perceived family burden were not associated with repeat visits. Post-visit MH services, prior psychiatric hospitalization, higher severity of symptoms, and living closer to the hospital increased the odds of repeat visits. CONCLUSIONS: This study examined the contribution of multiple family factors in predicting repeat MH visits to the ED. Results suggest caregiver characteristics may impact the decision to return. Healthcare providers should therefore consider caregiver and youth service utilization factors to inform patient management and discharge planning.
OBJECTIVES: Approximately 45% of youth presenting to the emergency department (ED) for mental health (MH) concerns will have a repeat ED visit. Since youth greatly depend on their caregivers to access MH services, the objective of this study was to determine if family characteristics were associated with repeat ED visits. METHODS: A retrospective cohort study of youth aged 6-18 years (62% female) treated at a tertiary pediatric ED for a discharge diagnosis related to MH was conducted. Data were gathered from medical records, telephone interviews, and questionnaires. Family factor contribution was analyzed using a multivariable logistic regression model controlling for demographic, clinical and service utilization factors. Variables associated with earlier and more frequent visits were determined using cox regression and negative binomial regression. RESULTS: Of 266 participants, 70 (26%) had a repeat visit. While caregiver history of MH treatment decreased the odds of having a repeat ED visit, family functioning and perceived family burden were not associated with repeat visits. Post-visit MH services, prior psychiatric hospitalization, higher severity of symptoms, and living closer to the hospital increased the odds of repeat visits. CONCLUSIONS: This study examined the contribution of multiple family factors in predicting repeat MH visits to the ED. Results suggest caregiver characteristics may impact the decision to return. Healthcare providers should therefore consider caregiver and youth service utilization factors to inform patient management and discharge planning.
Authors: Heather A Flynn; Matthew Davis; Sheila M Marcus; Rebecca Cunningham; Frederic C Blow Journal: Gen Hosp Psychiatry Date: 2004 Jul-Aug Impact factor: 3.238
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Authors: Myeong Namgung; Dong Hoon Lee; Sung Jin Bae; Ho Sub Chung; Ji Young Park; Keon Kim; Choung Ah Lee; Duk Ho Kim; Eui Chung Kim; Jee Yong Lim; Sang Soo Han; Yoon Hee Choi Journal: Children (Basel) Date: 2022-07-04